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针刀联合功能训练治疗膝骨关节炎患者的效果

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目的 观察针刀联合功能训练治疗膝骨关节炎(KOA)患者的效果。方法 选取2021年10月至2023年6月福建中医药大学附属人民医院收治的64例KOA患者,采用随机数表法分为观察组和对照组,每组各32例。两组均予口服塞来昔布胶囊,对照组采用单纯功能训练治疗,观察组采用针刀联合功能训练治疗。比较两组治疗前后视觉模拟评分法(VAS)评分、美国西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、股四头肌超声剪切波弹性模量值。结果 治疗前,两组VAS、WOMAC得分比较,差异无统计学意义(P>0。05);治疗后,两组VAS、WOMAC得分均低于治疗前,且观察组VAS、WOMAC得分较对照组低,差异有统计学意义(P<0。05)。治疗前,两组股四头肌超声剪切波弹性模量值比较,差异无统计学意义(P>0。05);治疗后,两组股四头肌超声剪切波弹性模量值均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05)。结论 针刀联合功能训练治疗KOA患者,可有效缓解疼痛程度,改善临床症状,降低股四头肌超声剪切波弹性模量,效果优于单纯功能训练治疗。
Efficacy of akupotomye combined with functional training on patients with knee osteoarthritis
Objective To observe the efficacy of akupotomye combined with functional training on patients with knee osteoarthritis(KOA).Methods A total of 64 patients with KOA admitted to the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from October 2021 to June 2023 were selected and divided into the observation group(n=32)and the control group(n=32)according to the random number table method.Both groups were given oral celecoxib capsules.The control group was treated with simple functional training,while t he observation group was treated with akupotomye combined with functional training.The visual analogue scale(VAS)score,the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score,and the elastic modulus value of ultrasonic shear wave of the quadriceps femoris were compared between the two groups before and after treatment.Results Before treatment,there were no statistically significant differences in the scores of VAS and WOMAC between the two groups(P>0.05).After treatment,the VAS and WOMAC scores of both groups were lower than before treatment,and the scores of VAS and WOMAC in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistically significant difference in the elastic modulus value of ultrasonic shear wave of the quadriceps femoris between the two groups(P>0.05).The elastic modulus value of ultrasonic shear wave of the quadriceps femoris in both groups were lower than those before treatment,and moduli in the observation group were lower than those in the control group,with statistically significant difference(P<0.05).Conclusion Akupotomye combined with functional training can effectively relieve pain,improve clinical symptoms and reduce the elastic modulus of ultrasonic shear wave in quadriceps femoris,which is superior to functional training alone.

AkupotomyeKnee osteoarthritisFunctional trainingQuadriceps femorisElastic modulus

庄杜津、喻仁宇、刘晶

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福建中医药大学附属人民医院质控科,福建福州 350004

福建中医药大学附属人民医院传统特色诊疗中心,福建福州 350004

福建中医药大学附属人民医院疼痛科,福建福州 350004

针刀 膝骨关节炎 功能训练 股四头肌 弹性模量

福建中医药大学校管课题临床专项福建中医药大学中医骨伤学科开放课题项目

XB2021009XGS2022003

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(12)