中药熏洗配合功能锻炼治疗膝骨性关节炎临床研究.docVIP

中药熏洗配合功能锻炼治疗膝骨性关节炎的临床研究 　　[摘要] 目的 观察中药熏洗配合功能锻炼治疗膝骨性关节炎的临床治疗效果。 方法 选择我院在 2013年1月～2016年1月收治的100例膝骨性关节炎患者随机进行分组，分为观察组和对照组各50例。对照组给予单纯膝关节功能锻炼，观察组在给予膝关节功能锻炼基础上采用中药熏洗配合治疗，观察其对膝关节骨性关节炎患者疼痛的?解程度。运用《中医病证诊断疗效标准》、膝关节骨性关节炎自评量表（WOMAC）分别在治疗前、治疗后对观察对象进行评估。 结果 两组患者治疗前疼痛、僵硬、功能 WOMAC 评分比较差异均无统计学意义（P0.05），具有可比性。观察组 WOMAC 指数各项评分均显著降低，差异有统计学意义（P0.05）；对照组 WOMAC 指数各项评分均显著降低，差异有统计学意义（P0.05），且观察组优于对照组（P0.05）；观察组总有效率为 92.0%，对照组总有效率 76.0%，两组比较差异有统计学意义（P0.05）。 结论 中药熏洗配合功能锻炼治疗膝骨性关节炎疗效显著，值得临床推广。 　　[关键词] 中药熏洗；功能锻炼；膝骨性关节炎 　　[中图分类号] R274.9 [文献标识码] A [文章编号] 2095-0616（2017）08-231-03 　　[Abstract] Objective To observe the clinical curative effect of Chinese herbal fumigation and washing combined with functional exercise in treatment of knee osteoarthritis. Methods 100 patients with knee osteoarthritis who were admitted to our hospital from January 2013 to January 2016 were selected and randomly divided into the observation group and the control group， with 50 in each. The control group was given simple knee function exercise while the observation group was given Chinese herbal fumigation and washing at basis of knee function exercise. Relieved degrees of pains of patients with knee osteoarthritis were observed. Observation objects before and after treatment were used Standards for Diagnosis and Curative Effect of Chinese Medical Symptom and Western Ontario and McMaster Universities （WOMAC） to evaluate. Results There was no statistically significant difference in pain， stiffness and functional WOMAC scores between two groups （P0.05）. There was comparability. Scores of WOMAC index in the observation group were significantly decreased and the difference was statistical significant （P0.05）. Scores of WOMAC index in the control group were significantly decreased and the difference was statistical significant （P0.05）. And the observation group was superior to the control group （P0.05）. The total effective rate of the observation group was 92.0% and that of the control group was 76.0%. There was signific