来源：风湿病与关节炎,2024,13（6）:16-20.

软组织平衡技术治疗老年重度膝骨关节炎30例临床观察（临床研究）

程亭秀¹，齐逸凡²，马晓婷³，曹景文¹，肖丙龙¹，程广耀¹

　　【摘　要】目的：观察软组织平衡技术治疗老年重度膝骨关节炎的临床疗效。方法：将60例老年重度膝骨关节炎患者随机分为治疗组和对照组，每组30例。对照组采用传统推拿方法治疗，治疗组采用软组织平衡技术治疗，2组疗程均为4周。观察2组临床疗效，以及治疗前后美国特种外科医院（HSS）评分和视觉模拟评分法（VAS）评分。结果：治疗组治愈14例，显效10例，有效5例，无效1例，总有效率为96.67%；对照组治愈7例，显效5例，有效10例，无效8例，总有效率为73.33%。2组比较，差异有统计学意义（P < 0.01）。治疗后，2组HSS评分和VAS评分较治疗前均有改善（P < 0.01)；且治疗组改善程度优于对照组（P < 0.01)。结论：软组织平衡技术保守治疗老年重度膝骨关节炎简单、实用、效果显著，适合临床推广。

　　【关键词】　重度膝骨关节炎；老年；软组织平衡技术；临床疗效

Clinical Observation of Soft Tissue Balance Technique in the Treatment of 30 Cases of Severe Knee Osteoarthritis of the Elderly

CHENG Ting-xiu,QI Yi-fan,MA Xiao-ting,CAO Jing-wen,XIAO Bing-long,CHENG Guang-yao

　　【ABSTRACT】Objective:To observe the clinical efficacy of soft tissue balance technique in the treatment of severe knee osteoarthritis of the elderly.Methods:Sixty elderly patients with severe knee osteoarthritis were randomly divided into a treatment group and a control group,with 30 cases in each group.The control group was treated with traditional massage methods,while the treatment group was treated with soft tissue balance technique.Both groups were treated for 4 weeks,observing their clinical efficacy,as well as the HSS and VAS scores before and after treatment.Results:In the treatment group,14 cases were recovered,10 cases were significantly improved,5 cases were effective,and one case was ineffective,with a total effective rate of 96.67%;in the control group,7 cases were recovered,5 cases showed significant improvement,10 cases were effective,and 8 cases were ineffective,with a total effective rate of 73.33%.The difference between the two groups was statistically significant（P < 0.01）.After treatment,both HSS and VAS scores in the two groups improved compared to before treatment（P < 0.01）;and the treatment group was better than the control group（P < 0.01）.Conclusion:The conservative treatment of severe knee osteoarthritis of the elderly with soft tissue balance technique is simple,practical,and effective,suitable for clinical promotion.

　　【Keywords】 severe knee osteoarthritis;the elderly;soft tissue balance;clinical efficacy