膝关节炎治疗仪治疗膝骨关节炎临床观察  

Clinical Observation of Treating Knee Osteoarthritis with Therapeutic Apparatus

作　　者：林木南[1] 李俐[2] 林艳红[3] 秦茵[1] 林银英[2] 朱定钰 吴明霞[2] 

机构地区：[1]南京军区福州总医院,福建福州350025 [2]福建省第二人民医院,福建福州350003 [3]福建中医药大学,福建福州350122

出　　处：《风湿病与关节炎》2015年第6期5-9,共5页Rheumatism and Arthritis

基　　金：福建省科技厅重大专项(2013Y4003);福建省科技厅重点项目(2006I0017)

摘　　要：目的：观察膝关节炎治疗仪治疗膝骨关节炎的临床疗效。方法：选择临床分期Ⅰ～Ⅲ期膝骨关节炎患者70例（109膝）,采用随机数字表法按照临床分期随机分为治疗组35例（54膝）和对照组35例（55膝）。两组均在口服盐酸氨基葡萄糖胶囊的基础上,治疗组采用膝关节炎治疗仪治疗,对照组采用TDP治疗器治疗,每次30 min,每日2次,治疗2个月,观察治疗前后不同分期的膝关节运动功能、WOMAC骨关节炎指数、临床疗效。结果：完成治疗65例（100膝）,其中治疗组32例（49膝）,对照组33例（51膝）。治疗后,两组膝关节运动功能评分Ⅰ～Ⅲ期均较治疗前明显增加（P〈0.01）;治疗组Ⅰ期、Ⅱ期增加程度均高于同分期对照组（P〈0.01或P〈0.05）。两组治疗后膝关节WOMAC指数Ⅰ～Ⅲ期均较治疗前明显降低（P〈0.01）;治疗组Ⅰ期、Ⅱ期降低程度明显高于同分期对照组（P〈0.01）。治疗后,两组优良率比较,Ⅰ期、Ⅱ期治疗组均高于同分期对照组（P〈0.05）;两组总有效率比较,差异无统计学意义（P〉0.05）。结论：膝关节炎治疗仪能有效缓解膝骨关节炎的临床症状、改善关节功能,其中Ⅰ期、Ⅱ期膝骨关节炎患者临床疗效明显优于TDP治疗器。Objective：To observe the clinical effect of treating knee osteoarthritis with therapeutic apparatus.Methods：70 cases（109 knees）with knee osteoarthritis of clinical stages Ⅰ ～ Ⅲ were randomly divided into a treatment group（35 cases,54 knees）and a control group（35 cases,55 knees）.Based on oral administration of glucosamine hydrochloride capsules,the treatment group were treated with therapeutic apparatus for knee osteoarthritis,while the control group were treated with TDP treatment device,30 minutes each time and twice a day.After 2 months＇ treatment,the motor function of knee joints,the WOMAC osteoarthritis index,and the clinical efficacy were observed before and after treatment in different stages.Results：The treatment of 65 cases（100 knees）was accomplished,among which 32 cases（49 knees） belonged to the treatment group and33 cases（51 knees）were in the control group.After treatment,the knee joint motion function scores of the two groups（stage Ⅰ ～ Ⅲ）significantly increased compared with those before treatment（P〈0.01）;the knee joint motion function scores of the treatment group in stage I and II were higher than those of the control group over the same period（P〈0.01 or P〈0.05）.The knee joint WOMAC indexes in stages Ⅰ ～ Ⅲ after treatment were significantly lower than those before treatment（P〈0.01）;the decrease in stage Ⅰ and Ⅱ in treatmentgroup was significantly higher than that in the control group（P〈0.01）.After treatment,the excellent and good rates of the treatment group in stage Ⅰ and Ⅱ were higher than those of the control group（P〈0.05）,and there was no statistical significance between the total effective rates of the two group（sP〈0.05）.Conclusion：Apparatus for knee osteoarthritis can effectively relieve clinical symptoms of knee osteoarthritis and improve joint function,among which the curative effects in stage Ⅰ and Ⅱ are better than that of the TDP treatment device.

关 键 词：骨关节炎 膝 膝关节炎治疗仪 临床疗效 

分 类 号：R684.3[医药卫生—骨科学]