等速肌力训练联合玻璃酸钠腔内注射治疗对膝骨关节炎患者膝关节功能、疼痛程度的影响  

Effect of Isokinetic Muscle Strength Training Combined with Intraluminal Injection of Sodium Hyaluronate on Knee Joint Function and Pain Level in Patients with Knee Osteoarthritis

作　　者：李建国[1] LI Jianguo(Department of Joint Surgery,Pingdu People's Hospital,Qingdao 266700,China)

机构地区：[1]平度市人民医院关节外科,山东青岛266700

出　　处：《反射疗法与康复医学》2024年第21期69-72,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨等速肌力训练联合玻璃酸钠腔内注射治疗对膝骨关节炎(KOA)患者膝关节功能、疼痛程度的影响。方法选取2021年1月—2023年12月平度市人民医院收治的60例KOA患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组采用玻璃酸钠腔内注射治疗,观察组采用等速肌力训练联合玻璃酸钠腔内注射治疗。比较两组的膝关节功能、疼痛程度、下肢运动能力、生活质量、不良反应发生情况。结果治疗后,观察组Lysholm膝关节评分量表、Fugl-Meyer下肢运动功能评定量表评分均高于对照组,疼痛数字评价量表评分低于对照组,组间差异有统计学意义(P<0.05);观察组健康调查简表各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论在KOA患者中应用等速肌力训练联合玻璃酸钠腔内注射治疗可有效改善其膝关节功能,缓解疼痛,提高下肢运动能力及生活质量,且安全可靠。Objective Exploring the effects of isokinetic muscle strength training combined with intraluminal injection of sodium hyaluronate on knee joint function and pain level in patients with knee osteoarthritis(KOA).Methods Selecting 60 KOA patients admitted to Pingdu People's Hospital from January 2021 to December 2023 as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 30 cases in each group.The control group was treated with intraluminal injection of sodium hyaluronate,while the observation group was treated with isokinetic muscle strength training combined with intraluminal injection of sodium hyaluronate.Compare the knee joint function,pain level,lower limb movement ability,quality of life,and occurrence of adverse reactions between two groups.Results After treatment,the Lysholm Knee Score Scale and Fugl-Meyer Assessment-Lower Extremities Scale scores in the observation group were higher than those in the control group,while the pain Numeric Rating Scale scores was lower than that in the control group,the differences between the groups were statistically significant(P<0.05);the scores of each dimension in the 36-item Short Form Health Surve of the observation group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).Comparison of adverse reaction rates between two groups,the difference was not statistically significant(P>0.05).Conclusion The application of isokinetic muscle strength training combined with intraluminal injection of sodium hyaluronate in KOA patients can effectively improve their knee joint function,relieve pain,enhance lower limb mobility and quality of life,and is safe and reliable.

关 键 词：膝骨关节炎 玻璃酸钠腔内注射 等速肌力训练 膝关节功能 疼痛程度 生活质量 

分 类 号：R684.3[医药卫生—骨科学]