老年膝骨关节炎综合疗法的短期效果观察  

Multidisciplinary Treatment on Older Knee Osteoarthritis: Short-term Observation

作　　者：郭燕梅[1] 万莉 陈蔚[1] 焦伟国[1] 瓮长水[1] 

机构地区：[1]解放军总医院南楼临床部康复医学科,北京市100853 [2]解放军12医院理疗室,新疆疏勒县844200

出　　处：《中国康复理论与实践》2010年第12期1163-1166,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：解放军总医院科技创新基金(09KMM22)

摘　　要：目的观察综合疗法对老年膝骨关节炎的短期治疗效果。方法 30例老年膝骨关节炎患者在接受健康教育指导的基础上,进行10次双氯芬酸二乙胺乳胶剂经脉冲超声波导入、6次推拿手法治疗和每日1～2次的股四头肌肌力增强训练,并在治疗前、后完成视觉模拟疼痛评分(VAS)1、0 m步行速度测试、5次起坐时间测试和下肢等速肌力测试。结果 30例膝骨关节炎患者治疗前后的疼痛程度、步行能力、起坐能力、下肢肌力均有改善(P<0.05或P<0.001)。结论双氯芬酸二乙胺乳胶剂经脉冲超声波导入、推拿手法治疗联合股四头肌肌力增强训练对于膝骨关节炎具有较好的短期治疗效果。Objective To observe the short-term efficacy of treatment with the diclofenac diethylamine emulge import by pulsed ultrasound,massage therapy and quadriceps muscle strengthen training to the patients with knee osteoarthritis for elderly.Methods On the basis of health education,30 elderly patients with knee osteoarthritis were accepted treatments with 10 times of diclofenac diethylamine emulge import by pulsed ultrasound,6 times of massage therapy and then they completed quadriceps muscle strengthen training once or twice a day.Results The pain,walking ability,sit-to-stand ability and lower extremities muscle strength improved significantly for the patients after treatments（P〈0.05 or P〈0.001）.Conclusion The diclofenac diethylamine emulge import by pulsed ultrasound,massage therapy and quadriceps muscle strengthen training have a good short-term efficacy to the elderly patients with knee osteoarthritis.

关 键 词：膝骨关节炎 老年人 脉冲超声波 双氯芬酸二乙胺 推拿手法 主动运动 

分 类 号：R684.3[医药卫生—骨科学]