推拿配合中药足浴熏洗治疗膝骨性关节炎的临床研究

目的 评价推拿配合中药足浴熏洗治疗膝骨性关节炎（knee osteoarthritis，KOA）的临床疗效，并观察治疗前后Lysholm膝关节功能评分(Lysholm knee score，LKSS)的变化。方法 将61例轻中度KOA患者随机分成两组，治疗组推拿配合中药足浴熏洗治疗，对照组口服美洛昔康治疗，两组均治疗20天（次）,于治疗前、治疗10天（次）、治疗结束及结束后1个月评定LKSS评分。结果 （1）治疗组临床控制13例，显效11例,有效6例,无效 1例，对照组分别为5、11、10、4例，治疗组疗效优于对照组(P<0.05)。（2）LKSS:两组治疗结束LKSS均高于治疗前， 差异有统计学意义(P<0.01)；治疗10天（次）后治疗组LKSS低于对照组，但差异无统计学意义(P>0.05)；治疗结束后治疗组LKSS高于对照组(P<0.05)。（3） 随访1个月需要重新接受治疗病例数及随访LKSS与治疗结束时LKSS的差值，治疗组均低于对照组(P<0.01)。结论 推拿配合中药足浴熏洗治疗KOA有较好的临床疗效。

Clinical Study of Treating Knee Osteoarthritis(Bi Syndrome of Knee) by Massage Combined Chinese Materia Medica Footbath Fumigation and Washing

Objective To evaluate the clinical efficacy of treating knee osteoarthritis(KOA,Bi syndrome of knee) by massage combined Chinese materia medica(CMM) footbath fumigation and washing,and to observe the changes of the Lysholm knee score(LKSS).Methods Totally 61 patients with grade Ⅰ to Ⅲ KOA were randomly assigned to two groups,the treatment group and the control group.Patients in the treatment group were treated with massage combined CMM footbath fumigation and washing,while those in the control group were treated with oral administration of meloxicam.They were treated for 20 days(times).The LKSS was assessed before treatment,10 days of treatment,by the end of the treatment,and 1 month after treatment.Results(1) The therapeutic efficacy in the treatment group was superior to that in the control group(P<0.05).Thirteen cases were clinically controlled,with 11 markedly effective,6 effective,and 1 ineffective in the treatment group,while 5 cases were clinically controlled,with 11 markedly effective,10 effective,and 4 ineffective in the control group.(2) The LKSS:The post-treatment LKSS was higher than that before treatment in the two groups.The LKSS at 10 days(times) of treatment was lower in the treatment group than in the control group,but with no statistical difference(P>0.05).The LKSS by the end of the treatment was higher in the treatment group than in the control group(P<0.05).(3) The case number of patients in need of receiving the treatment again within 1-month follow-up and the difference between the LKSS at follow-ups and that by the end of the treatment were lower in the treatment group than in the control group(P<0.01).Conclusion Massage combined CMM footbath fumigation and washing had better clinical efficacy on patients suffering from KOA.