摘要
目的探讨电针联合等速肌力训练对膝关节骨性关节炎患者膝关节功能及关节腔内炎症介质的影响。方法选取2019年1月至2020年6月本院收治的70例膝关节骨性关节炎患者作为研究对象,按照随机数字表法分为观察组与对照组,每组35例。对照组接受等速肌力训练,观察组在对照组基础上联合电针治疗,比较两组治疗前后膝关节功能评分系统(HSS)评分、关节腔内炎症介质水平、视觉模拟疼痛评分(VAS)及临床疗效。结果治疗后,两组行走功能、关节活动度、肌力评分均高于治疗前,且观察组高于对照组(P<0.05);治疗后,两组关节腔内白细胞介素1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平均低于治疗前,且观察组低于对照组(P<0.05);治疗后,两组VAS评分均低于治疗前,且观察组低于对照组(P<0.05);观察组治疗总有效率为85.71%,对照组为71.42%,两组比较差异无统计学意义。结论电针联合等速肌力训练能提高膝关节骨性关节炎患者的膝关节功能,降低患者关节腔内炎症介质水平,缓解疼痛,提高临床疗效。
Objective To investigate the effects of electroacupuncture combined with isokinetic muscle training on knee function and joint cavity inflammatory mediators in patients with knee osteoarthritis.Methods 70 patients with knee osteoarthritis admitted to our hospital from January 2019 to June 2020 were selected as the research subjects,and they were divided into observation group and control group according to random number table method,with 35 cases in each group.The control group received isokinetic strength training,and the observation group was treated with electroacupuncture on the basis of the control group,the knee function score system(HSS),the levels of intraarticular inflammatory mediators,visual analogue pain score(VAS)and the clinical effect of the two groups were compared before and after treatment.Results After treatment,the walking function,range of motion and muscle strength scores of two groups were higher than those before treatment,and the observation group was higher than those in the control group(P<0.05);after treatment,the levels of interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in articular cavity of two groups were lower than those before treatment,and the observation group was lower than those in the control group(P<0.05);after treatment,VAS score of two groups were lower than those before treatment,and the observation group was lower than that in the control group(P<0.05).The total effective rate was 85.71%in the observation group and 71.42%in the control group,there was no significant difference between the two groups.Conclusion Electroacupuncture combined with isokinetic muscle training can improve the knee function of patients with knee osteoarthritis,reduce the level of inflammatory mediators in the joint cavity,relieve the pain of patients,and improve clinical efficacy.
作者
黄伦银
杨金燕
方杨
HUANG Lunyin;YANG Jinyan;FANG Yang(Department of Rehabilitation,Shangrao People's Hospital,Shangrao,Jiangxi,334000,China)
出处
《当代医学》
2023年第8期75-78,共4页
Contemporary Medicine
关键词
电针
等速肌力训练
膝关节骨性关节炎
膝关节功能
炎症介质
Electroacupuncture
Isokinetic muscle training
Osteoarthritis of knee joint
Knee joint function
Inflammatory mediators
