摘要
目的探讨针灸联合功能锻炼在膝关节骨关节炎患者膝关节置换术后中的应用效果。方法抽取2020年6月至2021年7月河南省直第三人民医院收治的膝关节骨关节炎患者78例,以随机数字表法将其分为针灸组和功能锻炼组,每组39例。所有患者均行膝关节置换术。功能锻炼组术后予以功能锻炼,针灸组术后予以针灸联合功能锻炼。比较两组膝关节优良率及干预前后膝关节功能评分(HSS)、Barthel指数、视觉模拟评分法(VAS)评分、肌力、膝关节活动度变化。结果针灸组膝关节优良率(97.44%,38/39)高于功能锻炼组(79.49%,31/39),P<0.05;干预后,针灸组HSS、Barthel指数评分高于功能锻炼组(P<0.05);干预后,针灸组VAS评分低于功能锻炼组(P<0.05);干预后,针灸组屈髋、伸膝肌力高于功能锻炼组(P<0.05);干预后,针灸组最大屈曲角度高于功能锻炼组,最大伸直角度低于功能锻炼组(P<0.05)。结论膝关节置换术后应用针灸联合功能锻炼,可促进患者术后膝关节功能恢复,减轻疼痛,增强患膝肌力与膝关节活动度,提高日常生活能力。
Objective To investigate the effect of acupuncture combined with functional exercise after knee replacement on patients with knee osteoarthritis.Methods A total of 78 patients with knee osteoarthritis admitted to the Third People’s Hospital of Henan Province from June 2020 to July 2021 were selected,and they were divided into acupuncture group and functional exercise group by random number table method,with 39 patients in each group.All patients underwent knee replacement.The functional exercise group was given functional exercise after operation,and the acupuncture group was given acupuncture combined functional exercise after operation.The excellent rate of knee joint,knee function score(HSS),Barthel index,visual analogue scale(VAS)score,muscle strength and knee range of motion score were compared between the two groups before and after intervention.Results The excellent and good rate of knee joint in the acupuncture group(97.44%,38/39)was higher than that in the functional exercise group(79.49%,31/39),P<0.05.After intervention,HSS and Barthel index score of the acupuncture group were higher than those of functional exercise group(P<0.05).After intervention,VAS score of the acupuncture group was lower than that of the functional exercise group(P<0.05).After intervention,the muscle strength of hip flexion and knee extension in the acupuncture group were higher than those in the functional exercise group(P<0.05).After intervention,the maximum flexion angle of the acupuncture group was higher than that of the functional exercise group,and the maximum extension angle was lower than that of the functional exercise group(P<0.05).Conclusions Acupuncture combined with functional exercise can promote functional recovery of knee joint in patients with osteoarthritis after knee replacement,relieve pain,enhance muscle strength and range of motion of knee joint,and improve the ability of daily living.
作者
张盾盾
张家明
王瑞
Zhang Dundun;Zhang Jiaming;Wang Rui(Department of Rehabilitation Medicine,the Third People’s Hospital of Henan Province,Zhengzhou 450000,China;Department of General Surgery,the Third People’s Hospital of Henan Province,Zhengzhou 450000,China)
出处
《中国实用医刊》
2022年第20期120-122,F0003,共4页
Chinese Journal of Practical Medicine
关键词
膝关节骨关节炎
膝关节置换术
针灸
功能锻炼
Knee osteoarthritis
Knee replacement
Acupuncture
Functional exercise
