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目的:观察和评价针灸推拿治疗膝骨关节炎的临床疗效,并对患者屈伸肌群的功能进行分析.方法:将80例患者随机分为观察组和对照组,每组40例.观察组采用针刺结合推拿治疗,针刺取穴主要为内膝眼、鹤顸、犊鼻等,推拿治疗主要手法为攘法、揉法、拿法、擦法及关节被动运动等;对照组口服芬必得.比较两组治疗前后的疗效评定、JOA评分以及等速测试系统评估结果.结果:①观察组总有效率为90.0%(36/40),对照组总有效率为87.5%(35/40),两组疗效相当(P>0.05);两组患者治疗后JOA评分较治疗前明显提高(均P<0.01).②两组患者等速测试示,峰力矩(PT)、总功(TW)、平均功率(AP)治疗后均较治疗前明显提高(P<0.05,P<0.01),观察组治疗后较对照组提高更明显(P0.05). JOA score after treatment increased remarkably compared with that before treatment in two groups (both P<0.01).②It was indicated in isokinetic test of two groups that peak torque (PT), total work (TW) and average power (AP) after treatment were all improved in comparison with those before treatment (P<0.05, P<0.01) and the improvement after treatment in observation group was much more remarkable as compared with that in control group (all P<0.05). Conclusion Acupuncture and Chinese massage can improve significantly in the symptoms, the muscle strength of the flexors and extensors as well as motor function of the patients with knee osteoarthritis, which is superior to that achieved with Fenbid.