经筋灸法联合神经肌肉运动训练治疗膝骨关节炎的临床观察  

Clinical Observation on Treatment of Knee Osteoarthritis by Jingjin Moxibustion Combined with Neuromuscular Exercise Training

作　　者：李志霞[1] 康玉闻[1] 刘永裕[1] 陈鹤 陈丽华[1] LI Zhixia;KANG Yuwen;LIU Yongyu;CHEN He;CHEN Lihua(Foshan Hospital of TCM,Foshan 528000,China;不详)

机构地区：[1]广东省佛山市中医院,广东佛山528000

出　　处：《中国医学创新》2021年第15期90-93,共4页Medical Innovation of China

基　　金：佛山市卫生健康医学科研课题(20200071)。

摘　　要：目的:观察经筋灸法、神经肌肉运动训练以及经筋灸法联合神经肌肉运动训练治疗膝骨关节炎的临床效果。方法:选取2019年6月-2020年8月在本院就诊的120例单侧膝骨关节炎患者,按随机数字表法分为艾灸组(经筋灸法组)、训练组(神经肌肉运动训练组)以及联合组(经筋灸法联合神经肌肉运动训练组),每组40例。比较三组治疗前后视觉模拟评分(VAS)、Lequesne指数评分及临床疗效。结果:治疗前,三组VAS评分、Lequesne指数比较,差异均无统计学意义(P>0.05);治疗后,三组VAS评分、Lequesne指数均低于治疗前,且联合组均低于艾灸组和训练组,差异均有统计学意义(P<0.05)。治疗后,联合组总有效率高于艾灸组和训练组,差异有统计学意义(P<0.05)。结论:经筋灸法联合神经肌肉运动训练治疗膝骨关节炎效果优于单纯经筋灸法、神经肌肉运动训练。Objective:To observe the clinical efficacy of Jingjin moxibustion,neuromuscular exercise training and Jingjin moxibustion combined with neuromuscular exercise training in the treatment of knee osteoarthritis.Method:A total of 120 patients with unilateral knee osteoarthritis treated in our hospital from June 2019 to August 2020 were selected and divided into the moxibustion group(Jingjin moxibustion group),the training group(neuromuscular exercise training group)and the combined group(Jingjin moxibustion combined with neuromuscular exercise training group)according to the random number method,40 cases in each group.The visual analog scale(VAS),Lequesne index scores were compared among three groups before and after treatment,and clinical efficacy were compared among three groups.Result:Before treatment,the VAS,Lequesne index scores of three groups compared,the differences were not statistically significant(P>0.05).After treatment,the VAS,Lequesne index scores of three groups were all lower than those of before treatment,and the combined group were lower than those of the moxibustion group and the training group,the differences were statistically significant(P<0.05).After treatment,the total effective rate of the combined group was significantly higher than those of the moxibustion group and the training group,and the difference was statistically significant(P<0.05).Conclusion:The curative effect of Jingjin moxibustion combined with neuromuscular exercise training in the treatment of knee osteoarthritis is better than that of reinforcement of moxibustion,neuromuscular exercise training alone.

关 键 词：经筋灸法 神经肌肉运动训练 膝骨关节炎 

分 类 号：R246.9[医药卫生—针灸推拿学]