手法结合红外线治疗膝骨关节炎的疗效.docVIP

手法结合红外线治疗膝骨关节炎的疗效 　　摘 要 目的：观察手法结合红外线治疗膝骨关节炎的疗效。方法：收集2014年4月―2015年7月膝骨关节炎患者113例，随机分为治疗组57例，采用手法结合红外线治疗；对照组56例，采用红外线治疗。观察两组治疗前、后Lysholm膝关节评分变化，并对疗效进行评价。结果：治疗后，治疗组Lysholm膝关节评分为（84.81±7.09）分，对照组为（74.00±6.19）分，均较治疗前改善（P0.05），且治疗组优于对照组（P0.05）。结论：手法结合红外线治疗膝骨关节炎是一种有效、可行的综合治疗方案。 　　关键词 膝骨关节炎 手法 红外线 Lysholm评分 　　中图分类号：R274.9/R244.1 文献标志码：A 文章编号：1006-1533（2016）10-0032-02 　　Effect of manipulative therapy combined with infrared ray in the treatment of knee osteoarthritis 　　GU Yiqin， CHOU Rongfu， GU Jingchun 　　（Zhijiangxilu Community Health Service Center of Zhabei District， Shanghai 200070， China） 　　ABSTRACT Objective： To observe the effect of manipulative therapy combined with infrared ray in the treatment of knee osteoarthritis. Methods： From April 2014 to July 2015， 113 cases of knee osteoarthritis were collected and randoml y divided into a treatment group with 57 cases who were treated with manipulative therapy combined with infrared ray， and a control group with 56 cases treated only with infrared ray. The changes of Lysholm scores of the two groups were observed before and after treatments， and their effects were evaluated. Results： In comparision with treatement before， lysholm scores were improved in both groups after the treatment （P0.05）. It was 84.81±7.09 in the treatment group which was better than 74±6.19 in the control group （P0.05）. Conclusion： The manipulative therapy combined with infrared ray in the treatment of knee osteoarthritis is an effective and feasible comprehensive treatment plan. 　　KEY WORDS osteoarthritis of the knee； manipulative therapy； infrared ray； Lysholm score 　　膝骨关节炎是老年人常见的慢性病之一，病程迁延，反复发作，对老年人生活质量造成很大影响。以往西医治疗方案以口服非甾体抗炎药及手术为主，但社区老年人多患有多种慢性病，非甾体抗炎药的胃肠道不良反应及手术治疗风险较大。近年来，国内外颁布的指南中均越来越重视非药物治疗。手法治疗是近年来在各种文献中报道较多的非药物疗法，本文报道手法结合红外线治疗膝骨关节炎的结果。 　　1 资料与方法 　　1.1 一般资料 　　收集2014年4月―2015年7月在中心就诊的膝骨关节炎患者120例，其中7例因搬迁、住院等原因未能完成观察，实际收集113例。采用随机数字表法分为治疗组57例，年龄（70.39±8.22）岁，单侧患病38例，双侧患病19例；对照组56例，年龄（72.34±9.83）岁，单侧患病40例，双侧患病16例。所有患者均符合《骨关节诊治指南》[1]标准。①