【摘要】 目的 :研究推拿联合功能锻炼治疗膝骨性关节炎的疗效及预后状况。方法 :选取2014年6月～2016年6月接诊的130例膝骨性关节炎进行研究。按照随机数表法,随机均分为研究组和对照组。对照组采用西医常规进行治疗,研究组则在对照组用药基础上,给予患者推拿联合功能锻炼治疗。治疗前后,比较分析两组患者的中医证候积分、VAS、HSS及Lysholm评分状况,并对患者治疗后满意度及复发状况进行调查分析。结果 :研究组患者的总有效率(92.31%)明显高于对照组(80.00%),两组比较有统计学意义。治疗前,两组患者的膝关节疼痛、功能障碍、肿胀及压痛中医证候积分无显著性差异;治疗后,两组患者的中医证候积分均明显降低,且研究组患者的各项中医证候积分明显低于对照组,两组比较有统计学意义。治疗前,两组患者的VAS、HSS及Lysholm评分无显著性差异;治疗后,两组患者的VAS评分均明显降低,且研究组明显低于对照组;HSS及Lysholm评分明显高于对照组,且研究组明显高于对照组,两组比较有显著性差异。研究组患者的满意率(95.38%)明显高于对照组(81.54%),两组比较有统计学意义。两组患者治疗2月后,均未发生严重不良反应。研究组患者中3例患者复发,对照组中10例患者复发。研究组复发率明显低于对照组,两组比较有统计学意义。结论 :推拿联合功能锻炼治疗膝骨性关节炎的疗效显著,患者膝关节功能恢复良好,值得广泛应用。更多还原

【Abstract】 Objective To study the efficacy and prognosis of massage combined with functional exercise in the treatment of knee osteoarthritis. Methods 130 cases knee osteoarthritis were selected from June 2014 to June 2016. According to the random number table method, they were randomly divided into study group and control group. The control group was treated with conventional western medicine, while the study group was treated with massage combined with functional exercise on the basis of the control group. Before and after treatment, TCM syndrome score, VAS, HSS and Lysholm scores of two groups of patients after treatment and satisfaction recurrence were investigated. Results The total effective rate of the study group(92.31%) was significantly higher than that of the control group(80%), and the difference between the two groups were statistically significant. Before treatment, the knee joint pain, swelling, tenderness and dysfunction of TCM syndrome score of the two groups had no significant difference; after treatment, the TCM Syndromes of two groups of patients were significantly decreased, and the TCM symptom scores of the patients in the study group was significantly lower than the control group, the two groups were statistically significant. Before treatment, VAS, HSS and Lysholm were no significant difference between two groups; after treatment, VAS scores of two groups were significantly decreased, and the study group was significantly lower than the control group; HSS and Lysholm were significantly higher than the control group, and the study group was significantly higher than the control group, there were significant differences between two groups. The satisfaction rate of patients in the study group(95.38%) was significantly higher than that of the control group(81.54%), and the difference between the two groups were statistically significant. After 2 months treatment, there were no serious adverse reactions of the two groups. In the study group, 3 patients relapsed, and 10 patients in the control group relapsed. The recurrence rate of the study group was significantly lower than that of the control group, and the difference between the two groups was statistically significant(4.62% vs 15.38%). Conclusion Massage combined with functional exercise is effective in the treatment of knee osteoarthritis, and the knee joint function of the patients is recovered well, and it is worthy of extensive application.更多还原