易筋经功法结合关节腔灌注治疗早中期膝骨关节炎临床研究

Clinical Study on Yi Jin Jing Exercises Combined with Articular Injection for Early-to-Mid Osteoarthritis

目的:观察易筋经功法结合关节腔灌注治疗早中期膝骨关节炎的临床疗效。方法:选取早中期膝骨关节炎患者90例,随机分为2组各45例。对照组予单纯关节腔注射玻璃酸钠治疗;治疗组在对照组治疗方案的基础上加用易筋经功法治疗。易筋经功法练习每天1次,连续5天,练习5周;关节腔注射每周1次,连续5周。观察2组患者视觉模拟评分法(VAS)评分、生活质量、表面肌电信号指标等变化情况。结果:治疗后,2组疼痛VAS评分均降低,且治疗组低于对照组,差异有统计学意义(P<0.05)。在世界卫生组织生活质量测定简表(WHOQOL-BREF)评分上,2组生活质量主观感觉、健康状况主观感觉、生理领域、心理领域这4个维度评分均高于治疗前,差异均有统计学意义(P<0.05);2组社会关系领域、环境领域2个维度评分治疗前后比较,差异无统计学意义(P>0.05),且以上6个维度评分2组间比较,差异均无统计学意义(P>0.05)。在表面肌电信号(SEMG)上,治疗组治疗前后比较,差异有统计学意义(P<0.05),对照组差异无统计学意义(P>0.05),2组间比较,差异有统计学意义(P<0.05)。结论:易筋经功法结合关节腔灌注的治疗方法可有效改善患者的疼痛,增加关节功能活动,提高患者的生活质量,增强膝关节周围肌肉的协调性,比单纯注射玻璃酸钠临床效果更好。

Objective:To observe the clinical effect of the therapy of Yi Jin Jing exercises combined with articular injection for early-to-mid osteoarthritis.Methods:A total of 90 patients with early-to-mid osteoarthritis were selected and randomly divided into two groups,45 patients in each group.The control group was treated with articular injection of sodium hyaluronate;and the treatment group was additionally treated with Yi Jin Jing exercises based on the treatment of the control group.Yi Jin Jing exercises were performed once a day for five consecutive days for five weeks,and the articular injection was performed once a week for five weeks.Changes in the scores of Visual Analogue Scale(VAS),quality of life,and surface electromyography(SEMG)were observed in the two groups.Results:After treatment,the scores of VAS in both groups were decreased,and the VAS score in the treatment group was lower than that in the control group,the difference being significant(P<0.05).In terms of the score of WHOQOL-BREF,the scores of subjective feeling of quality of life,subjective feeling of health status,physiological field and psychological field in the two groups were higher than those before treatment,differences being significant(P<0.05);there was no significant difference in the comparison of the scores of physiological field and psychological field in the two groups before and after treatment(P>0.05);there was also no significant difference in the comparison of the above six scores between the two groups(P>0.05).There was significant difference in the comparison of SEMG in the treatment group before and after treatment(P<0.05),while there was no significant difference in the control group(P>0.05);there was significant difference in the comparison of SEMG between the two groups(P<0.05).Conclusion:The therapy of Yi Jin Jing exercises combined with articular injection can effectively lessen the pain of patients,increase joint functional activities,improve the quality of life,and enhance the coordination of the muscles around the knee joint,which is better than the simple injection of sodium hyaluronate.