摘要
目的 观察膝骨性关节炎治疗中运动疗法的临床疗效。方法 选取2022年2月至2023年10月本院门诊30例膝关节骨性关节炎患者,分为运动疗法组和对照组,各15例。运动疗法组在常规保守治疗基础上加入肌力训练及关节活动度训练等运动疗法,对照组行常规保守治疗。每周治疗1~2次。连续6周为一个疗程。治疗前后统计分析两组膝关节功能、功能障碍程度、疼痛程度、生活质量、血清NO水平、肌力、临床疗效。结果 运动疗法组患者的疼痛、屈膝畸形、活动度、稳定性、肌力、功能评分均高于对照组(P <0.05),疼痛、僵硬程度、日常生活难度评分均低于对照组(P <0.05),VAS评分低于对照组(P <0.05),SF-36评分高于对照组(P <0.05),血清NO水平低于对照组(P <0.05)。运动疗法组患者的肌力Ⅰ级、Ⅱ级、Ⅲ级比例均低于对照组,Ⅳ级、Ⅴ级比例均高于对照组(P <0.05)。运动疗法组总有效率93.33%(14/15)高于对照组66.67%(10/15)(P <0.05)。结论 膝骨性关节炎治疗中运动疗法能改善关节周围肌肉力量,提高关节稳定性及运动表现,缓解关节疼痛,提高生活质量。
Objective To observe the clinical efficacy of exercise therapy in the treatment of knee osteoarthritis.Methods A total of 30 cases of patients with knee osteoarthritis from our outpatient department from February 2022 to October 2023 were randomly selected,and divide into a treatment group and a control group,with 15 cases of patients in each group.The treatment group were given exercise therapy such as muscle strength training and joint mobility training on the basis of conventional conservative treatment,while the control group were given conventional conservative treatment.Treat 1-2 times per week.Six consecutive weeks were considered a course of treatment.Before and after treatment,the knee joint functions,degrees of dysfunctions,degrees of pain,quality of life,serum NO levels,muscle strength,and clinical efficacy in the two groups were statistically analyzed.Results The pain,knee flexion deformity,range of motion,stability,muscle strength,and functional scores of the treatment group were higher than those of the control group(P<0.05).The pain,stiffness,and difficulty of daily life scores were lower than those of the control group(P<0.05),the VAS scores were lower than those of the control group(P<0.05),the SF-36 score was higher than those of the control group(P<0.05),and the serum NO levels were lower than those of the control group(P<0.05).The proportions of muscle strength levels I,II,and III in the treatment group was lower than that in the control group,while the proportions of muscle strength levels IV and V was higher than that in the control group(P<0.05).The total effective rate of the treatment group patients was 93.33%(14/15)higher than that of the control group 66.67%(10/15)(P<0.05).Conclusions Exercise therapy in the treatment of knee osteoarthritis can improve muscle strength around the joint,improve joint stability,and improve motor performance.And alleviate joint pain,improve quality of life.
作者
潘恒
宋雄英
李公
PAN Heng;SONG Xiongying;LI Gong(Department of Osteoarthritis,Beijing Fengtai Hospital,Beijing 100070,China)
出处
《中国医药指南》
2024年第8期59-62,共4页
Guide of China Medicine
基金
2022年度北京丰台医院院级科研项目(项目编号:2022-10)。
