| 电针在膝骨性关节炎关节镜清理术后增效作用的病例对照研究 |
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Received:March 22, 2013
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| 期刊信息：《中国骨伤》2014年27卷，第4期，第287-290页 |
| DOI：10.3969/j.issn.1003-0034.2014.04.006 |
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目的：探讨电针在膝骨性关节炎关节镜清理术后的增效作用。
方法：2008年5月至2010年7月，收治膝骨性关节炎患者78例（78膝），分为两组，其中试验组42例，男16例，女26例；年龄41～63岁，平均（53.62±6.53）岁；病程8～24个月，平均（10.35±6.42）个月；采用关节镜下有限清理术结合术后电针治疗。对照组36例，男14例，女22例；年龄40～62岁，平均（54.34±7.67）岁；病程6～25个月，平均（11.94±5.13）个月；采用单一关节镜下关节清理术治疗。两组患者术后均行股四头肌等长收缩和膝关节屈伸功能锻炼。以视觉模拟评分法（visual analog scale，VAS）和Lysholm膝关节功能评分标准进行治疗前后及组间比较。
结果：所有患者获随访，时间12～30个月，平均15.6个月。末次随访时试验组和对照组VAS较术前降低，而Lysholm评分除支撑外，其余各项评分均较疗前升高。两组治疗后VAS比较差异有统计学意义；Lysholm评分在跛行、疼痛、肿胀、爬楼及下蹲方面差异有统计学意义，而交锁和不稳评分差异无统计学意义。
结论：电针具有明显缓解临床症状、体征，改善膝关节活动度的作用，在膝骨性关节炎关节镜清理术后具有显著增效作用，其远期疗效优于单用关节镜清理术，对膝关节的功能改善更具优越性，是值得临床推荐的一种治疗膝骨性关节炎的中西医结合疗法。 |
| [关键词]:电针 骨关节炎，膝 关节镜 病例对照研究 |
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| Case-controll study on the synergistic effects of electroacupuncture on knee osteoarthritis after arthroscopic debridement |
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Abstract:
Objective: To study the synergistic effects of electroacupuncture on the treatment of knee osteoarthritis after arthroscopic debridement.
Methods: From May 2008 to July 2010,78 patients with knee osteoarthritis were randomly divided into two groups. There were 42 patients in the experimental group,including 16 males and 26 females,ranging in age from 41 to 63 years,with an average of (53.62±6.53) years;the disease course ranged from 8 to 24 months,with an average of (10.35±6.42) months. The patients were treated with arthroscopic debridement combined with electroacupuncture after operation. There were 36 patients in the control group,including 14 males and 22 females,ranging in age from 40 to 62 years,with an average of (54.34±7.67) years; the disease course ranged from 6 to 25 months,with an average of (11.94±5.13) months. Those patients were treated only with arthroscopic debridment. All the patients performed isometric quadriceps femoris contraction exercise and knee flexion and extension activities after operation. The visual analog scale(VAS) score and Lysholm knee score were used to evaluate the therapeutic effects.
Results: All the patients were followed up,and the duration ranged from 12 to 30 months,with an average of 15.6 months. At the final follow-up,VAS score was significantly decreased,and the Lysholm score,except for the item demanding for support,significantly increased,compared with those before surgery respectively in both groups. There was significant difference in VAS score between two groups after treatment. As to Lysholm score,there were significant differences in limp,pain,swelling,stair activity and squat,but there were no significant differences in items of interlocking and instability between two groups after treatment.
Conclusion: Electroacupuncture can effectively improve the clinical symptoms and knee joint's motor function of knee joints in patients with knee osteoarthritis,as well as the synergistic effects on the treatment of knee osteoarthritis after arthroscopic debridement,leading to a much better long-term therapeutic effect with respect of improving the function of knee joint. This therapy,combined with traditional Chinese medicine and Western Medicine,is worth of clinical application in the treatment of knee osteoarthritis. |
| KEYWORDS:Electroacupuncture Osteoarthritis,knee Arthroscopes Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 尹毅,赵燕.电针在膝骨性关节炎关节镜清理术后增效作用的病例对照研究[J].中国骨伤,2014,27(4):287~290 |
| 英文格式: | YIN Yi,ZHAO Yan.Case-controll study on the synergistic effects of electroacupuncture on knee osteoarthritis after arthroscopic debridement[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(4):287~290 |
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