首页|常规康复治疗配合经皮穴位电刺激在膝骨关节炎中的应用效果

常规康复治疗配合经皮穴位电刺激在膝骨关节炎中的应用效果

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目的:探讨常规康复治疗配合经皮穴位电刺激(TEAS)在膝骨关节炎(KOA)患者中的应用效果.方法:选择2020 年 2 月—2023 年 10 月于无锡市第二中医医院诊疗的 106 例KOA患者作为研究对象,利用电脑产生的随机数的方法将患者分为观察组和对照组,各 53 例.对照组接受常规康复治疗,观察组在对照组基础上给予TEAS.比较两组疗效、关节功能、疼痛程度及炎症因子.结果:观察组总有效率为 96.23%,高于对照组的 75.47%,差异有统计学意义(P<0.05);治疗后,两组膝关节损伤与骨关节炎评分(KOOS)评分较治疗前升高,且观察组高于对照组,两组西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)及超敏C反应蛋白(hs-CRP)较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05);治疗 1 周、2 周、3 周、4 周后,两组视觉模拟评分法(VAS)评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05).结论:常规康复治疗配合TEAS可提高KOA患者的临床效果,改善关节功能,减轻疼痛程度,降低炎症因子水平.
Application Effect of Routine Rehabilitation Therapy Combined with Transcutaneous Electrical Acupoint Stimulation in Knee Osteoarthritis
Objective:To explore the application effect of routine rehabilitation therapy combined with transcutaneous electrical acupoint stimulation(TEAS)in knee osteoarthritis(KOA).Method:A total of 106 patients with KOA who diagnosed and treated in Wuxi Second Traditional Chinese Medicine Hospital from February 2020 to October 2023 were selected as the research objects,the patients were divided into the observation group and the control group by computer-generated random number method,with 53 cases in each group.The control group was given routine rehabilitation therapy,and the observation group was given TEAS on the basis of the control group.The efficacy,joint function,pain degree and inflammatory factors were compared between two groups.Result:The total effective rate of the observation group was 96.23%,which was higher than 75.47%of the control group,and the difference was statistically significant(P<0.05);after treatment,the knee injury and osteoarthritis outcome score(KOOS)scores of two groups were higher than those before treatment,and that in the observation group was higher than that in the control group,the Western Ontario and McMaster University Osteoarthritis Index(WOMAC)scores,tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and high-sensitivity C-reactive protein(hs-CRP)of two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after 1 week,2 weeks,3 weeks and 4 weeks of treatment,the visual analogue scale(VAS)scores of two groups were lower than that before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Routine rehabilitation therapy combined with TEAS can improve the clinical effect of KOA patients,improve joint function,reduce pain and reduce the level of inflammatory factors.

Knee osteoarthritisRehabilitation therapyTranscutaneous electrical acupoint stimulationJoint functionPain

徐雨晨、沈松筠

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无锡市第二中医医院 江苏 无锡 214000

膝骨关节炎 康复治疗 经皮穴位电刺激 关节功能 疼痛

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(34)