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[1]秦偉凱,陳彥飛,張寬,等.負(fù)重監(jiān)測下扶拐減重聯(lián)合股四頭肌鍛煉治療輕中度膝骨關(guān)節(jié)炎的臨床研究[J].中醫(yī)正骨,2018,30(11):13-16.
　QIN Weikai,CHEN Yanfei,ZHANG Kuan,et al.Crutch-assisted weight relief under the guidance of weight-bearing monitor combined with quadriceps exercises for treatment of mild-to-moderate knee osteoarthritis:a clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(11):13-16.
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負(fù)重監(jiān)測下扶拐減重聯(lián)合股四頭肌鍛煉治療輕中度膝骨關(guān)節(jié)炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年11期
頁碼:
13-16
欄目:
臨床研究
出版日期:
2018-11-20

文章信息/Info

Title:
Crutch-assisted weight relief under the guidance of weight-bearing monitor combined with quadriceps exercises for treatment of mild-to-moderate knee osteoarthritis:a clinical study
作者:
秦偉凱; 陳彥飛; 張寬; 趙勇
(中國中醫(yī)科學(xué)院望京醫(yī)院,北京 100102)
Author(s):
QIN Weikai; CHEN Yanfei; ZHANG Kuan; ZHAO Yong
Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  負(fù)重;  股四頭肌;  運(yùn)動療法;  臨床試驗(yàn)
Keywords:
osteoarthritis; knee;  weight-bearing;  quadriceps femoris;  exercise therapy;  clinical trial
摘要:
目的:觀察負(fù)重監(jiān)測下扶拐減重聯(lián)合股四頭肌鍛煉治療輕中度膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)的臨床療效。方法:將符合要求的60例KOA患者隨機(jī)分為2組,每組30例。聯(lián)合治療組采用負(fù)重監(jiān)測儀監(jiān)測下扶拐減重聯(lián)合股四頭肌鍛煉治療,股四頭肌鍛煉組單純采用股四頭肌鍛煉治療。分別于治療前和治療2周后評定患者的膝關(guān)節(jié)疼痛視覺模擬量表(visual analogue scale,VAS)評分、Lysholm膝關(guān)節(jié)評分、美國特種外科醫(yī)院(The Hospital for Special Surgery,HSS)膝關(guān)節(jié)評分,并于治療2周后采用《中藥新藥臨床研究指導(dǎo)原則(試行)》中KOA的疾病療效判定標(biāo)準(zhǔn)評定總體療效。結(jié)果:至觀察結(jié)束時,聯(lián)合治療組1例脫落、股四頭肌鍛煉組2例脫落。治療前2組患者的疼痛VAS評分比較,差異無統(tǒng)計學(xué)意義(t=0.631,P=0.531); 治療2周后,2組患者的疼痛VAS評分均較治療前降低[(4.97±1.02)分,(1.90±0.77)分,t=12.943,P=0.000;(4.79±1.13)分,(2.75±1.53)分,t=5.655,P=0.000],聯(lián)合治療組的評分低于股四頭肌鍛煉組(t=-2.644,P=0.012)。治療前2組患者的Lysholm評分比較,差異無統(tǒng)計學(xué)意義(t=-2.817,P=0.077); 治療2周后,2組患者的Lysholm評分均較治療前增高[(59.45±14.06)分,(77.86±13.27)分,t=-5.129,P=0.000;(69.14±11.77)分,(80.64±12.73)分,t=-3.059,P=0.001]; 2組治療2周后的評分比較,差異無統(tǒng)計學(xué)意義(t=-0.807,P=0.423)。治療前2組患者的HSS評分比較,差異無統(tǒng)計學(xué)意義(t=-1.558,P=0.125); 治療2周后,2組患者的HSS評分均較治療前增高[(78.76±7.68)分,(86.65±8.61)分,t=-3.685,P=0.001;(82.04±8.19)分,(86.89±9.24)分,t=-2.081,P=0.042]; 2組治療2周后的評分比較,差異無統(tǒng)計學(xué)意義(t=-0.100,P=0.920)。治療2周后,2組患者的總體療效比較,差異無統(tǒng)計學(xué)意義(u=1.592,P=0.328)。結(jié)論:負(fù)重監(jiān)測下扶拐減重聯(lián)合股四頭肌鍛煉可有效緩解輕中度KOA患者的疼痛癥狀、改善膝關(guān)節(jié)功能,在緩解疼痛方面的效果優(yōu)于單純股四頭肌鍛煉。
Abstract:
Objective:To observe the clinical curative effects of crutch-assisted weight relief under the guidance of weight-bearing monitor combined with quadriceps exercises for treatment of mild-to-moderate knee osteoarthritis(KOA).Methods:Sixty patients with KOA were enrolled in the study and were randomly divided into combination treatment group and quadriceps exercise group,30 cases in each group.The patients in combination treatment group were treated with crutch-assisted weight relief under the guidance of weight-bearing monitor,while the others in quadriceps exercise group were treated with monotherapy of quadriceps exercises.The knee pain visual analogue scale(VAS)scores,Lysholm knee joint scores and Hospital for Special Surgery(HSS)knee scores were evaluated before treatment and after 2-week treatment respectively,and the total curative effects were evaluated after 2-week treatment according to the therapeutic effect evaluation standard of KOA which was extracted from Guiding principles of clinical research on new Chinese medicine(try out).Results:One patient in combination treatment group and 2 patients in quadriceps exercise group dropped out of the trial by the end of observation period.There was no statistical difference in knee pain VAS scores between the 2 groups before the treatment(t=0.631,P=0.531).The knee pain VAS scores decreased after 2-week treatment compared to pretreatment in the 2 groups(4.97+/-1.02 vs 1.90+/-0.77 points,t=12.943,P=0.000; 4.79+/-1.13 vs 2.75+/-1.53 points,t=5.655,P=0.000),and were lower in combination treatment group compared to quadriceps exercise group(t=-2.644,P=0.012).There was no statistical difference in Lysholm scores between the 2 groups before the treatment(t=-2.817,P=0.077).The Lysholm scores increased after 2-week treatment compared to pretreatment in the 2 groups(59.45+/-14.06 vs 77.86+/-13.27 points,t=-5.129,P=0.000; 69.14+/-11.77 vs 80.64+/-12.73 points,t=-3.059,P=0.001),and there was no statistical difference in Lysholm scores between the 2 groups after 2-week treatment(t=-0.807,P=0.423).There was no statistical difference in HSS scores between the 2 groups before the treatment(t=-1.558,P=0.125).The HSS scores increased after 2-week treatment compared to pretreatment in the 2 groups(78.76+/-7.68 vs 86.65+/-8.61 points,t=-3.685,P=0.001; 82.04+/-8.19 vs 86.89+/-9.24 points,t=-2.081,P=0.042),and there was no statistical difference in HSS scores between the 2 groups after 2-week treatment(t=-0.100,P=0.920).There was no statistical difference in total curative effect between the 2 groups after 2-week treatment(u=1.592,P=0.328).Conclusion:The combination therapy of crutch-assisted weight relief under the guidance of weight-bearing monitor and quadriceps exercises can effectively relieve the knee pain and improve the knee function in treatment of mild-to-moderate KOA,and it surpasses the monotherapy of quadriceps exercises in relieving the knee pain.

