首页|针刀疗法治疗膝骨关节炎的疗效及对患者膝关节功能的影响

针刀疗法治疗膝骨关节炎的疗效及对患者膝关节功能的影响

扫码查看
目的 探讨针刀疗法治疗膝骨关节炎的疗效及对患者膝关节功能的影响.方法 随机将 60 例膝骨关节炎患者分为对照组与治疗组,各30例.治疗组采用针刀疗法治疗,对照组采用玻璃酸钠关节腔注射治疗.2组均治疗21 d,随访1年.对比 2组治疗21 d后的临床疗效,治疗前、治疗21 d后的膝关节功能、生活质量及焦虑情绪,治疗期间的安全性,随访1年复发情况.结果 治疗21 d后,治疗组总有效率(96.67%,29/30)高于对照组(73.33%,22/30)(P<0.05).治疗 21 d后,2 组西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、视觉模拟评分(VAS)、膝关节炎严重性指数(ISOA)、关节炎贝克焦虑量表(BAI)评分降低,且治疗组更低(P<0.05).治疗21 d后,2组关节活动度(ROM)、生活质量测量量表2(AIMS2-SF)、改良Barthel指数评定量表(MBI)评分升高,且治疗组更高(P<0.05).治疗期间,2 组不良反应发生率比较,差异无统计学意义(P>0.05);随访 1 年治疗组复发率更低(P<0.05).结论 针刀疗法治疗膝骨关节炎临床疗效较好,可改善患者膝关节功能,降低焦虑情绪,减少复发,提高生活质量,且安全性良好.
Therapeutic effect of akupotomye treatment on knee osteoarthritis and its influence on knee joint function in patients
Objective To explore the therapeutic effect of akupotomye treatment on knee osteoarthritis and its influence on knee joint function in patients.Methods 60 patients with knee osteoarthritis were randomly divided into the control group and the treatment group,with 30 cases in each group.The treatment group was treated with akupotomye treatment,and the control group was treated with sodium hyaluronate injected into articular caviry.Both groups were treated for 21 days and followed up for 1 year.The clinical efficacy after 21 days of treatment,knee joint function,quality of life and anxiety before treatment and after 21 days of treatment,safety during treatment,and recurrence after 1 year of follow-up between two groups were compared.Results After 21 days of treatment,the total effective rate of the treatment group(96.67%,29/30)was higher than that of the control group(73.33%,22/30)(P<0.05).After 21 days of treatment,the Western Ontario and MeMaster Universities Osteoarthritis Index(WOMAC),visual analogue score(VAS),knee arthritis severity index(ISOA)and beck anxiety inventory(BAI)scores of both groups decreased,and the index values and scores of the above indicators were lower in the treatment group(P<0.05).After 21 days of treatment,the joint range of motion(ROM),scores of arthritis impact measurement scales 2(AIMS2-SF)and modified Barthel index(MBI)scores in both groups increased,and the values of the above indicators in the treatment group were higher(P<0.05).During treatment,there was no statistically significant difference in the incidence of adverse reactions between two groups(P>0.05).After 1 year of follow-up,the recurrence rate of the treatment group was lower(P<0.05).Conclusion Akupotomye treatment has the good clinical efficacy in the treatment of knee osteoarthritis,which can improve the function of knee joint,reduce anxiety,control recurrence,improve the quality of life,and has good safety.

knee osteoarthritisakupotomye treatmentknee joint functionquality of lifeanxiety

聂勇、朱俊琛、马幸福、李迎春、苏毅、王超、熊应宗、李富友、王怀泽

展开 >

安徽中医药大学第二附属医院骨伤一科,合肥 230061

膝骨关节炎 针刀疗法 膝关节功能 生活质量 焦虑

安徽省2017年度第一批科技计划项目

1704a0802168

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(2)
  • 12