基于从筋治骨理论的康复锻炼对膝骨关节炎的疗效观察  

Clinical effects of rehabilitation exercise in the treatment of knee osteoarthritis based on the theory of “treating muscle for bone”

作　　者：闫安[1] 张宽[1] 秦伟凯[1] 郭江舟 李玲慧[1] 陈明[1] 王尚全[1] 

机构地区：[1]中国中医科学院望京医院骨伤综合科,北京100102

出　　处：《中国骨伤》2017年第8期731-734,共4页China Journal of Orthopaedics and Traumatology

基　　金：中国中医科学院优势创新团队(编号:YS1314);中国中医科学院流派传承专项(编号:ZZ0808018);中国中医科学院望京医院骨与关节退行性病变研究专项(编号:WJYY2014-ZX-03)~~

摘　　要：目的:基于从筋治骨的中医理论,观察自主康复锻炼对膝骨性关节炎的有效性和安全性。方法:门诊收治90例膝骨关节炎患者,分为试验组45例和对照组45例。试验组男11例,女34例;年龄45~70岁,平均(55.47±8.66)岁;病程1周~5年,平均(6.66±7.96)周;对照组男11例,女34例;年龄48~67岁,平均(54.07±5.36)岁;病程1周~7年,平均(4.82±3.95)周。在股四头肌等长训练的基础上,试验组采用自主功能锻炼的干预方法 ,对照组则采用器械训练方法,共治疗2周。分别于治疗前、治疗后采用VAS、Lysholm评分和愈显率对两组临床疗效进行评价。结果:经过2周治疗,试验组的愈显率(86.67%)显著高于对照组(71.11%)。两组患者的VAS评分和Lysholm评分均较治疗前显著改善(P<0.05),其中试验组均优于对照组(P<0.05),两组均无严重不良事件。结论:自主功能锻炼联合股四头肌等长训练的康复方案对KOA临床疗效确切,且无严重不良反应发生。Objective：To study the efficacy and safety of voluntary rehabilitation exercise in the treatment of knee osteoarthritis,based on the traditional Chinese medicine theory of ＂treating muscle for bone＂. Methods：Ninety participants with early knee osteoarthritis were randomly divided into experimental group（n=45） and control group（n=45）. Patients in experimental group were treated with voluntary rehabilitation exercise combined with isometric extension of quadriceps femoris.Patients in control group were treated with apparatus training combined with isometric extension of quadriceps femoris. The treatment course lasted for two weeks. Visual analogue scale（VAS）,Lysholm score and total therapeutic effect were evaluated before and after treatments. Results：After two weeks of treatment,cure-remarkable-effective rate in experimental group（86.67%） was higher than that in control group（71.11%）. The VAS scores and Lysholm scores were significantly improved in both two groups（P〈0.05）. The results were significantly better in experimental group those in control group（P〈0.05）. There were no serious adverse events. Conclusion：Voluntary rehabilitation exercise combined with isometric extension of quadriceps femoris was effective and safe in the treatment of early knee osteoarthritis.

关 键 词：膝骨关节炎 康复 自体锻炼 病例对照研究 

分 类 号：R684.3[医药卫生—骨科学]