中醫骨科康復治療膝骨性關節炎的臨床探討

莊瓌瑜

[摘要] 目的 探討中醫骨科康復治療膝骨性關節炎的臨床療效及安全性。方法 將100例膝骨性關節炎患者隨機分為對照組和治療組各50例。對照組予布洛芬口服治療，而治療組采用中醫骨科綜合康復治療，其中主要包括手法推拿、中藥熏洗以及內服等。兩組均治療4個療程后評價臨床療效，并進行VAS、JOA評分比較。結果 治療組總有效率為94%，對照組為74%，治療組明顯高于對照組，差異有統計學意義（P<0.01）。治療組治療后的VAS評分低于對照組，JOA評分高于對照組，兩組的比較差異具有統計學意義。治療組患者未出現不良反應。結論 中醫骨科康復治療膝骨性關節炎的療效優于西藥組，能夠有效緩解患者的疼痛，安全可靠。

[關鍵詞] 中醫骨科；康復治療；膝骨性關節炎；疼痛

[中圖分類號] R274 [文獻標識碼] A [文章編號] 1674-0742（2014）11（c）-0057-02

[Abstract] Objective To observe the clinical efficacy and safety of Chinese Medicine Department of Orthopedics rehabilitation therapy in the treatment of knee osteoarthritis. Methods 100 cases with knee osteoarthritis were randomly divided into the control group and the treatment group with 50 cases in each. The control group was treated by ibuprofen orally， while the treatment group was treated by Chinese Medicine Department of Orthopedics rehabilitation therapy， mainly including massage， Chinese herbal fumigation and washing and oral administration and so forth. After 4 courses of treatment， the clinical efficacies of the groups were evaluated， and the VAS， JOA scores of the two groups were compared. Results The total effective rate of the treatment group was 94%， significantly higher than 74% of the control group （P<0.01）. After treatment， compared with the control group， the VAS score of the treatment group was lower but JOA score was higher， the differences between the two groups were statistically significant. The patients in the treatment group had no adverse reactions. Conclusion Compared with the western medicine group， the effect of Chinese Medicine Department of Orthopedics rehabilitation therapy is better， which can effectively relieve the pain of the patients， and is safe and reliable.

[Key words] Chinese Medicine Department of Orthopedics； Rehabilitation therapy； Knee osteoarthritis； Pain

骨性關節炎是臨床較常見的中老年慢性退行性關節疾病，該疾病主要表現關節疼痛、關節功能障礙以及關節僵硬等。目前膝骨性關節炎的發病率逐漸升高，嚴重影響老年人的生活質量。為探討中醫骨科康復治療膝骨性關節炎的臨床療效及安全性。該研究在2011年1月—2013年12月期間通過中醫骨科康復治療膝骨性關節炎取得較好療效，現報道如下。

1 資料與方法

1.1 一般資料

隨機選取該院膝骨性關節炎患者100例，所有的而患者均符合2007年中華醫學會骨科學分會制定的《骨關節炎診治指南》中骨性關節炎診斷標準[1]。將所有的患者隨機分為對照組和治療組，每組50例。其中對照組男性28例，女性22例，平均年齡為（62.5±4.9）歲，平均病程為（1.2±0.6）年。治療組男性26例，女性24例，平均年齡為（63.5±5.3）歲，平均病程為（1.4±0.3）年。兩組患者在年齡、性別、病情、病程以及治療前評分等方面差異無統計學意義（P>0.05），可以將兩組進行比較。

1.2 方法