推拿加AKA关节松动术结合运动疗法治疗退行性膝关节病38例临床研究

发布时间：2018-06-08 17:49

本文选题：退行性膝关节病 + 运动疗法　；参考：《新中医》2010年03期

【摘要】：目的:观察推拿加AKA关节松动术结合运动疗法治疗退行性膝关节病的临床疗效。方法:对38例患者采用推拿加AKA关节松动术、运动疗法,结合口服天然葡萄糖胺与软骨素治疗。观察关节的疼痛程度、积液、活动受限程度等疗效指标。结果:疼痛基本消失,无关节积液,能正常行走、上下楼梯者15例,占39.5%;关节仍轻微疼痛、关节积液少量存在,能正常行走,上下楼梯受限者18例,占47.4%;疼痛稍缓解、关节积液仍存在,行走轻度困难者3例,占7.9%;治疗前后无明显变化者2例,占5.2%,总有效率为94.7%。治疗后膝关节各项目评分及总分均较治疗前升高,差异有非常显著性意义(P0.01)。结论:推拿、AKA关节松动术、运动疗法为主,辅以口服软骨素、天然葡萄糖胺,可减少膝关节疼痛,促进炎症吸收,增加关节滑液,修复软骨的同时能强化膝关节周边肌肉力量,有效加强膝关节的稳定性。
[Abstract]:Objective: to observe the clinical effect of massage and AKA joint loosening combined with exercise therapy in the treatment of degenerative knee joint disease. Methods: 38 patients were treated with massage plus AKA joint loosening, exercise therapy and oral administration of natural glucosamine and chondroitin. To observe the degree of joint pain, effusion, activity restriction and other therapeutic indicators. Results: the pain disappeared basically, no joint effusion, normal walking, up and down stairs in 15 cases (39.5%), the joint was still slightly painful, a small amount of joint fluid could walk normally, 18 cases (47.4%) were limited in the upper and lower stairs, and the pain was slightly relieved. There were 3 cases with mild difficulty in walking (7.9%) and 2 cases (5.2%) with no obvious change before and after treatment. The total effective rate was 94.7%. After treatment, the scores and total scores of each item of knee joint were higher than that before treatment, and the difference was very significant (P 0.01). Conclusion: massage and AKA joint loosening, exercise therapy, supplemented with oral chondroitin and natural glucosamine, can reduce knee joint pain, promote inflammation absorption, increase synovial fluid, repair cartilage, and strengthen muscle strength around knee joint at the same time. Effectively strengthen the stability of the knee joint.
【作者单位】：海口市农垦总医院康复科;
【分类号】：R244.1;R684

【共引文献】