膝关节骨性关节病的早期治疗

Early treatment of knee osteoarthropathy

目的研究早期膝关节骨性关节炎以髂胫束松解训练及股四头肌股内侧肌强化练习为主要方法治疗的临床结果及有效性的分析。方法 2015年1月至2017年6月采用常规治疗和采用髂胫束松解训练及股四头肌股内侧肌强化练习治疗骨性关节炎各30例,期间共60例,其中男20例,女40例;年龄45~55岁,平均51.50岁;病程1~6年。按照男女1∶2比例分为2组,每组30例。常规组给予常规理疗、熏蒸、艾灸等传统方法治疗。对照组给予常规采用髂胫束松解训练及股四头肌股内侧肌强化练习每天2~3次治疗。3个月后分别观察两组患者膝关节静息关节疼痛VAS评分、及两组患者主被动屈伸膝关节活动时的VAS评分,比较其临床疗效及治疗的有效性。结果采用常规治疗和采用髂胫束松解训练及股四头肌股内侧肌强化练习治疗骨性关节炎,3个月后分别观察两组患者膝关节静息关节疼痛VAS评分、及两组患者主被动屈伸膝关节活动时的VAS评分,对照组优良率优于常规组,统计学结果 P<0.05。结论早期骨性关节病采用髂胫束松解训练及股四头肌股内侧肌强化练习治疗临床效果好、安全、可靠值得推广。

Objective To study the clinical results and efficacy of early knee osteoarthritis in the treatment of the main methods of the iliotibial band and quadriceps muscle strengthening exercises. Methods Between January 2015 and June 2017 using conventional treatment and use of the iliotibial band release training and the muscle of the quadriceps muscle strengthening exercises each 30 cases of treatment of osteoarthritis,during a total of 60 cases,the male 20 cases. Female 40 cases; Age 45 to 55,average 51. 50 years old; The course of illness was 1 ~ 6 years. According to the proportion of men and women,there were two groups of 30 patients,and the conventional group was treated with conventional physiotherapy,fumigation,moxibustion and other traditional methods. The control group was treated with the normal iliotibial band assay and the quadriceps muscle strengthening exercise 2 to 3 times daily. After three months,respectively,observe two groups of patients with knee joint resting joint pain VAS score,and two groups of patients with knee joint activities of the main passive flexion and extension VAS score,compare the effectiveness of clinical curative effect and treatment. Results Using conventional treatment and the iliotibial band release training and quadriceps strands of medial muscle strengthening exercises in the treatment of osteoarthritis,after three months were observed two groups of patients with knee joint resting joint pain VAS score,and two groups of patients with knee joint activities of the main passive flexion and VAS score,the control group was better than the conventional group,the statistical results（ P 〈 0. 05）.Conclusion Early osteoarthropathy is worth popularizing in the treatment of clinical efficacy,safety and reliability in the treatment of iliotibial band and the medial muscle strengthening of the femoral quadriceps.