摘要
目的:观察针刀治疗结合康复运动训练对膝关节骨性关节炎患者的治疗效果,并采用随机对照分组与单纯针刀治疗相比较。方法:选择2005-01/2007-05在海军总医院康复理疗科就诊的膝关节骨性关节炎患者52例,均自愿参加观察。按随机数字表法分为两组,对照组24例,治疗组28例。前者采用针刀治疗并配合药物。治疗组在针刀治疗基础上,配合运动康复训练(直腿抬高法、屈伸髋膝法、坐位摆腿法),在3个动作基础上适当加阻力锻炼,以后可逐渐增加运动量及锻炼时间。根据患者个人的心脏功能水平,制定出系统、有针对性的康复运动处方。运动共持续6周,分3个阶段进行。运动频度为1次/d,60min/次,5次/周。评定两组患者治疗前及治疗3个疗程后患膝关节症状及功能恢复情况,包括疼痛、步行能力、膝关节活动度、膝不稳定感、肿胀、上下楼梯及绞锁等项目。结果:纳入膝关节骨性关节炎患者52例,全部进入结果分析。对照组患者经过3个疗程治疗后,疼痛、膝不稳定感、步行能力、膝关节活动度、上下楼梯能力均较治疗前改善,但肿胀、绞锁治疗前后变化差异无显著性(P>0.05)。治疗组患者经过3个疗程康复运动处方锻炼后,疼痛、步行能力、膝关节活动度、上下楼梯能力,膝不稳定感,肿胀均较治疗前显著改善(P均<0.01);但绞锁治疗前后变化差异无显著性。两组患者经过3个疗程的不同处理,除绞锁症状外,治疗组患者的膝关节症状及功能较对照组明显改善,两组变化差异有显著性意义(P均<0.05)。结论:在常规针刀治疗后结合康复运动训练可以显著改善膝关节骨性关节炎患者的关节功能,优于单纯针刀治疗。
AIM： To observe the interventional effect of needle knife therapy combined with rehabilitative training on osteoarthritis of the knee, and to compare it with the effect of needle knife therapy alone. METHODS： Fifty-two patients with osteoarthritis of the knee admitted in Department of Rehabilitation Medicine, Naval General Hospital of Chinese PLA were selected from January 2005 to May 2007. They all voluntarily participated the study. All the subjects were randomized into control group （n=24）, and rehabilitation group （n=28）. Patients in the control group underwent needle knife therapy and medication. Patients in the rehabilitation group received needle knife therapy and rehabilitation training including straight-leg raising, flexion ,and extension of hip and knee, and straight-leg at sitting position. Besides the three basic actions, they also did some resistance exercise, and the amount and duration of exercise were increased gradually. Before treatment, the maximal heart rate of patients was measured to evaluate their heart function, and the systematic and concrete rehabilitation exercise prescription was designed. The exercise was done 60 minutes, once daily, 5 times a week for 6 weeks in 3 stages. The affected knee joint symptoms and functional recovery such as pain, walking ability, joint range of motion, knee instability, swelling, stair activity and twist were evaluated after 3 courses of treatment. RESULTS： Fifty-two patients were included in the final analysis. In the control group, the pain, walking ability, joint range of motion knee instability, and stair activity of patients were improved after 3 courses of treatment, but swelling and twist did not significantly change （P 〉 0.05）. In the rehabilitation group, all the symptoms and functions were improved significantly after 3 courses of treatment （P 〈 0.01） except twist. There were significant differences in the improvement in the symptoms and function of knee （except twist） between two groups （P 〈 0.05）. CONCLUSIO
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2008年第24期4773-4776,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
