温针灸阳陵泉联合等速肌力训练治疗膝关节骨性关节炎的疗效观察

Effect of Acupuncture at Yanglingquan ( GB34) Combined with Isokinetic Muscle Strength Training on Knee Osteoarthritis Patients

目的观察温针灸阳陵泉联合等速肌力训练对膝关节骨性关节炎患者的疗效。方法选取2015年2月—2016年7月白云医院收治的膝关节骨性关节炎患者80例。根据随机数字表法分成观察组与对照组各40例。对照组予以等速肌力训练治疗,观察组则在对照组的基础上加用温针灸阳陵泉穴治疗。观察两组临床有效率,治疗前后VAS与Lysholm膝关节评分,膝关节屈曲度与伸直度变化情况,血清IL-6和IL-18水平变化情况。结果观察组治疗总有效率为92.50%(37/40),高于对照组[75.00%(30/40)],差异有统计学意义(χ~2=4.501,P<0.05)。治疗后两组VAS评分及Lysholm膝关节评分均低于治疗前,且观察组低于对照组(P<0.05)。治疗后观察组膝关节屈曲度、伸直度均高于对照组(P<0.05)。血清IL-6以及IL-18水平均低于对照组(P<0.05)。结论温针灸阳陵泉穴联合等速肌力训练治疗膝关节骨性关节炎,可有效缓解患者疼痛,促进膝关节功能的恢复。

Objective To study the effect of acupuncture at Yanglingquan（ GB34） combined isokinetic muscle strength training on knee osteoarthritis（ KOA） patients. Methods Totally 80 KOA patients were recruited from February 2015 to July 2016 at Baiyun Hospital. They were assigned to the observation group and the control group according to random digit table,40 cases in each group. Patients in the control group received isokinetic muscle strength training,while those in the observation group additionally received acupuncture at Yanglingquan（ GB34）. The clinical curative effects of the two groups were observed. VAS and Lysholm knee score were observed in the two groups before and after treatment. Knee flexion and extension were observed. Changes of serum IL-6 and IL-8 levels were also detected in the two groups. Results The total effective rate was 92. 50%（ 37/40） in the observation group,higher than that of the control group [75%（ 30/40） ]（ χ~2= 4. 501,P 〈 0. 05）. VAS score and Lysholm knee score were lower in the two groups after treatment than before treatment,and they were lower in the observation group than in the control group（ both P 〈 0. 05）. Knee flexion and extension after treatment were higher in the observation group than in the control group（ both P 〈 0. 05）. Post-treatment serum levels of IL-6 and IL-8 were lower in the observation group than in the control group（ both P 〈 0. 05）. Conclusion Acupuncture at Yanglingquan（ GB34） combined isokinetic muscle strength training could effectively relieve their pain and promote the recovery of knee joint functions of KOA patients.