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推拿结合功能锻炼治疗膝骨关节炎临床观察
引用本文:朱建忠,徐传英,李伟.推拿结合功能锻炼治疗膝骨关节炎临床观察[J].中国中医药现代远程教育,2020(11):91-93.
作者姓名:朱建忠  徐传英  李伟
作者单位:上海市静安区南京西路街道社区卫生服务中心推拿科;上海市静安区中心医院伤骨科
基金项目:上海市名老中医学术研究工作室项目【No.SHGZS-2017006】;上海市中医特色诊疗技术提升项目【No.Zyjx-2017059】;上海市静安区中医特色专病建设项目【No.JA2016-B009】;上海市静安区中医药临床重点专科项目【No.JA2016-Z002】。
摘    要:目的观察推拿结合功能锻炼治疗膝骨关节炎(KOA)疗效及复发率。方法KOA患者60例分为治疗组30例和对照组30例,2组均给予推拿治疗10次,治疗组同时进行功能锻炼,治疗结束3个月后进行疗效分析和复发率分析,结果2组患者关节疼痛、僵硬及关节日常功能均明显改善,评分均较治疗前明显下降(均P<0.05),且治疗组关节疼痛、僵硬及关节日常功能各项评分均低于对照组(均P<0.05);治疗组复发率低于对照组(P<0.05)。结论推拿结合功能锻炼治疗膝骨关节炎效果较好,膝骨关节炎复发率较低,明显优于单一推拿治疗。

关 键 词:推拿  膝骨关节炎  功能锻炼  复发率  痹证

Clinical Observation on Massage Combined with Functional Exercise in the Treatment of Knee Osteoarthritis
ZHU Jianzhong,XU Chuanying,LI Wei.Clinical Observation on Massage Combined with Functional Exercise in the Treatment of Knee Osteoarthritis[J].Chinese Medicine Modern Distance Education of China,2020(11):91-93.
Authors:ZHU Jianzhong  XU Chuanying  LI Wei
Affiliation:(Massage Department,Shanghai Jingan District Nanjing West Road Street Community Health Service Center,Shanghai 200003,China;Orthopaedics Department,Shanghai Jing an District Central Hospital,Shanghai 200040,China)
Abstract:Objective To observe the massage combined with functional exercise in the treatment of knee osteoarthritis(KOA)and to observe the relapse rate.Methods 60 cases of KOA patients were divided into treatment group of 30 cases and the control group of 30 cases.Two groups were given massage therapy for 10 times,treatment group received functional exercise at the same time.Curative effect analysis and recurrence rate analysis were performed 3 months after the end of treatment.Results The joint pain,stiffness and daily joint function of the 2 groups were significantly improved,and the scores were significantly decreased compared with those before treatment(all P<0.05),and the scores of joint pain,stiffness and daily joint function of the treatment group were lower than those of the control group(all P<0.05).The recurrence rate in treatment group was lower than that in control group(P<0.05).Conclusion The massage combined with functional exercise in the treatment of KOA has significant effect and low relapse rate,and is superior to single massage therapy.
Keywords:massage  knee osteoarthritis  functional exercise  relapse rate  arthromyodynia
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