八段锦运动联合玻璃酸钠关节腔注射治疗膝骨性关节炎的疗效观察  

Supplementing sodiumhyaluronate intra-articular injection with Baduanjin exercise improves the treatment of knee osteoarthritis

作　　者：田野 王强[1] 路怀民[1] 周凌[1] 吴文春[1] 周勋[1] 黄继超 Tian Ye;Wang Qiang;Lu Huaimin;Zhou Ling;Wu Wenchun;Zhou Xun;Huang Jichao(Sport Hospital Affiliated to Chengdu Sport University,Chengdu 610041,China)

机构地区：[1]成都体育学院附属体育医院,成都610041

出　　处：《中华物理医学与康复杂志》2022年第12期1104-1107,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：四川省中医药管理局中医药科研专项课题(2020LC0066);成都体育学院附属体育医院临床创新课题(LCCX20C18)。

摘　　要：目的观察八段锦运动联合玻璃酸钠关节腔注射治疗膝骨性关节炎(KOA)的疗效。方法采用随机数字表法将40例KOA患者分为观察组和对照组,每组20例。2组患者均进行健康宣教,对照组在健康宣教的基础上行玻璃酸钠关节腔注射治疗,每周1次,连续治疗5周;观察组在此基础上辅以八段锦运动,每周3次,连续训练5周。治疗前、治疗5周后(治疗后),分别采用西安大略和麦克马斯特大学(WOMAC)骨关节炎指数量表、视觉模拟评分法(VAS)、表面肌电图评估2组患者的膝关节功能、疼痛程度、患侧膝股四头肌的表面肌电积分值(iEMG)。结果与组内治疗前比较,2组患者治疗后VAS评分、WOMAC评分较低、患侧膝股四头肌iEMG值较高(P<0.05)。与对照组治疗后比较,观察组VAS评分[(1.05±0.51)分]和WOMAC评分较低[(12.80±1.96)分]、患侧膝股四头肌iEMG值较高[(124.75±0.56)μV],差异有统计学意义(P<0.05)。结论八段锦运动联合玻璃酸钠关节腔注射可协同作用于KOA,减轻膝关节疼痛,改善膝关节功能。Objective To document the clinical efficacy of supplementing intra-articular injection of sodium hyaluronate with Baduanjin exercise in the treatment of knee osteoarthritis(KOA).Methods Forty patients with KOA were randomly divided into an observation group and a control group,each of 20.Both groups received health education and intra-articular injection of sodium hyaluronate once a week for 5 consecutive weeks.The observation group additionally underwent Baduanjin exercise 3 times a week for the 5 weeks.Before and after the treatment,knee joint function,pain and surface integrated electromyography(iEMG)values of the affected quadriceps were assessed using the Western Ontario and McMaster University(WOMAC)Osteoarthritis Index Scale,and a visual analogue scale(VAS).Results After the treatment the average VAS and WOMAC scores of both groups had decreased significantly,while the average iEMG value of the quadriceps on the affected side had increased significantly.The average VAS and WOMAC scores of the observation group were significantly lower than the control group′s averages after the treatment,while the average iEMG value of the quadriceps on the affected side was significantly higher.Conclusion Combining Baduanjin exercise with sodium hyaluronate joint injection in the treatment of KOA has a synergistic effect which can better relieve knee pain,improve knee functioning,and delay the progression of KOA.The combined treatment is worthy of clinical promotion and application.

关 键 词：膝骨性关节炎 八段锦 玻璃酸钠 

分 类 号：R684.3[医药卫生—骨科学]