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李亚,陈立早,祁芳,许明,张泓.基于“筋骨平衡理论”探讨温针灸联合运动康复对膝骨关节炎疼痛及膝关节功能的影响[J].湖南中医药大学学报英文版,2023,43(2):332-337.[Click to copy
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| 基于“筋骨平衡理论”探讨温针灸联合运动康复对膝骨关节炎疼痛及膝关节功能的影响 |
| 李亚,陈立早,祁芳,许明,张泓 |
| (湖南中医药大学针灸推拿与康复学院, 湖南 长沙 410208;长沙市中心医院康复医学科, 湖南 长沙 410004) |
| 摘要: |
| 目的 探讨温针灸联合运动康复对膝骨关节炎患者膝关节疼痛及膝关节功能的影响。方法 选取2020年3月至2022年3月长沙市中心医院康复医学科膝骨关节炎患者70例，采用随机法分为温针灸组和联合治疗组，各35例。治疗前、治疗4周后采用疼痛视觉模拟评分法（visual analogue scale, VAS）、最大主动关节活动度（active range of motion, AROM）、“起立-行走”计时测试（time "up and go" test, TUGT）、西安大略和麦克马斯特大学骨关节炎指数（Western Ontario and McMaster Universities arthritis index, WOMAC）以及治疗6个月后满意度对患者进行评定。结果 与治疗前比较，治疗后两组AROM增加（P<0.05），VAS评分、TUGT时间、WOMAC评分均降低（P<0.05）；治疗4周后，联合治疗组AROM高于温针灸组（P<0.05），VAS评分、TUGT时间、WOMAC评分均低于温针灸组（P<0.05），且联合治疗组总有效率明显高于温针灸组（P<0.05），联合治疗组治疗6个月后的患者满意度明显高于温针灸组（P<0.01）。结论 温针灸联合运动康复治疗可显著缓解膝骨关节炎患者膝关节疼痛并提高膝关节功能，且联合运动康复治疗较单纯温针灸治疗效果更佳。 |
| 关键词: 膝骨关节炎 温针灸 筋骨平衡 运动康复 膝关节功能 疼痛 满意度 |
| DOI：10.3969/j.issn.1674-070X.2023.02.025 |
| Received:August 19, 2022 |
| 基金项目:湖南省自然科学基金项目（2022JJ40304）；长沙市自然科学基金项目（kq2007072）。 |
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| Effects of warming needle combined with exercise rehabilitation on knee osteoarthritis pain and knee function based on the theory of tendon-bone balance |
| LI Ya,CHEN Lizao,QI Fang,XU Ming,ZHANG Hong |
| (College of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Department of Rehabilitation Medicine, Changsha Central Hospital, Changsha, Hunan 410004, China) |
| Abstract: |
| Objective To investigate the effects of warming needle combined with exercise rehabilitation on knee joint pain and knee joint function in patients with knee osteoarthritis. Methods From March 2020 to March 2022, a total of 70 patients with knee osteoarthritis in the Rehabilitation Medicine Department of Changsha Central Hospital were selected and randomly divided into warming needle group and combined treatment group (35 patients each). Before treatment and 4 weeks after treatment, visual analog scale (VAS), active range of motion (AROM), time "up and go" test (TUGT) and Western Ontario and McMaster Universities Arthritis Index (WOMAC) were used to evaluate the patients' condition. In addition, the patients' degree of satisfaction after 6 months of treatment was assessed. Results AROM increased (P<0.05), while VAS score, TUGT score and WOMAC score decreased (P<0.05) in both groups after treatment. After 4 weeks of treatment, AROM in the combined treatment group was higher than that in the warming needle group (P<0.05), VAS score, TUGT, WOMAC score were lower than those in the warming needle group (P<0.05), and the total effective rate in the combined treatment group was significantly higher than that in the warming needle group (P<0.05). The degree of satisfaction of patients in the combined treatment group after 6 months of treatment was significantly higher than that in the warming needle group (P<0.01). Conclusion Warming needle combined with exercise rehabilitation can significantly relieve knee joint pain and improve knee joint function in patients with knee osteoarthritis, and the effects of the combined therapy are better than those of warming needle alone. |
| Key words: knee osteoarthritis warming needle tendon-bone balance exercise rehabilitation knee function pain degree of satisfaction |
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