| 引用本文:邹占亿，窦思东，鄢行辉.温针灸阳陵泉联合等速肌力训练膝关节骨性关节炎患者的疗效与对视觉模拟评分法和Lysholm膝关节评分的影响[J].世界中医药,2018,(09):. |
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| 温针灸阳陵泉联合等速肌力训练膝关节骨性关节炎患者的疗效与对视觉模拟评分法和Lysholm膝关节评分的影响 |
| Efficacy of Warm Acupuncture and Moxibution on Yanglingquan (GB 34) Combined with Isokinetic Training on Patients with Knee Osteoarthritis and Effects on VAS and Lysholm Knee Score |
| 投稿时间：2017-04-12 |
| DOI：10.3969/j.issn.1673-7202.2018.09.048 |
| 中文关键词: 膝关节骨性关节炎 温针灸 阳陵泉 等速肌力训练 疗效 |
| English Keywords:Knee osteoarthritis Moxibustion Yanglingquan (GB 34) Isokinetic training Curative effect |
| 基金项目:福建省教育厅2016年福建省大学生创新创业训练计划项目(201610393049) |
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| 中文摘要: |
| 目的：研究温针灸阳陵泉联合等速肌力训练膝关节骨性关节炎患者的疗效与对视觉模拟评分法(VAS)、Lysholm膝关节评分的影响。方法：选取2015年2月至2016年7月福建中医药大学附属康复医院收治的膝关节骨性关节炎患者80例。根据随机数字表法分成观察组与对照组，每组40例。对照组予以等速肌力训练治疗，观察组则在对照组的基础上加用温针灸阳陵泉穴治疗。分别比较2组临床疗效，治疗前后VAS与Lysholm膝关节评分，膝关节屈曲度与伸直度变化情况。结果：观察组治疗总有效率为92.50%（37/40），高于对照组的75.00%（30/40），差异有统计学意义（P<0.05）。治疗后2组VAS评分均低于治疗前，而观察组低于对照组，差异有统计学意义（均P<0.05）。治疗后2组Lysholm膝关节评分均低于治疗前，而观察组低于对照组，差异有统计学意义（均P<0.05）。治疗后观察组膝关节屈曲度、伸直度分别为（120.4±17.9）%、（-3.1±0.8）%，均高于对照组的（92.5±5.9）%、（-6.0±1.1）%，差异有统计学意义（均P<0.05）。结论：温针灸阳陵泉穴联合等速肌力训练治疗膝关节骨性关节炎的临床疗效显著，可有效缓解患者疼痛，促进膝关节功能的恢复。 |
| English Summary: |
| To study the efficacy of warm acupuncture and moxibution on Yanglingquan (GB 34) combined with isokinetic training on patients with knee osteoarthritis and effects on VAS and Lysholm knee score. Methods:A total of 80 patients with knee osteoarthritis were selected from February 2015 to July 2016 in our hospital. According to random number table, the cases were divided into observation group and control group with 40 cases in each group. The control group received isokinetic training treatment, and observation group was treated with moxibustion GB 34 treatment based on the control group. The clinical curative effect of two groups VAS and Lysholm knee score before and after treatment, knee flexion and extension of the changes were compared. Results:The total effective rate of observation group was 92.50% (37/40), higher than that of the control group, 75% (30/40), with a significant difference (P<0.05). After treatment, the VAS scores of the two groups were lower than those before treatment, and the observation group was lower than the control group, with significant difference (P<0.05). Lysholm knee score of two groups was lower than that before treatment, and the observation group was lower than the control group, with significant difference (P<0.05). After treatment, the knee flexion and extension of observation group were respectively (120.4±17.9)%, (-3.1±0.8)%, higher than those of control group (92.5±5.9)%, (-6.0±1.1)%, with significant difference (P<0.05). Conclusion:The clinical efficacy of acupuncture moxibustion GB 34 combined isokinetic training in the treatment of knee osteoarthritis is significant, which can effectively relieve the pain of patients, promote the functional recovery of the knee joint. |
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