保膝须“开膝”——“开膝”在膝骨关节炎中的临床应用价值  

Knee protection requires"Knee osteoarthritis pendulum therapy"the clinical value of"Knee osteoarthritis pendulum therapy"in Knee Osteoarthritis

作　　者：郑占乐[1] 王宇钏 蔚佳昊 宋庆成 张凯旋 纳静 王天瑞[8] 宋九宏 张英泽[1,2,3,4,5,6,7,8,10] 王娟 Zheng Zhanle;Wang Yuchuan;Wei Jiahao;Song Qingcheng;Zhang Kaixuan;Na Jing;Wang Tianrui;Song Jiuhong;Zhang Yingze;Wang Juan(Trauma Emergency Center of the Third Hospital of Hebei Medical University;Orthopaedic Research Institute of Hebei Province;Key Laboratory of Biomechanics of Orthopaedics of Hebei Institute of Orthopaedics;Key Laboratory of Orthopaedic Intelligent Devices of National Health and Wellness Committee;Clinical Medical Research Center of Orthopaedic Diseases of Hebei Province;Engineering Research Center of Orthopaedic Minimally Invasive Intelligent Devices of Ministry of Education,Shijiazhuang 050051,China;Nankai University School of Medicine,Tianjin 300071,China;Laoshan Campus Knee Preservation Center Affiliated Hospital of Qingdao University,Qingdao 266035,China;Wuhan Haona Haona Medical Technology Co.,Ltd,Wuhan 430040,China;China Institute of Engineering,Beijing 100088,China;Department of Arthrology,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院伤急救中心,石家庄050051 [2]河北省骨科研究所 [3]河北省骨科生物力学重点实验室 [4]国家卫生健康委骨科智能器材重点实验室 [5]河北省骨科疾病临床医学研究中心 [6]骨科微创智能器械教育部工程研究中心 [7]南开大学医学院,天津300071 [8]青岛大学附属医院崂山院区保膝中心,266035 [9]武汉好娜好娜医疗科技有限公司,430040 [10]中国工程院,北京100088 [11]河北医科大学第三医院关节科,石家庄050051

出　　处：《中华老年骨科与康复电子杂志》2024年第6期325-330,共6页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：国家自然科学青年基金项目(82102584);河北省重点研发计划项目(2137768D);河北省医学科学研究课题计划(20221173)。

摘　　要：目的评价“开膝”疗法在膝关节疾病中防治中的价值,旨在为膝关节疾病的预防与康复提供理论依据与实践指导。方法对8例骨性关节炎K-L分级Ⅱ级、视觉模拟量表(VAS)评分为6分的患者进行“开膝”疗法指导,嘱其锻炼6周后门诊复查。主要观察指标为其观察其疼痛评分变化,评价“开膝”治疗效果。结果患者6周后门诊复查,均诉疼痛减轻,其中6例患者VAS疼痛评分低于3分,属于轻度疼痛。两例患者VAS疼痛评分为5分,仍为中度疼痛,只是比6周前有好转。整体有效率100%,明显改善率75%。结论“开膝”疗法经初步应用效果良好,对于早期骨性关节炎的治疗具有较好的临床推广价值。Objective To evaluate the therapeutic value of the"Knee osteoarthritis pendulum therapy"technique in the prevention and treatment of knee joint disorders,aiming to provide theoretical and practical guidance for the prevention and rehabilitation of knee joint diseases.Methods 8 patients diagnosed with Kellgren-Lawrence grade II osteoarthritis and Visual Analog Scale(VAS)of 6 were instructed to perform the"knee osteoarthritis pendulum therapy"exercises for six weeks under guidance.Follow-up evaluations were conducted in outpatient settings after the intervention.The primary outcome was the change in pain scores,used to assess the effectiveness of the"knee osteoarthritis pendulum therapy"therapy.Results After six weeks of intervention,all patients reported pain relief.VAS scores were reduced to less than 3(mild pain)in six patients,while two patients had VAS scores of 5(moderate pain),showing improvement compared to baseline.The overall response rate was 100%,with a marked improvement rate of 75%.Conclusion Preliminary application of the"knee osteoarthritis pendulum therapy"therapy demonstrated favorable outcomes,suggesting its potential clinical value in the management of early-stage osteoarthritis.

关 键 词：膝关节骨性关节炎 开膝 保膝 养膝 护膝 

分 类 号：R687.4[医药卫生—骨科学]