老年膝关节退行性骨性关节炎临床治疗体会(1)
【摘要】 目的：探讨对老年膝关节退行性骨性关节炎进行治疗所取得的临床效果。方法：选取笔者所在医院收治的60例膝关节退行性骨性关节炎老年患者作为研究对象，按照随机数字表法将其分为观察组和对照组各30例，对照组采用关节镜下探查冲洗修补法进行治疗，观察组采用针灸推拿法进行治疗，观察比较两组患者的临床治疗效果及治疗前后的膝关节功能改善情况。结果：经治疗后，观察组的治疗总有效率93.3%(28/30)明显高于对照组的66.7%(20/30)，两组的膝关节疼痛度、关节活动度及膝关节活动度均明显优于治疗前，且观察组的膝关节功能改善情况明显优于对照组，差异均有统计学意义(P<0.05)。结论：以中医针灸推拿方法对老年膝关节退行性骨性关节炎进行治疗，可取得理想治疗效果，临床治疗有效率比较高，可使患者的关节功能得到明显改善，减轻患者痛苦，促进患者早日康复，具有重要的临床价值，值得在临床上广泛推广。
【关键词】 老年膝关节退行性骨性关节炎； 针灸推拿； 关节镜下探查冲洗修补
, 百拇医药 中图分类号 R684.3 文献标识码 B 文章编号 1674-6805(2014)35-0093-03
【Abstract】 Objective：To investigate the clinical effect of senile degenerative osteoarthritis of knee joint.Method：60 elderly patients with degenerative osteoarthritis of knee joint in our hospital were selected as research objects，they were divided into the observation group and the control group according to the random number table method，30 cases in each group.The control group was treated with probe flush repair under arthroscope，the observation group was treated with acupuncture and massage method.The clinical efficacy and knee joint function improvement before and after treatment between the two groups were observed and compared.Result：After treatment，the total effective rate of observation group was 93.3%(28/30)，it was significantly higher than 66.7%(20/30) of control group，the knee joint pain，joint mobility and knee joint motion of the two groups after treatment were significantly better than before treatment，and the knee joint function improvement of observation group were significantly better than those of control group，the differences were statistically significant(P<0.05).Conclusion：Using Chinese medicine acupuncture and massage treatment of senile degenerative osteoarthritis of knee joint can achieve ideal therapeutic effect，clinical treatment efficiency is higher，can make the joint function of patients obviously improved，reduce patient pain，promote the patient recover at an early date，has important clinical value，is worth of clinical promotion.
, 百拇医药
【Key words】 Senile degenerative osteoarthritis of knee joint； Acupuncture and massage； Under the arthroscope to probe flush repair
膝关节退行性骨性关节炎在现代临床医学上是常见的一种老年性退行性疾病，在临床上有很高的发病率，该疾病所表现出的主要特点就是软骨下骨硬化、破坏以及软骨变性，该疾病往往会造成患者难以正常行走，并且会导致各种并发症，严重影响患者的生活质量以及生命健康[1]。在临床上对于该疾病多采用西医手术方法进行治疗，但是效果并不是很理想，且往往在治疗过程中会给患者带来较大痛苦。有关临床研究显示，利用中医针灸推拿方法对该疾病进行治疗可取得理想效果[2]。本文选取笔者所在医院收治的60例膝关节退行性骨性关节炎老年患者，分别以关节镜探查冲洗修补法与针灸推拿法进行治疗，并对两种方法的临床治疗效果进行分析，现报告如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院收治的60例膝关节退行性骨性关节炎老年患者作为研究对象。所有患者均与膝关节退行性骨性关节炎的临床诊断标准相符合[3]。按照随机数字表法将所有患者分为观察组和对照组各30例。对照组30例患者中，男20例，女10例，年龄65～85岁，平均(72.5±2.5)岁；病程1～10年，平均病程(6.6±2.4)年；观察组30例患者中，男22例，女8例，年龄64～84岁，平均(72.4±2.6)岁；病程1～10年，平均病程(6.4±2.2)年。排除其他器官存在严重疾病的患者。所有患者均自愿配合完成治疗，并且签署知情同意书。两组患者的性别、年龄及病程等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(王家骏)
【关键词】 老年膝关节退行性骨性关节炎； 针灸推拿； 关节镜下探查冲洗修补
, 百拇医药 中图分类号 R684.3 文献标识码 B 文章编号 1674-6805(2014)35-0093-03
【Abstract】 Objective：To investigate the clinical effect of senile degenerative osteoarthritis of knee joint.Method：60 elderly patients with degenerative osteoarthritis of knee joint in our hospital were selected as research objects，they were divided into the observation group and the control group according to the random number table method，30 cases in each group.The control group was treated with probe flush repair under arthroscope，the observation group was treated with acupuncture and massage method.The clinical efficacy and knee joint function improvement before and after treatment between the two groups were observed and compared.Result：After treatment，the total effective rate of observation group was 93.3%(28/30)，it was significantly higher than 66.7%(20/30) of control group，the knee joint pain，joint mobility and knee joint motion of the two groups after treatment were significantly better than before treatment，and the knee joint function improvement of observation group were significantly better than those of control group，the differences were statistically significant(P<0.05).Conclusion：Using Chinese medicine acupuncture and massage treatment of senile degenerative osteoarthritis of knee joint can achieve ideal therapeutic effect，clinical treatment efficiency is higher，can make the joint function of patients obviously improved，reduce patient pain，promote the patient recover at an early date，has important clinical value，is worth of clinical promotion.
, 百拇医药
【Key words】 Senile degenerative osteoarthritis of knee joint； Acupuncture and massage； Under the arthroscope to probe flush repair
膝关节退行性骨性关节炎在现代临床医学上是常见的一种老年性退行性疾病，在临床上有很高的发病率，该疾病所表现出的主要特点就是软骨下骨硬化、破坏以及软骨变性，该疾病往往会造成患者难以正常行走，并且会导致各种并发症，严重影响患者的生活质量以及生命健康[1]。在临床上对于该疾病多采用西医手术方法进行治疗，但是效果并不是很理想，且往往在治疗过程中会给患者带来较大痛苦。有关临床研究显示，利用中医针灸推拿方法对该疾病进行治疗可取得理想效果[2]。本文选取笔者所在医院收治的60例膝关节退行性骨性关节炎老年患者，分别以关节镜探查冲洗修补法与针灸推拿法进行治疗，并对两种方法的临床治疗效果进行分析，现报告如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院收治的60例膝关节退行性骨性关节炎老年患者作为研究对象。所有患者均与膝关节退行性骨性关节炎的临床诊断标准相符合[3]。按照随机数字表法将所有患者分为观察组和对照组各30例。对照组30例患者中，男20例，女10例，年龄65～85岁，平均(72.5±2.5)岁；病程1～10年，平均病程(6.6±2.4)年；观察组30例患者中，男22例，女8例，年龄64～84岁，平均(72.4±2.6)岁；病程1～10年，平均病程(6.4±2.2)年。排除其他器官存在严重疾病的患者。所有患者均自愿配合完成治疗，并且签署知情同意书。两组患者的性别、年龄及病程等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(王家骏)