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针刺疗法联合运动疗法治疗膝关节痛的临床效果

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目的 探讨针刺疗法联合运动疗法治疗膝关节痛的临床疗效及对患者膝关节活动度、疼痛程度的影响。方法 选取萍乡市人民医院2022年5月至2023年5月治疗的80例膝关节疼痛患者为研究对象,采用随机数字表法将患者分为治疗组和对照组,各40例。对照组患者采用针刺疗法治疗,治疗组患者在对照组的基础上采用运动疗法治疗。比较两组患者治疗前及治疗2个疗程后膝关节活动度、膝关节最大活动度时疼痛视觉模拟评分法(VAS)评分及临床疗效。结果 治疗前,两组患者膝关节内旋、外旋、屈伸度、VAS评分比较,差异无统计学意义(P>0。05)。两组患者治疗2个疗程后膝关节内旋、外旋及屈伸度均高于治疗前,VAS评分均低于治疗前,差异有统计学意义(P<0。05),且治疗组治疗2个疗程后膝关节内旋、外旋及屈伸度均高于对照组,VAS评分低于对照组,差异有统计学意义(P<0。05)。治疗组患者总体治疗效果优于对照组,总有效率高于对照组,差异有统计学意义(P<0。05)。结论 针刺疗法联合运动疗法治疗可显著改善膝关节疼痛患者膝关节活动度,减轻膝关节疼痛程度,治疗效果满意,值得在膝关节疼痛患者治疗中推荐和应用。
Clinical effect of acupuncture therapy combined with exercise therapy in the treatment of knee arthralgia
Objective To explore the clinical effect of acupuncture therapy combined with exercise therapy in the treatment of knee arthralgia,and the influence on the patient's knee joint motion and pain degree.Methods A total of 80 patients with knee arthralgia treated in Pingxiang People's Hospital from May 2022 to May 2023 were selected as the research objects.The patients were divided into the treatment group and the control group by random number table method,with 40 cases in each group.The control group was treated with acupuncture therapy,and the treatment group was treated with exercise ther-apy on the basis of the control group.Knee joint motion,visual analogue scale(VAS)score at maximum knee joint motion and clinical efficacy were compared between the two groups before and after two courses of treatment.Results Before treat-ment,there were no significant differences in internal rotation,external rotation,flexion and extension of knee joint and VAS scores between the two groups(P>0.05).After two courses of treatment,the internal rotation,external rotation and flexion and extension of the knee joint in two groups were higher than those before treatment,and the VAS scores in two groups were lower than those before treatment,the differences were statistically significant(P<0.05).After two courses of treatment,the internal rotation,external rotation and flexion and extension of the knee joint in the treatment group were higher than that in the control group,and the VAS score was lower than that in the control group,the differences were statistically significant(P<0.05).The total therapeutic effect of the treatment group was better than that of the control group,and the total effective rate was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Acupuncture therapy combined with exercise therapy can significantly improve the joint motion of knee arthralgia patients,reduce the de-gree of knee joint pain,the therapeutic effect is satisfactory,and it is worthy of recommendation and application in the treat-ment of knee arthralgia patients.

Knee arthralgiaAcupuncture therapyExercise therapyKnee joint motionPain

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江西省萍乡市人民医院康复医学科,江西萍乡 337000

膝关节痛 针刺疗法 运动疗法 膝关节活动度 疼痛

江西省中医药管理局科技计划项目

2022B502

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(4)
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