腹针结合康复训练治疗对膝关节炎患者膝痛及运动功能的影响
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R684.3

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Clinical Observation on Effect of Abdominal Acupuncture Combined with Rehabilitation Training on Knee Pain and Motion Function in Patients with Knee Arthritis
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    摘要:

    目的:观察腹针结合康复训练治疗膝关节炎患者膝痛及运动功能的临床疗效。方法:选取120例膝关节炎患者作为研究对象,采用随机数字表法分为腹针组、康复训练组、联合治疗组以及对照组,每组30例。对照组给予消炎止痛治疗;腹针组给予针刺腹部穴位治疗;康复训练组给予下肢肌肉链训练与股四头肌训练;联合治疗组在对照组治疗的基础上给予腹针结合康复训练治疗。治疗4周后根据患者膝痛改善情况以及运动功能的变化对4种处理方案进行疗效分析。结果:联合治疗组总有效率显著高于腹针组及康复训练组,差异均有统计学意义(P<0.05);而腹针组及康复训练组总有效率显著高于对照组,差异有统计学意义(P<0.05)。联合治疗组总有效率90.00%,明显高于腹针组84.33%、康复训练组80.00%及对照组46.67%。治疗1周后,4组疼痛评分均较治疗前有改善;治疗4周后,4组疼痛视觉模拟评分法(VAS)评分分别与治疗前比较,差异均有统计学意义(P<0.05,P<0.01)。治疗4周后疼痛VAS评分显示,联合治疗组得分显著低于其他各组,差异均有统计学意义(P<0.05)。治疗4周后,联合治疗组日常生活自理能力得分明显高于腹针组、康复训练组及对照组,差异均有统计学意义(P<0.05);且联合治疗组起效更快,治疗1周后日常生活自理能力得分已有明显提高,与治疗前比较,差异有统计学意义(P<0.05)。结论:腹针结合康复训练对膝关节炎患者膝痛及运动功能的疗效明显,尤其对改善患者运动功能效果显著。

    Abstract:

    Objective:To observe the clinical effect of abdominal acupuncture combined with rehabilitation training on knee pain and motion function in patients with knee arthritis.Methods:A total of 120 patients with knee arthritis were selected as the study subjects, and randomly divided into the abdominal acupuncture group, the rehabilitation training group,the combined treatment group and the control group,30 patients in each group.The control group was treated to relieve pain and inflammation; the abdominal acupuncture group was given abdominal acupuncture at points; the rehabilitation training group was given lower-limb muscle chain exercise and quadriceps exercise;the combined treatment group was additionally treated with abdominal acupuncture combined with rehabilitation training based on the treatment of the control group.After four-week treatment,the effect of the four therapies was analyzed according to the improvement of knee pain and the change of motion function.Results:The total effective rate in the combined treatment group was significantly higher than those in the abdominal acupuncture group and the rehabilitation training group respectively,differences being significant(P<0.05).The total effective rates in the abdominal acupuncture group and the rehabilitation training group were significantly higher than that in the control group,the difference being significant(P<0.05).The total effective rate was 90.00% in the combined treatment group,significantly higher than those in the abdominal acupuncture group(84.33%), the rehabilitation training group(80.00%)and the control group(46.67%).After one-week treatment, the pain scores in the four groups were improved when compared with those before treatment; after four-week treatment,compared the pain scores in the four groups before treatment,differences were significant(P<0.05,P<0.01).The score of Visual Analogue Scale(VAS)after four-week treatment in the combined treatment group was significantly lower than those in the other groups respectively,differences being significant(P < 0.05).After four-week treatment,the score of activities of daily living in the combined treatment group was significantly higher than those in the other groups respectively,differences being significant(P < 0.05),and the combined treatment group showed effect faster,and its score of activities of daily living was improved significantly after one-week treatment, compared with that before treatment, differences were significant(P<0.05).Conclusion:The therapy of abdominal acupuncture combined with rehabilitation training has significant effect on knee pain and motion function in treating patients with knee arthritis,especially on the improvement of motion function.

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戴伟莉,关铭坤.腹针结合康复训练治疗对膝关节炎患者膝痛及运动功能的影响[J].新中医,2020,52(2):117-120

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  • 在线发布日期: 2020-01-14
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