时辰灸结合康复保健操对膝骨关节炎患者关节功能及生活质量的影响

Effects of chrono moxibustion combined with rehabilitation exercises on joint function and quality of life in patients with knee osteoarthritis

目的观察时辰灸结合康复保健操对膝骨关节炎患者关节功能及生活质量的影响。方法选取2015年3月~2016年5月广西壮族自治区柳州市中医院骨科收治的膝骨关节炎患者90例,按随机数字表法将其分为观察组与对照组,每组45例。对照组口服塞来昔布治疗,观察组采用时辰灸结合康复保健操治疗。观察两组临床综合疗效,比较两组治疗前后的疼痛、膝关节功能情况和生活质量变化情况。结果观察组临床综合疗效明显优于对照组,差异有统计学意义(P<0.05)。治疗后两组视觉模拟评分(VAS)均明显低于治疗前,且观察组低于对照组,观察组治疗前后VAS差值显著高于对照组,差异均有统计学意义(均P<0.05)。治疗后两组Lysholm膝关节功能评分均高于治疗前,且观察组高于对照组,观察组治疗前后Lysholm膝关节功能评分差值显著高于对照组,差异均有统计学意义(均P<0.05)。治疗后两组关节炎生活质量量表(AIMS2-SF)评分均高于治疗前,且观察组高于对照组,观察组治疗前后AIMS2-SF评分差值显著高于对照组,差异均有统计学意义(均P<0.05)。结论时辰灸结合康复保健操治疗膝骨关节炎的临床效果显著,可有效减轻患者疼痛,改善膝关节功能,提高患者生活质量。

Objective To observe the effects of chrono moxibustion combined with rehabilitation exercises on joint function and quality of life in patients with knee osteoarthritis. Methods Ninety patients with knee osteoarthritis admit- ted to Department of Orthopedics of Liuzhou Hospital of Traditional Chinese Medicine from March 2015 to May 2016 were selected, and they were divided into observation group and control group according to the random number table method, with 45 cases in each group. Patients in control group were given oral Celecoxib treatment, while the patients in observation group were treated with chrono moxibustion combined with rehabilitation exercises. The clinical compre- hensive efficacy of the two groups was observed, the changes of the pain, knee joint function and quality of life before and after treatment between the two groups were compared. Results The clinical comprehensive effect of observation group was better than that of control group, the difference was statistically significant （P 〈 0.05）. After treatment, the scores of visual analogue scale （VAS） in the two groups were all lower than those before treatment, and the observation group was lower than that of control group, the difference of VAS in observation group before and after treatment was significantly higher than that in control group, the differences were all statistically significant （all P 〈 0.05）. After treat- ment, the Lysholm knee joint function scores of patients in the two groups were higher than those before treatment, and the score of observation group was higher than that of control group, the difference of Lysholm knee functional scores in observation group before and after treatment was significantly higher than that in control group, the differences were all statistically significant （all P 〈 0.05）. After treatment, the scores of arthritis impact measurement scale 2 （AIMS2-SF） in the two groups were higher than those before treatment, and the observation group was higher than that of control group, the difference of AIMS2-SF in observation group before and after treatment was significantly higher than that in control group, the differences were all statistically significant （all P 〈 0.05）. Conclusion The clinical effect of chrono moxibus- tion combined with rehabilitation exercises in the treatment of knee osteoarthritis is significant, which can effectively relieve patients＂ pain, improve knee joint function and the quality of life.