电针结合运动干预在寒地老年膝关节炎人群中的应用效果研究  

Effect of Electro Acupuncture Combined with Exercise Intervention on the Elderly Patients with Knee Arthritis

作　　者：朱肖菊[1] 王晓杰[1] 

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2015年第12期7-10,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察电针结合运动干预在高寒地区老年膝关节炎人群中的干预效果。方法:随机将60例研究对象分为3组,每组20人,并给予不同的干预措施。对照组只对研究对象进行定期健康教育;运动组除对研究对象进行健康教育外,对其采取肌肉训练、关节活动度训练和本体感觉训练等运动疗法;电针组在运动组干预措施的基础上采取电针治疗。针刺选取膝周四穴:梁丘、犊鼻、血海、内膝眼。每周治疗5次,10次为1个疗程。5个疗程结束后,观察3组之间的疗效、关节活动度及疼痛量表的变化情况。结果:经过5个疗程的干预显示,运动组、电针组和对照组之间的有效率存在显著性差异(P<0.05或P<0.01),且电针组的有效率优于运动组(P<0.05);运动组和电针组在临床症状的缓解、关节活动度和疼痛量表等方面的改善效果明显优于对照组(P<0.05或P<0.01),且以电针组的改善情况最为明显(P<0.05或P<0.01)。结论:电针结合运动干预的方法在改善高寒地区老年膝关节炎患者的疼痛和临床症状等方面有着显著的效果,是预防和治疗寒地老年人群膝关节炎的有效方法。Objective：To observe the effect of electro acupuncture combined with exercise intervention on eld- erly patients with knee arthritis in cold regions. Methods ：60 patients were randomly divided into 3 groups ;with 20 patients in each group, and different intervention measures were used. In the control group：patients received health education;in the sports group： in addition to receiving health education, they received muscle training, joint activity degree training and body feeling training and other sports therapies;in the electro acupuncture group ： on the basis of therapies in the sports group, patients were acupunctured at four points around the knees ：Liangqiu, Dubi ,Xuehai and Neixiyan,with 5 times a week, 10 times as 1 course. After 5 courses of treatment, the effect of three groups were observed, and the changes of the joint activity and pain scale were observed. Results： After 5 courses of treatment, there were significant differences between exercise group, EA group and control group （ P 〈 0.05, P 〈 0.01 ）, and the effective rate of EA group was better than that of sports group （ P 〈 0.05 ）, and the improvement of clinical symptoms in the sports group and EA group was better than that in the control group（ P 〈 0.05, P 〈 0.01 ）. Conclusion： Electro acupuncture combined with exercise intervention for improving pain, clinical symptoms and other aspects of elderly patients with knee arthritis has a significant effect, and it is an effective method for treating knee arthritis.

关 键 词：高寒地区 膝关节炎 电针 运动干预 

分 类 号：R246.2[医药卫生—针灸推拿学]