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目的 探讨壮药酒阿是穴按摩联合烫熨护理膝骨关节炎患者的临床疗效.方法 2014年2月—2015年12月选取广西中医药大学第一附属医院骨科、壮医科门诊患者共80 例,按随机数字表法将80例符合入选标准的患者分为观察组和对照组各40例,对照组采取常规壮药酒涂擦后联合烫熨护理,观察组在对照组基础上采取壮药酒阿是穴按摩,观察比较两组膝骨关节炎患者干预前后日本骨科协会(Japanese Orthopedic Association,JOA)评分及干预疗效.结果 干预2周后,观察组和对照组患者JOA评分分别为(91.1±4.3)、(63.2±4.2)分,差异有统计学意义(P<0.01),观察组和对照组患者总有效率分别为100.0%、87.5%,观察组高于对照组(P<0.05).结论 壮药酒阿是穴按摩联合烫熨护理能改善膝骨关节炎患者临床症状评分,提高临床疗效.

Objective To discuss the clinical effects of Zhuang medicine tendons method with Zhuang herbal medicine inunction after ironing therapy in the nursing of knee osteoarthritis. Methods From February 2014 to December 2015, a total of 80 patients from the Orthopaedics Department and the Zhuang Medical Clinic of the First Affiliated Hospital of Guangxi University of Chinese Medicine were selected, and divided into observation group and control group by random number table method, with 40 cases in each group. The patients in the control group received routine Zhuang herbal medicine inunction and ironing therapy, while the patients in observation group received Zhuang medicine tendons method on the basis of the treatment of the control group. The Japanese Orthopedic Association (JOA) scores and the effects of the two groups were compared before and after the intervention. Results After 2 weeks of intervention, the JOA scores of the observation group and the control group were (91.1±4.3) and (63.2±4.2) respectively, and the difference was statistically significant (P< 0.01). Additionally, the effective rates of the observation group and the control group were 100.0% and 87.5% respectively. It was significantly higher in the observation group than in the control group (P< 0.05). Conclusions Zhuang medicine tendons method with Zhuang herbal medicine inunction after ironing therapy can improve the score of clinical symptoms and theraputic effects in knee osteoarthritis patients