电针联合等速肌力训练治疗膝骨关节炎临床观察  

Clinical Observation of Knee Osteoarthritis Treated with Electroacupuncture Combined with Isokinetic Muscle Strength Training

作　　者：端木宪雨 徐宁[2] 李仙 韩晴 郭钰玮 鹿钦雪 韩茜茜 王润芳 DUANMU Xianyu;XU Ning;LI Xian;HAN Qing;GUO Yuwei;LU Qinxue;HAN Qianqian;WANG Runfang(Technician College of Liaocheng City,Liaocheng 252000,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]聊城市技师学院,山东聊城252000 [2]山东中医药大学,山东济南250355 [3]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2023年第8期831-835,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省社会科学规划研究项目(编号:20CZXJ06)。

摘　　要：目的:观察电针联合等速肌力训练对膝骨关节炎(KOA)患者临床症状、膝关节功能活动及膝关节周围肌肌力的影响。方法:选择KOA患者80例,按随机数字表法分为对照组和电针组各40例。对照组给予健康宣教和等速肌力训练,电针组在对照组基础上增加电针治疗,连续干预4周。比较两组治疗前后疼痛视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、膝关节活动度(ROM)以及伸肌、屈肌峰力矩(PT)。结果:两组治疗后VAS和WOMAC评分较治疗前均降低(P<0.001),ROM和伸肌、屈肌PT较治疗前均提高(P<0.001),且电针组上述指标水平均优于对照组(P<0.05或P<0.001)。结论:电针联合等速肌力训练可有效缓解KOA患者的临床症状,提高患膝关节活动范围,增强膝关节周围肌肌力。Objective:To observe the clinical effect of knee osteoarthritis(KOA)treated with electroacupuncture combined with isokinetic muscle strength training.Methods:Eighty patients with KOA hospitalized were divided into the control group and the electroacupuncture group using a random number table,40 patients in each group.The control group was given health education and isokinetic muscle strength training,and the electroacupuncture group was further treated with electroacupuncture.Both groups were treated for 4 weeks.Visual analogue scale(VAS)scores,Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores,knee range of motion(ROM)and knee extensor and flexor peak torque(PT)of the two groups were recorded before and after treatment.Results:After treatment,compared to before treatment,VAS scores and WOMAC scores were decreased(P<0.01),and ROM and extensor and flexor PT of knees were increased in the two groups(P<0.001),with more improvement in the electroacupuncture group than in the control group with statistical difference(P<0.05 or P<0.001).Conclusions:Electroacupuncture combined with isokinetic muscle strength training can relieve the clinical symptoms,increase knee ROM and enhance the strength of lower limbs in patients with KOA effectively.

关 键 词：电针 等速肌力训练 膝骨关节炎 WOMAC评分 膝关节活动度 肌力 

分 类 号：R684.3[医药卫生—骨科学] R245.31[医药卫生—外科学]