电针联合中药熏洗、功法锻炼对膝骨关节炎的康复疗效

Effect of Electroacupuncture Combined with Traditional Chinese Medicine Fumigation and Traditional Exercises in Treating Knee Osteoarthritis Rehabilitation

目的:观察电针联合中药熏洗、功法锻炼对膝骨关节炎(KOA)康复的影响。方法:将78例KOA患者按照随机数字表法分为试验组和对照组各39例。2组均给予基础治疗(健康教育及必要时抗炎镇痛药应用),对照组进行中药熏洗、功法锻炼,试验组在对照组的治疗基础上加电针。治疗4周后,2组通过KOA症状分级量化表、视觉模拟评分法(VAS)、美洛昔康人均用量、5次坐-立试验(FTSST)、膝关节屈伸度等指标进行康复的疗效评价。结果:2组治疗后KOA症状分级量化表评分、VAS评分、FTSST时间均明显降低而膝关节屈伸度明显提高(P<0.01),2组治疗前后差值比较差异有统计学意义(P<0.01);试验组的美洛昔康人均用量明显少于对照组(P<0.01)。结论:电针联合中药熏洗、功法锻炼可改善KOA患者综合功能,减轻患者疼痛,提高下肢肌力,改善关节屈伸活动度。

Objective：To observe the rehabilitation effect of electroacupuncture combined with traditional Chinese medicine fumigation and traditional exercises in knee osteoarthritis（KOA） treatment. Methods：A total of 78 KOA patients were randomly assigned to trial group and control group, with 39 cases in each group. All patients were given basic treatment, including health education and meloxicam. Traditional Chinese medicine fumigation and traditional exercises were given to the patients in the control group; the trial group was received electroacupuncture as an additional therapy on the basis of the control group treatment. The hierarchical quantitative score of KOA, the visual analogue scale（VAS） score, the dosage of meloxicam, five-times-sit-to-stand test（FTSST） and knee joint flexion and extension of two groups were evalued and analyzed after four weeks of treatment. Results：After the treatment, the hierarchical quantitative score of KOA, VAS score, and FTSST were lower than before, and knee joint flexion and extension of both groups were improved（P〈0.01）, the value differences before and after treatment of two groups had statistical significance（P〈0.01）.The dosage of meloxicam of the trial group was significantly less than the control group（P〈0.01）. Conclusion ：Electroacupunc ture combined with traditional Chinese medicine fumigation and traditional exercises could significantly relieve the pain, improve the comprehensive functions of knee joint and muscle strength of the lower limb, and increase the range of motion.