摘要
目的观察针刀松解联合股四头肌锻炼治疗内翻型膝骨关节炎的疗效及对患者生活质量的影响。方法抽取2017年1月~2018年12月安徽中医药大学第二附属医院收治的60例内翻型膝骨关节炎患者,并按随机数字表法分为治疗组30例、对照组30例。对照组采用普通针刺治疗加股四头肌功能锻炼,针刺1次/d,每次20 min,股四头肌功能锻炼2次/d,20 min/次,3周为一疗程。治疗组在对照组治疗基础上加用针刀痛点松解治疗,针刀松解1次/周,3周为一疗程。在患者治疗前和疗程结束后、结束后3个月采用WOMAC评分进行疗效评估,用SF-36简明健康调查表评估患者生活质量。结果与治疗前比较,两组治疗后的WOMAC评分与SF-36评分均获得显著改善(P<0.05),且治疗组的两项指标改善效果显著优于对照组(P<0.05)。结论针刀松解联合股四头肌锻炼治疗内翻型膝骨关节炎可取得显著疗效,明显提高患者的生活质量。
Objective To observe the effect of small needle-knife release combined with quadriceps femoris exercise in the treatment of varus knee osteoarthritis and its effect on quality of life(QOL).Methods From January 2017 to December 2018,according to the method of random digital table,60 cases with knee osteoarthritis were selected and divided into two groups,with 30 cases in each group.The treatment group was treated with small needle-knife release once a week combined with quadriceps femoris exercise and acupuncture once a day,while the control group was treated with acupuncture and quadriceps femoris exercise,once a day.WOMAC scores and SF-36 scores were evaluated before treatment,after one course of treatment and three months after one course of treatment.Results Compared with before treatment,the WOMAC score and SF-36 score of the two groups after treatment were significantly improved(P<0.05),and the improvement effect of these two indicators in the treatment group was significantly better than that in the control group(P<0.05).Conclusion Acupotomolysis combined with quadriceps femoris exercise can achieve significant effect in the treatment of knee osteoarthritis with varus,and can significantly improve the quality of life of patients.
作者
李迎春
朱俊琛
王超
熊应宗
马幸福
聂勇
苏毅
郑智文
LI Ying-chun;ZHU Jun-chen;WANG Chao;XIONG Ying-zong;MA Xing-Fu;NIE Yong;SU Yi;ZHENG Zhi-wen(the First Department of Orthopaedics,the Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei,Anhui 230061,China)
出处
《颈腰痛杂志》
2020年第1期65-67,共3页
The Journal of Cervicodynia and Lumbodynia
基金
安徽省科技攻关项目(编号:1704a0802168)
安徽省省级临床重点专科建设项目(2017-529)
关键词
针刀
功能锻炼
内翻型
膝骨关节炎
small needle-knife
exercise
varus
knee osteoarthritis
