首页|火针结合髋膝训练治疗膝骨性关节炎的临床研究

火针结合髋膝训练治疗膝骨性关节炎的临床研究

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目的:探讨火针结合髋膝训练治疗膝骨性关节炎的临床疗效.方法:随机将60例膝骨性关节炎患者分为观察组与对照组.观察组给予火针结合髋膝训练治疗,对照组给予火针治疗,两组均以治疗10次为1个疗程,治疗两个疗程,共40 d.于治疗后第3个月进行随访,以疼痛视觉模拟量表(VAS评分)、安大略西部麦克马斯特大学骨关节炎指数(WOMAC评分)、关节活动度(ROM)及血清肿瘤坏死因子-α(TNF-α)及白介素-1β(IL-1β)水平作为疗效标准.结果:治疗前两组一般资料、VAS评分、WOMAC评分、关节活动度及血清TNF-α和IL-1β水平比较,差异均无统计学意义(P＞0.05).治疗后,两组患者VAS评分、WOMAC评分、关节活动度及血清TNF-α和IL-1β水平均优于治疗前,差异有统计学意义(P＜0.05),且观察组优于对照组,差异有统计学意义(P＜0.01).结论:火针结合髋膝训练治疗能够缓解KOA患者疼痛、僵硬症状,改善关节功能及膝关节活动度,降低血清TNF-α、IL-1β水平.
Clinical Study of Fire Needling Combined with Hip-Knee Training in Treatment of KO A
Objective:To observe the clinical effect of fire needling combined with hip-knee training in treatment of knee osteoarthritis(KOA).Methods:60 patients with KOA were randomly divided into the observation group and the control group.The control group was treated with fire needling;on which basis,the observation group was also treated with hip-knee training.10 times of treatment were taken as one course of treatment,both groups were treated for 2 courses of 40 days.The patients were followed up 3 months after the treatment.The pain visual analogue scale(VAS)score,Western Ontario McMaster University osteoarthritis index(WOMAC)score,range of motion(ROM)and serum levels of TNF-α and IL-1 β were used as efficacy criteria.Results:There were no significant differences in general data,VAS score,WOMAC score,ROM and serum levels of TNF-α and IL-1 β between the two groups before the treatment(P＞0.05).After the treatment,VAS score,WOMAC score,ROM and serum levels of TNF-α and IL-1β were improved compared with those before the treatment in the two groups(P＜0.05),of which the improvements were more significant in the observation group than those in the control group(P＜0.01).Conclusion:Fire needling combined with hip-knee training can relieve pain and stiffness symptoms in KOA patients,it can improve joint function and knee joint mobility,and reduce serum levels of TNF-α and II.-1β.

Knee osteoarthritisFire needlingExercise therapyHip-knee trainingTNF-αIL-1β

谢玲瑶、段霞霞、谭佳璇、蒋学余

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湖南中医药大学,湖南长沙 410208

岳阳市中医医院,湖南岳阳 414000

膝关节骨性关节炎 火针 运动疗法 髋膝联合训练 TNF-α IL-1β

国家科技部研发计划重点专项湖南省自然科学基金面上项目湖南省临床医疗技术创新引导项目湖南省局市(州)联合中医药科研课题湖南省卫生健康委卫生科研课题

2018YFC17078062019JJ40217S2020SFYLJS0039E2023039D202304079413

2024

10.19917/j.cnki.1005-0779.024005

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子：1.242
ISSN：1005-0779
年,卷(期)：2024.40(1)
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