温针灸阳陵泉结合等速肌力训练对膝关节骨性关节炎疗效研究

Research on effects to the knee osteoarthritis after the treatments of warming needle moxibustion Yanglingquan point and isokinetic training

目的探讨温针灸阳陵泉穴结合等速肌力训练对膝关节骨性关节炎的疗效。方法将90例膝关节骨性关节炎患者按随机数字表法分为研究组、等速组、温针灸组,每组各30例。研究组行温针灸阳陵泉穴及等速肌力训练进行治疗,等速组行等速肌力训练治疗,温针灸组行温针灸阳陵泉穴治疗,3组患者均配合常规药物对症治疗。3组患者分别在治疗前后行标准视觉类比量表(visual analog scale,VAS)评定、Lysholm膝关节评分及等速肌力测试系统评定膝关节伸屈肌的峰力矩值(peak torque,PT),峰力矩与体重比值(peak torque/body weight,PT/BW)。结果 3组治疗后VAS均明显改善,研究组VAS改善优于等速组及温针灸组,温针灸组VAS改善优于等速组;3组治疗后Lysholm评分都有改善,研究组改善优于等速组及温针灸组,等速组与温针灸组间无明显差异;治疗后研究组和等速组伸屈肌群PT值、PT/BW值均较治疗前有明显改善,研究组优于等速组,温针灸组治疗后伸屈肌群PT值、PT/BW值改善不明显。结论温针灸阳陵泉穴及等速肌力训练结合运用在改善膝关节骨性关节炎疼痛及功能方面疗效明显,临床可以推广运用。

Objective To observe the effects to the knee osteoarthritis after the treatments of warming needle moxibustion Yanglingquan point and isokinetic training. Methods 90 cases with knee os-teoarthritis were randomly divided into research group, isokinetic training group and warming needle group. All 3 groups received the regular medicine therapy. Besides, the research group added warming needle moxibustion Yanglingquan point and the isokinetic training; the isokinetic training group added the isokinetic training and warming needle group added warming needle moxibustion Yanglingquan point. Visual analog scale （ VAS） , Lysholm score, peak torque （ PT） , peak torque/body weight （ PT/BW） were assessed before and after the treatments. Results VAS improved significantly after treatments in all 3 groups, the research group’ s VAS improved significantly than the other two groups, the warming needle group improved more than the isokinetic training group. Lysholm score increased significantly after treatments in all 3 groups, and the research group improved more than the other two groups. There is no obvious difference between the isokinetic training group and the warming needle group. PT and PT/BW of the isokinetic test significantly improved after treatments in the research group and the isokinetic training group. The research group changed more than the isokinetic training group, with no obvious difference in the warming needle group after treatments. Conclusion The effects to the knee osteoarthritis after the treatments of warming needle moxibustion Yanglingquan point and isokinetic training is significant, therefore, it is worthy of clinical application.