康复运动联合施氏十二字养生功或24式简化太极拳在早中期膝骨关节炎患者中的应用效果分析  

Analysis of Application Effect of Rehabilitation Exercise Combined with Shi's Twelve-Character Health Preservation Qigong or 24-Posture Simplified Taijiquan in Patients with Early-to-Mid Stage Knee Osteoarthritis

作　　者：王龙 潘峰 Wang Long;Pan Feng(Shanghai Minhang District Xinzhuang Community Health Service Center,Shanghai 201199,China)

机构地区：[1]上海市闵行区莘庄社区卫生服务中心,上海201199

出　　处：《中国社区医师》2025年第4期150-152,共3页Chinese Community Doctors

基　　金：上海市闵行区卫生健康委员会科研课题(编号:2022mw33)。

摘　　要：目的:分析康复运动联合施氏十二字养生功或24式简化太极拳在早中期膝骨关节炎(KOA)患者中的应用效果。方法:选取2022年11月—2023年6月于上海市闵行区莘庄社区卫生服务中心就诊的早中期KOA患者108例作为研究对象,采用随机数字表法分为对照组、治疗1组和治疗2组,各36例。对照组实施康复治疗,治疗1组在对照组基础上实施施氏十二字养生功练习,治疗2组在对照组基础上实施24式简化太极拳训练。比例三组康复效果。结果:治疗后,三组疼痛、僵硬、功能评分低于治疗前,且治疗1组、治疗2组低于对照组(P<0.05)。治疗后,三组屈曲活动度大于治疗前,且治疗1组、治疗2组大于对照组(P<0.05);三组平均轨迹误差、平均负重力量差小于治疗前,且治疗1组、治疗2组小于对照组(P<0.05)。三组不良反应总发生率比较,无统计学差异(P>0.05)。结论:康复运动联合施氏十二字养生功或24式简化太极拳在早中期KOA患者中的应用效果均较好,可改善患者临床症状、膝关节屈曲活动度及本体感觉功能,且安全性较高。Objective:To analyze the application effect of rehabilitation exercise combined with Shi's Twelve-Character Health Preservation Qigong or 24-Posture Simplified Taijiquan in patients with early-to-mid stage knee osteoarthritis(KOA).Methods:One hundred and eight patients with early-to-mid stage KOA who visited Shanghai Minhang District Xinzhuang Community Health Service Center between November 2022 and June 2023 were selected as the study subjects.They were divided into control group,treatment group 1 and treatment group 2 using a random number table method,with 36 patients in each group.The control group received rehabilitation therapy,treatment group 1 practiced Shi's Twelve-Character Health Preservation Qigong on the basis of control group,and treatment group 2 practiced 24-Posture Simplified Taijiquan on the basis of control group.The rehabilitation effects of three groups were compared.Results:After treatment,the pain,stiffness and function scores in the three groups were lower than those before treatment,and the scores in treatment group 1 and treatment group 2 were lower than those in the control group(P<0.05).After treatment,the flexion range of motion in the three groups was greater than that before treatment,and this parameter in treatment group 1 and treatment group 2 was greater than that in the control group(P<0.05).The average trajectory error and average weight-bearing force difference in the three groups were smaller than those before treatment,and these parameters in treatment group 1 and treatment group 2 were smaller than those in the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the three groups(P>0.05).Conclusion:Rehabilitation exercise combined with Shi's Twelve-Character Health Preservation Qigong or 24-Posture Simplified Taijiquan has good application effects in patients with early-to-mid stage KOA,and can improve the clinical symptoms,knee flexion range of motion and proprioceptive function of patients,with high s

关 键 词：膝骨关节炎 康复运动 24式简化太极拳 施氏十二字养生功 

分 类 号：R274.9[医药卫生—中西医结合]