| 揿针埋针镇痛联合康复训练对膝关节骨性关节炎功能障碍的疗效影响 |
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| 引用本文： | 徐纬,孙丹,陈娜,张大同.揿针埋针镇痛联合康复训练对膝关节骨性关节炎功能障碍的疗效影响[J].中华全科医学,2017,15(12):2141-2144. |
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| 作者姓名： | 徐纬 孙丹 陈娜 张大同 |
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| 作者单位： | 杭州市第三人民医院康复医学科,浙江 杭州 310009 |
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| 基金项目： | 浙江省中医药科技计划项目 (2015ZA142) |
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| 摘 要： | 目的 观察揿针埋针镇痛治疗联合康复训练对膝关节骨性关节炎患者的膝关节疼痛以及功能障碍的疗效影响。 方法 采用随机数字表将2016年1—6月于杭州市第三人民医院就诊的40例膝关节骨性关节炎患者随机分为观察组和对照组，每组各20例。观察组给予埋针镇痛治疗联合常规康复训练，对照组单纯给予常规康复训练。2组患者分别于治疗前、初次治疗结束时、治疗1个月及随访3个月时采用西安大略和麦克马斯特骨关节炎指数(WOMAC)评定膝关节疼痛、僵硬和关节功能程度，分数记录时使用视觉模糊评分法(VAS)；同时于治疗前、治疗1个月后采用普通量角器测量患者膝关节活动范围(ROM)，并进行膝关节功能评定，然后作疗效评定。 结果 初次治疗结束时，观察组的WOMAC评分与治疗前比较，差异有统计学意义(P＜0.05)，而对照组与治疗前比较差异无统计学意义(P＞0.05)；通过1个月的治疗，2组患者WOMAC评分均较治疗前明显改善，同项目与治疗前比较，差异均有统计学意义(均P＜0.05)；2组间WOMAC评分同项目比较，差异有统计学意义(P＜0.05)，2组的总有效率，观察组为95%，对照组为70%。2组疗效比较，差异有统计学意义(P＜0.05)；3个月后随访时，2组WOMAC评分较治疗1个月后时有所上升，与治疗前同项目比较，差异仍有统计学意义(P＜0.05)，2组间WOMAC评分同项目比较，差异也有统计学意义(P＜0.05)。 结论 揿针埋针镇痛治疗联合康复训练能有效地改善膝关节炎疼痛以及功能障碍。
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| 关 键 词： | 埋针 镇痛 康复训练 膝关节骨性关节炎 功能障碍 |
| 收稿时间： | 2016-12-30 |
Effect of press-needle acupuncture analgesia combined with rehabilitation training on knee pain and dysfunction of patients with knee osteoarthritis |
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| Affiliation: | Department of Rehabilitation Medicine, the Third People's Hospital of Hangzhou, Hangzhou, Zhejiang 310009, China |
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| Abstract: | Objective To observe press the effect of needle-embedding therapy combined with rehabilitation training on the knee joint pain and dysfunction in patients with knee osteoarthritis. Methods By using random numbers table,40 patients with knee osteoarthritis in our hospital between January,2016 and June,2016 were randomly divided into observation group and the control group with 20 cases in each group.The observation group received needle-embedding therapy combined with rehabilitation training,while the control group only received conventional rehabilitation training.The function of knee joint pain,stiffness and degrees of knee extension were evaluated by using western Ontario and McMaster osteoarthritis index(WOMAC) in both groups before the treatment,immediately after the first therapy.0ne month after the treatment,and three months after the treatment during the follow-up.The visual analogue scale(VAS) was conducted for the score in all patients.The range of motion(ROM) by common protractor and the knee joint function assessment were performed before the treatment and one month after the therapy to make curative effect evaluation. Results At the end of the first treatment,WOMAC scores in the observation group was improved significantly,the difference was statistically significant(P<0.05),but not in the control group(P>0.05);One month after the therapy,WOMAC score in both groups was improved obviously,so for each item,the difference was statistical significance(P<0.05);After one month treatment,the difference in WOMAC score between two groups was statistical significant(P<0.05).The total effective rate of the observation group was 95% and of the control group was 70%,the difference was statistically significant(P<0.05);After 3 months follow-up,the WOMAC score of the two groups increased as compared with the data at 1 month after treatment,and significantly higher than that before the treatment(P<0.05),the WOMAC score between the two groups had statistically significant difference(P<0.05). Conclusion Needle-embedding analgesic therapy combined with joint rehabilitation for the patients with knee osteoarthritis can effectively improve the knee arthritis pain and dysfunction. |
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