电针结合等速肌力训练治疗在膝关节骨性关节炎患者中的应用

目的探讨电针结合等速肌力训练治疗在膝关节骨性关节炎患者中的应用效果。方法采用随机数字表法,将72例膝关节骨性关节炎患者(左侧膝关节)分为电针组、电针结合等速肌力组,每组各36例。1个疗程为6次,3个疗程后,分别采用Lysholm膝关节评分比较两组治疗前后膝关节功能,测定两组治疗前后膝关节伸肌、屈肌峰力矩(peak torque,PT),总功量(total work,TW),观察两组患者膝关节疼痛、肿胀、关节功能改善情况及临床疗效。结果治疗后,电针结合等速肌力组治疗后对LKSS总评分、膝关节伸肌、屈肌峰力矩(peak torque,PT),总功量(total work,TW)要优于电针组(P0.01),电针结合等速肌力组患者膝关节疼痛、肿胀、关节功能改善情况优于电针组,差异具有统计学意义(P0.01)。结论电针结合等速肌力训练治疗能有效减轻膝关节骨性关节炎患者的疼痛、肿胀、改善膝关节功能,值得临床应用。

Application of Electroacupuncture and Isokinetic Muscle Strength Training in the Treatment of Knee Osteoarthritis in the Patient

Objective To discuss the effect of electroacupuncture （EA） and isokinetic muscle strength training in the treatment of knee osteoarthritis（KOA） in the patients.Methods The random number table was adopted to divide 72 cases of KOA into an EA group and an EA ＋ isokinetic muscle strength training group（combined therapy group）,36 cases in each one.The treatment of six times made 1 session.In 3 sessions,Lysholm knee joint scale was used to compare the knee joint function before and after treatment in the two groups.The peak torque（PT） and the total work （TW）of knee extensor and flexor were determined before and after treatment in the two groups.The improvements in knee joint pain,distention and joint function as well as the clinical efficacy were observed in the two groups.Results LKSS score and levels of PT and TW of knee extensor and flexor in the combined therapy group were better than those in the EA group after treatment（P ＜0.01）.The improvements in knee joint pain,distention and joint function in the combined therapy group were better than those in the EA group,indicating the significant difference（P ＜ 0.01）.Conclusion The EA and isokinetic muscle strength training alleviate pain and distention and improve knee joint function in the patients with KOA.This combined therapy deserves to be applied in clinical practice.