中医推拿辅助治疗退行性膝关节病效果评价.docVIP

中医推拿辅助治疗退行性膝关节病的效果评价 　　[摘要]目的 探讨中医推拿辅助治疗退行性膝关节病的临床效果。方法 选取本院2013年6月～2015年11月收治的70例退行性膝关节病患者作为研究对象，随机分为观察组和对照组，各35例。对照组术后接受常规康复治疗，观察组在对照组的基础上给予中医推拿辅助治疗，两组均治疗4周。比较两组治疗前后的膝关节HSS评分和SF-36生存质量评分变化情况。结果 两组治疗后的疼痛、膝关节功能、膝关节活动度、膝关节屈曲畸形、膝关节稳定性、肌力评分及HSS总分显著高于治疗前，差异有统计学意义（P0.05）。两组治疗后的生理功能、生理职能、躯体疼痛、社会功能、精神健康、情感职能、活力、一般健康状况评分显著高于治疗前，差异有统计学意义（P0.01）。观察组治疗后的生理功能、躯体疼痛及精神健康评分显著高于对照组治疗后，差异有统计学意义（P0.01）。结论 中医推拿辅助治疗能显著改善退行性膝关节病患者的膝关节功能，提高生存质量，值得临床推广应用。 　　[关键词]中医推拿；康复；全膝关节置换术 　　[中图分类号]R684.3 [文献标识码]A [文章编号]1674-4721（2016）06（a）-0143-03 　　[Abstract]Objective To explore the clinical effect of traditional Chinese massage in the adjunctive treatment of degenerative osteoarthritis.Methods 70 degenerative osteoarthritis patients from June 2013 to November 2015 in our hospital were selected and randomly divided into the observation group and the control group，and each group was 35 cases.The control group was given routine rehabilitation treatment，the observation group was given traditional Chinese massage adjunctive treatment on the basis of the control group.Both of two groups were treated for 4 weeks.The changes of knee joint HSS score and SF-36 life quality score in the two groups before and after treatment was compared.Results The score of pain，knee function，knee activity，knee flexion deformity，knee stability，muscle strength and HSS after treatment in the two groups was higher than that before treatment，with significant difference （P0.05）.The score of physiological function，physiological competency，physical pain，social function，mental health，emotional function，vitality and general health status of the two groups after treatment was higher than that before treatment，with significant difference （P 　　[Key words] Traditional Chinese massage；Rehabilitation；Total knee replacement 　　退行性膝关节病也称骨性膝关节炎，由多种因素导致关节软骨受损而引发，在中老年人群中较为常见，病情复杂，迁延不愈，严重影响患者的生活质量[1]。随着近年来我国老龄化进程的加快，该病的发病率逐年升高。目前的主要治疗方法为药物联合物理治疗，但治疗周期长，费用高昂。人工膝关节置换术虽可立竿见影，但操作复杂，手术创伤大，风险较高[2-3]。作为现代康复医学的一部分，中医逐渐被应用于退行性膝关节病的治疗。退行性膝关节病的中医学病因病