中医综合治疗对膝骨性关节炎患者股四头肌肌力影响.docVIP

中医综合治疗对膝骨性关节炎患者股四头肌肌力的影响 　　摘要：目的观察中医综合治疗对膝关性关节炎患者股四头肌肌力的影响。方法于2012年7月-2013年12月间，将 90例膝骨性关节炎患者随机分为3组，各30例，治疗组1：股四头肌锻炼+中医推拿手法+中药袋热敷；治疗组2：中医推拿+中药袋热敷；对照组：口服塞来昔布胶囊0.2 g Qd；每组皆治疗2周，测定治疗前、治疗6个月后的股四头肌肌力，并行疗效判定。结果治疗组1的股四头肌肌力皆优于另外2组，对照组的股四头肌肌力无明显变化，治疗组1的疗效优于治疗组2（P0.05）；差异有统计学意义（P0.05）。结论中医综合治疗可以有效增强膝骨性关节炎患者的股四头肌肌力，改善膝关节失稳状况，有效控制减缓了膝骨关节炎的发病进展。 　　关键词：中医综合治疗；膝骨性关节炎；股四头肌肌力 　　中图分类号：R255.6文献标志码：B文章编号：1007-2349（2015）06-0040-02 　　【Abstract】Objective： To observe the effect of traditional Chinese medicine comprehensive treatment on the quadriceps muscle strength of osteoarthritis patients. Methods： From July 2012 to December 2013， 90 patients were randomly divided into three groups， 30 cases per group. The treatment group 1 was treated with quadriceps exercise + massage + hot compress， the treatment group 2 was treated with massage + hot compress and the control group was treated with oral 0.2 g Qd of celecoxib capsules. Two weeks was a course of treatment for each group. The quadriceps muscle strength of the patients was measured before the treatment and after six months， and their therapeutic effect was evaluated. Results： The quadriceps strength of Group 1was better than that of the other two groups， but the quadriceps strength of the control group had no significant change. The treatment group 1 was better than the treatment group 2 （P0.05）. The difference was statistically significant （P0.05）. Conclusion： The traditional Chinese medicine comprehensive treatment can effectively improve the quadriceps muscle strength and knee instability of osteoarthritis patients， thus effectively control the progression of osteoarthritis. 　　【Key words】traditional Chinese medicine comprehensive treatment， osteoarthritis， quadriceps 　　膝骨性关节炎是中老年人群中最常见的退行性骨关节病，致障率高，本疾病的高复发率，所带来顽固性慢性疼痛、关节活动受限，严重威胁着广大人民的身心健康，引起广大医学者致力于对本病的治疗、防护。随着生物力学的发展，逐步认识到膝骨性关节炎的发生与膝关节周围的内外失衡密切相关[1]。笔者将膝关节生物力学研究成果运用于临床，用手法改善膝关节的内在平衡，用股四头肌锻炼、中药袋外敷治疗改善膝关节的外在平衡，从内外两方面加强膝关节的稳定性，取得了良好的临床疗效[2]。本研究从中医综合治疗对膝骨性关节炎患者股四头肌肌力的影响，尝试对中医综合治