中西医结合治疗膝骨关节炎75例临床观察
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【中图分类号】R274.9 【文献标志码】A 【文章编号】1007－8517（2026）04-0103-07
DOI： 10.3969/j . issn.1007-8517. 2026.04. zgmzmjyyzz202604020
Clinical Observationof75CasesofKnee OsteoarthritisTreatedwith Integrated Traditional ChineseandWesternMedicine
HEN Xiaoli1GAO Yuguang²WANG Wei²XU Zhangjie²ZHANG Hui³CHEN Wanglong² CHEN Yixin2* 1.Guangxi University of Chinese Medicine Afiliated Ruikang Hospital，Nanning 53Oo11，China 2.TheFirst Afiliated Hospital of Guangxi Universityof Traditional Chinese Medicine，Nanning 530O21，China 3.The Second Affiliated Hospital of Guilin Medical University，Guilin 541010，China
Abstract：ObjectiveEficacyof integratedtraditionalchineseandwesternmedicineintervention（oral westernmedicationcombinedwithpatelarmanipulationandblade-needletherapy）intheclinicaltreatmentofkneeosteoarthritis.MethodsTisstudyemployedarandomizedcontroledtrial（RCT）designPatientswithkneeosteoarthitiswhomettheinclusioncriteriawererandomlydividedintotwogroups：thecontrolgroupreceivedbasicoralmedicationplussalpelededletherapy，whiletheobservationgroupeceivedmanipulativepatelarobilizationinadditiontothtreatmentventoteotrolgroup.Thesudyomparedteccalfica cydifferencesbetwnthetwogroupsofpatientsaftrtreaentIaloassedthechangesinteectedimb'sVAsoeWOMACscore，Lyshomscor，andgaitparametersmeasuredbytheTecnoBodydigitaltreadillbeforeandaftertreatmentResultsAfter treatment，both groups showed a significant decrease in VAS and WOMAC scores compared to pre-treatment levels （ P<0.05 ）．The observation group had significantly lower scores in both VAS and WOMAC compared to the control group （ P<0.05 ）．After treatment，both groups exhibitedsignficantincreases inLysholmscoresandgaitanalysisparameters，including stridelengthand walking speed，compared to pre - treatment levels （ P<0.05 ）.The observation group had significantly higher Lysholm scores，stride length， and walking speed compared to the control group （ P<0.05 ）.The observation group exhibited a markedly superior clinical effectiveness compared with the control group （ P<0.05 ）.Conclusion The integrated traditional Chinese and Western medicine approach， whichcombinesoral Westernmedication，patelar manipulation，ndblade-nede therapy，canefectivelyaleviatepaininpatints with knee osteoarthritis，improve knee joint function，and enhance therapeutic efficacy.
KeyWords：Rubbing Patellar Manipulation；Blade Needle；Knee Osteoarthritis；Clinical Study
膝骨关节炎（kneeosteoarthritis，KOA）是一种由生物及力学因素共同作用引发的慢性关节退行性疾病，病变范围涵盖滑膜、软骨下骨、关节软骨以及周围软组织，其主要临床表现为关节功能障碍和疼痛¹。（剩余10332字）