丁怀利　陈长兴　陈剑　李民

【摘 要】 目的：观察中药盐敷方烫熨配合康复训练治疗膝骨性关节炎的临床疗效。方法：按照随机原则将60例膝骨性关节炎患者分为观察组和对照组，每组30例。对照组采用TDP照射配合康复训练，观察组采用中药盐敷方烫熨配合康复训练，治疗前后采用简化McGill疼痛评分、症状积分和临床疗效评估等评价疗效。结果：两组治疗后疼痛评分、症状积分较治疗前明显降低（P<0.01），治疗后观察组疼痛评分和症状积分下降程度、临床总有效率均优于对照组（P<0.05）。结论：中药盐敷方烫熨配合康复训练治疗膝骨性关节炎临床疗效明显，该方案简便廉验，值得推广。

【关键词】 膝骨关节炎;中药烫熨;康复训练

【中图分类号】R684.3   【文献标志码】 A    【文章编号】1007-8517（2020）18-0115-03

Clinical Observation On 30 Cases of Knee Osteoarthritis With the

Combination of Traditional Chinese Medicine and Rehabilitation Training

DING Huaili1，2 CHEN Changxing3 CHEN Jian3 LI Min1

1.Department of Rehabilitation， Fujian Provincial Maternity and Childrens Hospital， Fuzhou 350005，China;

2.Department of Rehabilitation， Fujian Provincial Childrens Hospital，Fuzhou 350005，China;

3.Orthopedic Rehabilitation Department， Fujian Provincial Rehabilitation Hospital， Fuzhou 350005，China

Abstract：Objective To observe the clinical effect of the treatment of knee osteoarthritis with the combination of traditional Chinese medicine and rehabilitation training.Methods according to the random principle， 60 patients with knee osteoarthritis were divided into observation group and control group， 30 cases in each group. The observation group was treated twice a day，Before and after treatment， the effect was evaluated by simplified McGill pain score， symptom score and clinical efficacy evaluation.Results after treatment， the pain score and symptom score of the two groups were significantly lower than those before treatment （P<0.01）. After treatment， the pain score and symptom score of the observation group were decreased， and the total clinical effective rate was higher than that of the control group （P<0.05）.Conclusion  the therapeutic effect of traditional Chinese medicine Yanfu prescription ironing combined with rehabilitation training on knee osteoarthritis is obvious. The scheme is simple， cheap and worth popularizing.

Keywords：Knee Osteoarthritis;Traditional Chinese Medicine Ironing; Rehabilitation Training

膝關节骨性关节炎（Knee Osteoarthritis，KOA）是中老年人最常见的一种关节疾病，以膝关节疼痛和活动障碍为主要临床表现，随年龄呈渐进性发展，晚期一般需要手术治疗。现代医学对早中期KOA通常药物治疗为主，虽能减轻疼痛，但因胃肠道副反应等很难长期使用，康复理疗可一定程度替代药物，但持续就医给患者带来负担[1]。笔者用中药盐敷方烫熨配合康复训练治疗KOA取得满意效果，现报道如下。

1 资料与方法

1.1 一般资料 选择2019年1月至2019年12月就诊于福建省康复医院的门诊KOA患者60例，年龄42～65岁，病程1～60个月，符合上述病例标准，采用随机原则分为对照组和观察组30例，两组在年龄、性别、病程上比较差异无统计学意义（P>0.05），具有可比性。见表1。

1.2 诊断标准 西医诊断标准参照中华医学会骨科分会《骨关节炎诊治指南》（2007年版）中KOA标准[2]。中医症候标准按照国家中医药管理局十一五重点专科协作组《膝痹病（膝关节骨性关节炎）诊疗方案》诊断标准[3]。