论文部分内容阅读
摘要：目的：观察口服硫酸氨基葡萄糖配合针灸推拿手法及配合膝关节功能锻炼两组治疗方案对膝骨关节炎的临床疗效。方法：选择65例膝骨关节炎患者，随机分为针推组和锻炼组。两组在服用硫酸氨基葡萄糖胶囊的基础上，针推组配后中医针灸、推拿手法治疗；锻炼组配合膝关节功能锻炼，观察60天，分为治疗前、治疗后15天、30天、45天、60天5个观察点。观察两组治疗前后评分比值、两组对疼痛的影响。结果：①针推组的优良率为87.9％，锻炼组的优良率为87.5％。经X2检验，两组无显著性差异（P>0.05）。 ②针推组与锻炼组比较,治疗15天后疼痛值分别为：17.73±2.53，13.91±4.53；治疗30天后分别为：19.7±2.14,17.34±5.53，两组之间及两个时间点疼痛值均有显著性差异（P<0.05）。且针推组在该时间内均值更大。 结论：口服硫酸氨基葡萄糖配合膝关节功能锻炼和配合针灸推拿疗法均能有效治疗膝骨关节炎，提高患者膝关节功能；针推组比锻炼组在止痛方面起效更快。
关键词：膝骨关节炎 针灸推拿 功能锻炼 生活素质
Two therapies to gonitis patients influence
Chen Yongshen Wang Chongqi Hu Xingrong et al.
Abstract:Objective:The observation oral administration sulfuric acid glucosamine coordination acupuncture and moxibustion massage technique and the coordinate knee joint function exercises two groups to treat the plan to the knee osteoarthritis clinical curative effect.Methods:Chooses 65 example knee osteoarthritis patient,divides into the needle to push the group and the exercise group stochastically.Two groups in take the sulfuric acid glucosamine capsule in the foundation,after the needle pushes the group to match the Chinese medicine acupuncture and moxibustion,the massage technique treatment;The exercise group coordinates the knee joint function exercise,observes 60 day,divides into before the treatment,treats latter 15 days,30 day,45 day,60 day 5 viewpoints.Around observes two groups to treat grades the ratio,two groups to the ache the influence.Results:①The needle pushes the group finely rate is 87.9%,the exercise group fine rate is 87.5%.After X2 examinations,two groups of non-significance difference (P>0.05).②The needle pushes the group and the exercise group compares,after treats 15 day the ache value respectively is:17.73±2.53,13.91±4.53;After treats 30 day respectively is:19.7±2.14,17.34±5.53,between two groups and two time ache values have the significance difference (P<0.05).Also the needle pushes the group the average value to be bigger in this time.Conclusion:The oral administration sulfuric acid glucosamine coordination knee joint function exercise and the coordinate acupuncture and moxibustion massage therapy can treat the knee osteoarthritis effectively,enhances the patient knee joint function;The needle pushes the group to get up the effect the exercise group in the analgetic aspect to be quicker than.
Keywords:Knee osteoarthritis Acupuncture and moxibustion massage Function exercise Life quality
【中图分类号】R605 【文献标识码】A 【文章编号】1008-1879(2010)12-0003-02
骨关节炎是一种常见的肌肉骨骼系统疾病，是一种全球性的常见病。根据流行病学调查统计，我国成年人膝关节骨关节炎的患病率为2.2%-9.6%，而60岁以上老年人中，此病的患病率高达49%［1］。本研究旨在观察口服硫酸氨基葡萄糖配合针刺推拿手法及配合膝关节功能锻炼两组治疗方案对膝骨关节炎的治疗作用。
1 临床资料
本次对象为65例患膝关节骨关节炎老年患者，来自广州南方医科大学附属南方医院及中西医结合医院。
1.1 一般资料。
65例膝关节骨关节炎患者按照随机数字表分为2组，其中治疗1组（针推组）33例，男性11例，女性22例，平均年龄69.7±6.91岁，单侧发病21例，双侧发病12例；治疗2组（锻炼组）32例，男性10例，女性22例，平均年龄68.91±7.47岁，单侧发病20例，双侧发病12例。两组间性别、年龄、发病肢体等差异均无统计学意义，具有可比性。
1.2 纳入标准。
1.2.1 符合美国风湿病学会的骨关节炎诊断标准。
1.2.2 年龄65岁以上（包括65岁）老年人；
1.2.3 患者本人在充分了解本研究内容后签署书面知情同意书。如以上任何一个答案为“否”，此受试者不能参加。
1.3 排除标准。
1.3.1 年龄小于65岁、大于90岁；
关键词：膝骨关节炎 针灸推拿 功能锻炼 生活素质
Two therapies to gonitis patients influence
Chen Yongshen Wang Chongqi Hu Xingrong et al.