參考文獻(xiàn)/References:


[1] 張靜,李炳奇,任杰.針刀松解聯(lián)合臭氧關(guān)節(jié)腔注射治療膝骨關(guān)節(jié)炎的療效觀察[J].中醫(yī)正骨,2017,29(5):10-13.
[2] 殷夢媛,石瑛,張昱,等.生物力學(xué)療法治療膝骨關(guān)節(jié)炎的研究進(jìn)展[J].中醫(yī)正骨,2016,28(12):33-37.
[3] 中華醫(yī)學(xué)會骨科學(xué)分會.骨關(guān)節(jié)炎診治指南(2007年版)[J].中國矯形外科雜志,2014,27(3):287-288.
[4] KELLGREN JH,LAWRENCE JS.Radiological assessment of osteo-arthrosis[J].Ann Rheum Dis,1957,16(4):494-502.
[5] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評價標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:169-178.
[6] 鄭筱萸.中藥新藥臨床研究指導(dǎo)原則(試行)[M].北京:中國醫(yī)藥科技出版社,2002:352-353.
[7] 趙軍,王慶甫.小針刀療法結(jié)合功能鍛煉治療Kellgren-LawranceⅢ級膝骨關(guān)節(jié)炎[J].中醫(yī)正骨,2018,30(2):65-77.
[8] 晏丹,周廣東,曹誼林.關(guān)節(jié)軟骨生化結(jié)構(gòu)及其與力學(xué)性能關(guān)系研究進(jìn)展[J].上海交通大學(xué)學(xué)報(醫(yī)學(xué)版),2009,29(3):341-345.
[9] 張旻,江瀾.內(nèi)側(cè)間室膝骨性關(guān)節(jié)的下肢關(guān)節(jié)生物力學(xué)變化[J].中國康復(fù),2011,26(1):36-38.
[10] 張增喬,馮偉,盧遠(yuǎn)堅,等.軟骨和軟骨下骨的生物力學(xué)相互作用對骨關(guān)節(jié)炎影響的研究進(jìn)展[J].中醫(yī)正骨,2017,29(5):23-26.
[11] 王躍輝,韓清民,李釗,等.生物力學(xué)因素在骨關(guān)節(jié)炎診療體系中的價值探討——骨關(guān)節(jié)炎經(jīng)筋診療思路淺談[J].中國中醫(yī)骨傷科雜志,2010,18(1):68-70.
[12] 朱雋科,蔣青.控制體質(zhì)量與膝關(guān)節(jié)骨性關(guān)節(jié)炎的發(fā)病關(guān)系[J].醫(yī)學(xué)綜述,2012,18(22):3819-3821.
[13] HAGIWARA Y,ANDO A,CHIMOTO E,et al.Changes of articular cartilage after immobilization in a rat knee contracture model[J].J Orthop Res,2009,27(2):236-242.
[14] 林艷紅,林木南,李西海,等.生物力學(xué)調(diào)節(jié)骨關(guān)節(jié)炎軟骨退變的作用機(jī)制探討[J].風(fēng)濕病與關(guān)節(jié)炎,2014,3(9):54-56.
[15] 姚保龍,霍文璟,姚波,等.肌力訓(xùn)練治療老年膝關(guān)節(jié)骨性關(guān)節(jié)炎的療效觀察[J].中國康復(fù),2014,29(3):200-202.
[16] 黃樂輝,劉龍亮,牛九疆,等.膝關(guān)節(jié)骨性關(guān)節(jié)炎肌力訓(xùn)練療效的臨床效果分析[J].黑龍江中醫(yī)藥,2018,47(2):59-60.

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[17]陳衛(wèi)衡.探索建立系統(tǒng)的膝骨關(guān)節(jié)炎中醫(yī)臨床科研范式 和理論體系[J].中醫(yī)正骨,2015,27(07):1.
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備注/Memo

備注/Memo:
基金項(xiàng)目:北京中醫(yī)藥科技發(fā)展資金項(xiàng)目(JJ2016-67); 中國中醫(yī)科學(xué)院望京醫(yī)院院級科研課題(WJYY2016-PY-011)
通訊作者:趙勇 E-mail:[email protected]
更新日期/Last Update: 2018-11-30