体外冲击波联合藏医能秀疗法治疗膝关节骨性关节炎的临床观察  

Clinical observation on knee osteoarthritis treated by extracorporeal shock wave combined with Tibetan medicine Nengxiu therapy

作　　者：李晓旭[1] 夸新友 牛满拉吉 任硕[1] LI Xiaoxu;KUA Xinyou;NIUMAN Laji;REN Shuo(Department of Rehabilitation,The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Department of Internal Medicine,Tibetan Hospital of Haibei Tibetan Autonomous Prefecture,Haibei 810200,Qinghai,China)

机构地区：[1]山东中医药大学附属医院康复科,山东济南250014 [2]青海省海北藏族自治州藏医院内一科,青海海北州810200

出　　处：《西部医学》2024年第8期1161-1165,共5页Medical Journal of West China

基　　金：山东省中医药科技项目(2020M043)。

摘　　要：目的观察体外冲击波联合藏医能秀疗法治疗膝关节骨性关节炎的临床效果。方法选取2021年6月—11月青海省海北藏族自治州藏医院内一科住院的膝关节骨性关节炎患者60例,随机将上述患者分为对照组和治疗组,每组30例。两组均采用常规治疗方案,包括针灸、盐敷、足浴等治疗,每日1次,治疗总周期为3周。对照组给予常规治疗和能秀疗法,治疗组在此之上另予体外冲击波治疗。3周后对患者的膝关节功能、炎性因子水平进行评估。结果3周后两组的膝关节功能、炎性因子水平较治疗前均有改善(P<0.05)。治疗组治疗后的疼痛、关节僵硬、日常生活评分和总分以及血清超敏C反应蛋白(CRP)、IL-1β、TNF-α均明显低于对照组(P<0.05)。结论体外冲击波联合藏医能秀疗法可以改善膝骨关节炎患者的膝关节功能,减轻膝关节炎症反应,其效果好于单纯能秀疗法。Objective To observe the clinical effect of extracorporeal shock wave combined with Tibetan medicine Nengxiu therapy on knee osteoarthritis.Methods Sixty patients with knee osteoarthritis in a department of Tibetan Hospital of Haibei Tibetan Autonomous Prefecture in Qinghai province were randomly divided into control group and treatment group(30 cases in each group).Both groups received routine treatment,including acupuncture,salt compress and foot bath,once a day,7 days a week for 3 weeks.Control group received conventional treatment and Nengxiu therapy,treatment group plus extracorporeal shock wave therapy on the basis of the control group.Knee function and inflammatory factors were assessed 3 weeks later.Results After 3 weeks,knee function and inflammatory factors in both groups were improved compared with those before treatment(P<0.05).After treatment,pain,joint stiffness,daily life score,total scores,serum CRP,IL-1βand TNF-αin the treatment group were significantly lower than those in the control group(P<0.05).Conclusion Extracorporeal shock wave combined with Tibetan medicine Nengxiu therapy can improve knee function and reduce knee inflammation in patients with knee osteoarthritis,and its effect is better than nengxiu therapy alone.

关 键 词：体外冲击波疗法 能秀疗法 膝关节骨性关节炎 

分 类 号：R684.3[医药卫生—骨科学]