摘要
目的基于主客观评价指标,探讨电针对膝骨关节炎患者膝关节功能的影响。方法将60例膝骨关节炎患者随机分为电针组和假针组,每组30例。电针组采用电针5个固定穴和3个配穴治疗,假针组采用假电针非穴浅刺治疗。观察两组治疗前后及治疗后8、18周计时起立-步行测验(TUG)、膝关节主动最大屈曲活动度(AROM)、膝关节被动最大屈曲活动度(PROM)、股四头肌肌力(伸肌肌力)、9台阶-楼梯攀登测试(9-SCT)、Lequesne指数及股二头肌、半腱肌、半膜肌肌群肌力(屈肌群肌力)的变化情况,并比较两组有效应答率。结果通过意向性分析和符合方案集分析,电针组有效应答率较假针组显著增加(P=0.010,P=0.018)。与假针组相比,电针组治疗后TUG、Lequesne指数显著降低(P<0.05),AROM及PROM、伸肌肌力显著升高(P<0.01,P<0.05)。结论与假针刺相比,电针在提高步速、维持步态平衡、扩大关节活动度、提高股四头肌肌力等改善关节功能方面有明显优势,但对上下楼梯步行速度及屈肌群肌力未见明显影响。
Objective To observe the effect of electroacupuncture on joint function in knee osteoarthritis on the basis of indicators for subjective and objective evaluations.Methods Sixty patients with knee osteoarthritis were randomized to electroacupuncture and sham acupuncture groups,with 30 cases in each group.The electroacupuncture group received electroacupuncture at five fixed points and three adjunct points and the sham acupuncture group,sham electro acupuncture by shallow needling at non-points.The timed up and go(TUG)test,knee active range of motion(AROM)of maximum flexion,knee passive range of motion(PROM)of maximum flexion,quadriceps femoris muscle strength(extensor muscle strength),9-step stair climb test(9-SCT),the Lequesne index and biceps femoris,semitendinosus and semimembranosus muscle group strength(flexor muscle group strength)were observed in the two groups before treatment and at the end of and 8 and 18 weeks after treatment.The effective response rates were compared between the two groups.Results The intention-to-treat analysis and the per-protocol analysis showed that the effective response rate increased significantly in the electroacupuncture group compared with the sham acupuncture group(P=0.010,P=0.018).After treatment,the TUG and the Lequesne index decreased significantly(P<0.05)and AROM,PROM and extensor muscle strength increased significantly(P<0.05)in the electroacupuncture group compared with the sham acupuncture group.Conclusion Compared with sham acupuncture,electroacupuncture has obvious advantages in gaining walking speed,maintaining gait balance,enhancing range of motion and increasing quadriceps femoris muscle strength that show improvement in joint function,but it didn’t produce a marked effect on up-stair and down-stair walking speed and flexor muscle group strength.
作者
王骐
吕晖
孙兆天
屠建锋
WANG qi;LÜHui;SUN Zhaotian;TU Jianfeng(Beijing University of Traditional Chinese Medicine Huguosi Hospital of Traditional Chinese Medicine,Beijing 100035,China;Beijing University of Traditional Chinese Medicine,Beijing 100029,China)
出处
《上海针灸杂志》
2022年第7期713-719,共7页
Shanghai Journal of Acupuncture and Moxibustion
基金
北京市西城区优秀人才项目(201936)。
关键词
针刺疗法
电针
骨关节炎
膝
有效应答率
Lequesne指数
假针刺
Acupuncture therapy
Electroacupuncture
Osteoarthritis,knee
Effective response rate
Lequesne index
Sham acupuncture