Abstract:Objective:The observation oral administration sulfuric acid glucosamine coordination acupuncture and moxibustion massage technique and the coordinate knee joint function exercises two groups to treat the plan to the knee osteoarthritis clinical curative effect.Methods:Chooses 65 example knee osteoarthritis patient,divides into the needle to push the group and the exercise group stochastically.Two groups in take the sulfuric acid glucosamine capsule in the foundation,after the needle pushes the group to match the Chinese medicine acupuncture and moxibustion,the massage technique treatment;The exercise group coordinates the knee joint function exercise,observes 60 day,divides into before the treatment,treats latter 15 days,30 day,45 day,60 day 5 viewpoints.Around observes two groups to treat grades the ratio,two groups to the ache the influence.Results:①The needle pushes the group finely rate is 87.9%,the exercise group fine rate is 87.5%.After X2 examinations,two groups of non-significance difference (P>0.05).②The needle pushes the group and the exercise group compares,after treats 15 day the ache value respectively is:17.73±2.53,13.91±4.53;After treats 30 day respectively is:19.7±2.14,17.34±5.53,between two groups and two time ache values have the significance difference (P<0.05).Also the needle pushes the group the average value to be bigger in this time.Conclusion:The oral administration sulfuric acid glucosamine coordination knee joint function exercise and the coordinate acupuncture and moxibustion massage therapy can treat the knee osteoarthritis effectively,enhances the patient knee joint function;The needle pushes the group to get up the effect the exercise group in the analgetic aspect to be quicker than.
Keywords:Knee osteoarthritis Acupuncture and moxibustion massage Function exercise Life quality
【中图分类号】R605 【文献标识码】A 【文章编号】1008-1879(2010)12-0003-02
骨关节炎是一种常见的肌肉骨骼系统疾病，是一种全球性的常见病。根据流行病学调查统计，我国成年人膝关节骨关节炎的患病率为2.2%-9.6%，而60岁以上老年人中，此病的患病率高达49%［1］。本研究旨在观察口服硫酸氨基葡萄糖配合针刺推拿手法及配合膝关节功能锻炼两组治疗方案对膝骨关节炎的治疗作用。
1 临床资料
本次对象为65例患膝关节骨关节炎老年患者，来自广州南方医科大学附属南方医院及中西医结合医院。
1.1 一般资料。
65例膝关节骨关节炎患者按照随机数字表分为2组，其中治疗1组（针推组）33例，男性11例，女性22例，平均年龄69.7±6.91岁，单侧发病21例，双侧发病12例；治疗2组（锻炼组）32例，男性10例，女性22例，平均年龄68.91±7.47岁，单侧发病20例，双侧发病12例。两组间性别、年龄、发病肢体等差异均无统计学意义，具有可比性。
1.2 纳入标准。
1.2.1 符合美国风湿病学会的骨关节炎诊断标准。
1.2.2 年龄65岁以上（包括65岁）老年人；
1.2.3 患者本人在充分了解本研究内容后签署书面知情同意书。如以上任何一个答案为“否”，此受试者不能参加。
1.3 排除标准。
1.3.1 年龄小于65岁、大于90岁；