中医骨科康复治疗老年骨性关节炎临床效果分析

目的观察并探讨中医骨科康复治疗老年骨性关节炎的临床效果。方法选取本院2008年3月～2011年5月收治的老年骨性关节炎患者189例,随机分为两组。其中,对照组95例,采用尼美舒利口服治疗;实验组94例,采用中医骨科综合康复治疗,包括手法推拿、中药熏洗及内服等。疗程均为4周,治疗结束后评价临床治疗有效率,并进行视觉模拟评分（VAS）、JOA评分比较。结果实验组患者治疗总有效率明显高于对照组,组间比较差异有统计学意义（P〈0.05）;实验组患者治疗后VAS评分明显低于对照组,而JOA评分则明显高于对照组,组间比较差异有统计学意义（P〈0.05）;对照组治疗过程中出现不良反应5例,实验组患者治疗过程中未出现不良反应。结论中医骨科康复治疗老年骨性关节炎临床效果确切,能够有效缓解疼痛,改善生活质量,且不良反应少,具有临床推广使用价值。

The clinical efficacy analysis of traditional Chinese medicine orthopedic rehabilitation in treatment of senile osteoarthritis

Objective To observe and investigate the clinical efficacy of traditional Chinese medicine orthopedic rehabilitation in treatment of senile osteoarthritis. Methods One hundred and eighty nine patients who were selected from from March 2008 to May 2011 were randomly divided into two groups. The control group, which had 95 cases, were given nimesulide oral, while the experiment group of 94 cases were given traditional Chinese medicine orthopedic rehabilitation, including massage, herbal fumigation and internal. The course of treatment was 4 weeks. At the end of treatment, the clinical efficacy were evaluated and VAS, JOA score were compared between the two groups. Results The experimental group’s total efficiency is obviously higher than that of the control group, the difference between the two groups was statistically significant (P < 0.05). The experiment group patients’ VAS score was significantly lower than that of the control group, while the JOA score was significantly higher than that of the control group, the difference between groups was statistically significant (P < 0.05). There were 5 cases of adverse drug reactions in control group, while the experimental group had no adverse drag reaction. Conclusion Traditional Chinese medicine orthopedic rehabilitation in treatment of senile osteoarthritis is effective. It can effectively relieve pain and improve the quality of life. It is worthy of clinical application.