Ou Zhi-Xue, Jin Jia-Chang, Huang Dong
Department of Orthopedics, Guilin Hospital of TCM, Guilin.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008 Oct;28(10):925-8.
To comparatively study the curative effects of combined massage-smouldering-washing therapy (MSW) and mini-invasive surgery in treating knee osteoarthritis (KOA) of mild-moderate degree so as to provide a suitable therapeutic protocol.
Sixty patients with KOA were assigned to two groups. The treatment group was treated with MSW once a day for 10 days as one course, and 4 courses were applied totally with an interval of 3 days between courses. The control group was treated with mini-invasive surgery by arthroscopic mopping, followed with post-operational intra-articular cavity injection with sodium hyaluronate injection, 20 mg every week for 5 times continuously. The therapeutic effect and the changes in scores of clinical symptoms and signs before and after treatment in the two groups were observed and compared.
Outcome of 3-month follow-up showed the effective rate was 90% in the treatment group and 93.33% in the control group; scores of clinical symptoms and signs effectively improved in both groups, but the improvement on the 4 items (joint pain, swelling, soreness of loin and knee, and cold aversion of knee) was superior in the treatment group, while that on the other 4 items (pain during squatting or half-squatting, up stairs or down stairs, joint stiffiness and joint kinetic capacity) was superior in the control group (P < 0.05).
Both MSW and mini-invasive surgery have definite curative effect on KOA but with different particularities.
比较推拿熏洗联合疗法（MSW）与微创手术治疗轻中度膝骨关节炎（KOA）的疗效，以提供合适的治疗方案。
将60例KOA患者分为两组。治疗组采用MSW治疗，每天1次，10天为1个疗程，共进行4个疗程，疗程间隔3天。对照组采用关节镜清理微创手术治疗，术后关节腔内注射透明质酸钠，每周20mg，连续5次。观察并比较两组治疗效果及治疗前后临床症状和体征评分的变化。
3个月随访结果显示，治疗组有效率为90%，对照组为93.33%；两组临床症状和体征评分均有效改善，但治疗组在关节疼痛、肿胀、腰膝酸痛、膝关节畏寒4项上的改善优于对照组，而对照组在蹲或半蹲、上下楼梯时疼痛、关节僵硬和关节活动能力4项上的改善优于治疗组（P<0.05）。
MSW和微创手术对KOA均有确切疗效，但各有特点。
