推拿结合口服依托考昔片治疗膝骨关节炎临床疗效观察

发布时间：2018-07-13 16:11

【摘要】：目的:通过临床观察推拿结合口服依托考昔片治疗膝骨性关节炎的临床疗效,采用主客观的评价量表,更全面的验证推拿治疗膝骨关节炎的有效性及安全性。方法:将符合本次研究的66例早中期膝骨关节炎患者随机分为试验组和对照组各33例。患者进入临床观察后,试验组和对照组同时开始服用依托考昔片,连续服用两周;试验组加用推拿治疗,连续推拿两周;分别四周后随访,用HSS评分、WOMAC评分、VAS评分以及5次坐立试验测评表进行治疗前评分、治疗一个疗程后评分、四周后随访评分。收集数据,实验组与对照组分别与治疗前进行比较;末次治疗与随访四周进行比较,以观察近期疗效。结果:推拿结合口服依托考昔片治疗膝骨关节炎能够有效的缓解患者的疼痛症状及关节功能。同对照组相比,试验组治疗后WOMAC评分、VAS评分以及5次坐立所用时间均好于治疗前且优于对照组(P0.05),说明试验组可更好的缓解患者疼痛及功能。对照组治疗后HSS评分、WOMAC评分、VAS评分以及5次坐立所用时间均优于治疗前(P0.05),说明对照组可改善患者的关节疼痛及关节功能。两组HSS评分组内治疗一疗程后与随访四周后比较差异无统计学意义(P0.05),说明短时间内推拿治疗变化不明显,两组HSS评分治疗一疗程后及随访四周后组间对比差异无统计学意义(P0.05),说明使用推拿短时间内效果不明显。治疗一疗程后及随访四周后两组组间WOMAC评分、VAS评分及5次坐立试验测评表评分比较差异有统计学意义(P0.05),说明试验组较对照组可更长时间缓解疼痛和功能,推拿近期改善关节症状效果较好。结论:在经筋理论的指导下,我们利用推拿结合口服依托考昔片能更好的改善膝骨关节炎患者的疼痛和关节活动度,且近期疗效比较显著,但其远期疗效还需要通过对更大的样本量进行临床观察来进一步论证。
[Abstract]:Objective: to observe the clinical efficacy of massage combined with oral etacoxib in the treatment of knee osteoarthritis and to evaluate the efficacy and safety of massage in the treatment of knee osteoarthritis by subjective and objective evaluation scale. Methods: 66 patients with knee osteoarthritis were randomly divided into trial group (n = 33) and control group (n = 33). After the patients entered the clinical observation, the trial group and the control group began to take etacoxib tablets for two weeks at the same time; the trial group received massage therapy for two weeks, followed up for four weeks. The scores of VAS and VAS were evaluated by HSS and WOMAC scores. The scores were scored before treatment after one course of treatment and followed up for four weeks. The data were collected, the experimental group and the control group were compared with those before treatment, and the last treatment was compared with the follow-up for four weeks in order to observe the short-term curative effect. Results: massage combined with oral etacoxib in the treatment of knee osteoarthritis can effectively alleviate the pain symptoms and joint function. Compared with the control group, the WO MAC scores and VAS scores and 5 sittings in the experimental group were better than before treatment and better than the control group (P0.05), indicating that the trial group can better relieve pain and function of patients. In the control group, the HSS score, WOMAC score, VAS score and the time of sitting five times after treatment were better than those before treatment (P0.05), which indicated that the control group could improve the joint pain and function of the patients. There was no significant difference in HSS score between the two groups after one course of treatment and four weeks follow-up (P0.05), which indicated that the change of massage treatment was not obvious in a short time. There was no significant difference between the two groups after one course of treatment and four weeks follow-up (P0.05), indicating that the effect of using massage in a short period of time was not obvious. After one course of treatment and four weeks follow-up, there were significant differences between the two groups in WOMAC score, VAS score and 5 sitting test scores (P0.05), which indicated that the trial group could relieve pain and function for a longer time than the control group. Massage is effective in improving joint symptoms in the near future. Conclusion: under the guidance of meridian theory, we can improve the pain and motion of knee osteoarthritis patients by using massage combined with oral etacoxib tablets, and the short-term curative effect is remarkable. But its long-term effect needs to be further demonstrated by clinical observation of larger sample size.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R684.3

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