Zhou Shao-wen, Shen Qian, Liao Yi-xin
Department of Traditional Chinese Medicine, The Central Hospital of China Aerospace Corporation, Beijing.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2012 Aug;32(8):1060-3.
To evaluate the clinical efficacy of treating knee osteoarthritis (KOA, Bi syndrome of knee) by massage combined Chinese materia medica (CMM) footbath fumigation and washing, and to observe the changes of the Lysholm knee score (LKSS).
Totally 61 patients with grade I to III KOA were randomly assigned to two groups, the treatment group and the control group. Patients in the treatment group were treated with massage combined CMM footbath fumigation and washing, while those in the control group were treated with oral administration of meloxicam. They were treated for 20 days (times). The LKSS was assessed before treatment, 10 days of treatment, by the end of the treatment, and 1 month after treatment.
(1) The therapeutic efficacy in the treatment group was superior to that in the control group (P < 0.05). Thirteen cases were clinically controlled, with 11 markedly effective, 6 effective, and 1 ineffective in the treatment group, while 5 cases were clinically controlled, with 11 markedly effective, 10 effective, and 4 ineffective in the control group. (2) The LKSS: The post-treatment LKSS was higher than that before treatment in the two groups. The LKSS at 10 days (times) of treatment was lower in the treatment group than in the control group, but with no statistical difference (P > 0.05). The LKSS by the end of the treatment was higher in the treatment group than in the control group (P < 0.05). (3) The case number of patients in need of receiving the treatment again within 1-month follow-up and the difference between the LKSS at follow-ups and that by the end of the treatment were lower in the treatment group than in the control group (P < 0.01).
Massage combined CMM footbath fumigation and washing had better clinical efficacy on patients suffering from KOA.
评价推拿联合中药足浴熏洗治疗膝骨关节炎（KOA，膝关节痹证）的临床疗效，并观察Lysholm膝关节评分（LKSS）的变化。
将61例Ⅰ至Ⅲ级KOA患者随机分为治疗组和对照组。治疗组采用推拿联合中药足浴熏洗治疗，对照组采用口服美洛昔康治疗。两组均治疗20天（次）。分别于治疗前、治疗10天、治疗结束时及治疗后1个月进行LKSS评估。
（1）治疗组治疗效果优于对照组（P<0.05）。治疗组临床控制13例，显效11例，有效6例，无效1例；对照组临床控制5例，显效11例有效10例无效4例。（2）LKSS：两组治疗后LKSS均高于治疗前。治疗10天（次）时治疗组LKSS低于对照组，但差异无统计学意义（P>0.05）；治疗结束时治疗组LKSS高于对照组（P<0.05）。（3）治疗组1个月随访内需再次治疗的患者例数及随访时LKSS与治疗结束时的差值均低于对照组（P<0.01）。
推拿联合中药足浴熏洗治疗KOA患者临床疗效较好。
