温针灸联合功能锻炼对膝骨关节炎全膝关节置换术后患者关节疼痛、活动度及炎症因子水平的影响

目的:观察温针灸联合功能锻炼对膝骨关节炎全膝关节置换术后患者关节疼痛、关节活动度(ROM)及炎症因子水平的影响。方法:选取行全膝关节置换术的84例膝骨关节炎患者,按随机数字表法分为观察组和对照组各42例。对照组术后给予功能锻炼治疗,观察组在对照组基础上加用温针灸治疗。比较2组症状积分、临床疗效、ROM、膝关节评分表(KSS)评分、血清C-反应蛋白(CRP)和一氧化氮(NO)水平。结果:观察组总有效率为97.62%,高于对照组的80.95%(P<0.05)。治疗后,2组症状积分均较治疗前降低(P<0.05),ROM均较治疗前增大(P<0.05),KSS评分均较治疗前升高(P<0.05);观察组症状积分低于对照组(P<0.05),ROM大于对照组(P<0.05),KSS评分高于对照组(P<0.05)。治疗后,2组CRP、NO水平均较治疗前降低(P<0.05),观察组血清CRP、NO水平均低于对照组(P<0.05)。结论:温针灸联合功能锻炼可有效改善膝骨关节炎全膝关节置换术后患者的临床症状,减轻其疼痛,改善膝关节功能,降低血清CRP、NO...

Effect of Warm Needling and Moxibustion Combined with Functional Exercise onJoint Pain,Range of Motion and Levels of Inflammatory Factors of Patients withKnee Osteoarthritis Who Underwent Total Knee Arthroplasty

Objective:To observe the effect of warm needling and moxibustion combined with functional exercise on joint pain,range of motion(ROM)and levels of inflammatory factors of patients with knee osteoarthritis who underwent total knee arthroplasty.Methods:A total of 84 cases of patients with knee osteoarthritis who underwent total knee arthroplasty were selected and divided into the observation group and the control group according to the random number table method,42 cases in each group.The control group was treated with functional exercise after surgery,and the observation group was additionally treated with warm needling and moxibustion based on the treatment of the control group.The symptom scores,clinical effect,ROM,scores of Knee Society Score(KSS),as well as levels of C-reactive protein(CRP),and nitric oxide(NO)in serum were compared between the two groups.Results:The total effective rate was 97.62%in the observation group,higher than that of 80.95%in the control group(P<0.05).After treatment,the symptom scores in the two groups were decreased when compared with those before treatment(P<0.05);ROM was increased when compared with that before treatment(P<0.05);the scores of KSS were increased when compared with those before treatment(P<0.05).After treatment,when compared with those in the control group,in the observation group,the symptom score was lower(P<0.05),ROM was larger(P<0.05),and KSS score was higher(P<0.05).After treatment,the levels of CRP and NO in the two groups were decreased when compared with those before treatment(P<0.05),and the two levels in the observation group were lower than those in the control group(P<0.05).Conclusion:For patients with knee osteoarthritis after total knee arthroplasty,the therapy of warm needling and moxibustion combined with functional exercise can effectively improve their clinical symptoms and knee joint function,relieve pain,and reduce the levels of CRP and NO in serum.