摘要
目的:观察针刺配合下肢肌肉链训练对于膝骨性关节炎的疗效。方法:将86例符合诊断标准的患者随机分成针刺组和联合组两组,每组各43例。针刺组在常规药物和制动休息的基础上进行针刺治疗;联合组在针刺组的基础上配合下肢肌肉链训练。随访6个月,观察两组患者临床疗效、治疗前后及治疗后6个月Lysholm膝关节评分的变化,同时记录复发情况。结果:治疗后联合组的总有效率(95.35%)高于针刺组(81.40%),差异有统计学意义(P<0.05)。两组患者治疗后VAS疼痛评分、Lysholm膝关节评分均较治疗前有所好转,且联合组治疗后VAS疼痛评分、Lysholm膝关节评分均优于针刺组,比较差异有统计学意义(P<0.05)。治疗后6个月联合组的Lysholm膝关节评分优于针刺组,差异有统计学意义(P<0.05)。随访期间联合组的复发率(9.30%)低于针刺组(30.23%),差异有统计学意义(P<0.05)。结论:下肢肌肉练训练简便易操作,效果持久,配合针刺治疗膝骨关节炎值得临床推广。
Objective： To observe the effect of training of lower extremity muscle chain combined with acupuncture in treatment of knee osteoarthritis（ KOA）.Methods： 86 KOA patients were randomly divided into the acupuncture group（ n = 43） and the combination group（ n = 43）.The acupuncture group was treated by needling points along meridians on the basis of conventional medication and immobility rest.The combination group was also given training of lower extremity muscle chain based on the treatment of the acupuncture group.During six-month follow-up,the curative effect and the changes of Lysholm knee score were observed before and after the treatment in the two groups,as well as the recurrence was recorded.Results： The efficiency rate was 95.35% in the combination group,which was significantly higher than 81.40% in the acupuncture group（ P〈0.05）.VAS score and Lysholm knee score were improved after the treatment in the two groups,and the improvements of the combination group was significantly supeior to those of the acupuncture group（ P 0.05）.The recurrence rate was 9.30% in the combination group,which was greatly lower than 30.23% in the acupuncture group（ P 0.05）.Conclusion： The training of lower extremity muscle chain is simple and easy to operate with its long-term effect,which is worthy of clinical promotion in treating KOA when combined with acupuncture.
作者
刘道东
张朝驹
李孝林
万安
LIU Daodong;ZHANG Zhaoju;LI Xiaolin;WAN An(Jingzhou TCM Hospital,Jingzhou 434000,China;Health Science Center of Yangtze University,Jingzhou 434000,China)
出处
《针灸临床杂志》
2018年第5期30-33,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
下肢肌肉链
训练
针刺
膝骨性关节炎
Lower extremity muscle chain
Training
Acupuncture
Knee osteoarthritis
