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1. 重庆市璧山区妇幼保健院中医科
2. 重庆市璧山区中医院药剂科
纸质出版日期:2021,
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潘蓉, 陈逸明. 电针联合功能锻炼和中药外敷治疗膝骨关节炎的临床疗效[J]. 保健医学研究与实践, 2021,18(4):86-90.
Pan Rong, Chen Yiming. Clinical efficacy of electroacupuncture combined with functional exercise and external application of traditional Chinese medicine in the treatment of knee osteoarthritis[J]. Health Medicine Research and Practice, 2021,18(4):86-90.
潘蓉, 陈逸明. 电针联合功能锻炼和中药外敷治疗膝骨关节炎的临床疗效[J]. 保健医学研究与实践, 2021,18(4):86-90. DOI:
Pan Rong, Chen Yiming. Clinical efficacy of electroacupuncture combined with functional exercise and external application of traditional Chinese medicine in the treatment of knee osteoarthritis[J]. Health Medicine Research and Practice, 2021,18(4):86-90. DOI:
目的探讨电针联合功能锻炼和中药外敷治疗膝骨关节炎的临床疗效。方法选取2018年1月-2020年1月重庆市某医院收治的100例膝骨关节炎患者
随机分为观察组和对照组
每组50例。对照组患者给予电针联合膝关节功能锻炼治疗
观察组患者在对照组基础上给予膝关节局部中药外敷治疗。比较2组患者治疗前后西安大略和麦克马斯特大学骨关节炎指数量表(WOMAC)评分、Lysholm膝关节评分量表(LKSS)评分和Lequesne指数、膝关节活动度及2组临床疗效。结果治疗前
2组患者WOMAC各项症状评分及总分比较
差异均无统计学意义(P>0.05);治疗后
2组患者WOMAC膝关节疼痛、僵硬、膝关节功能评分及总分均低于治疗前
且观察组低于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者膝关节活动度比较
差异无统计学意义(P>0.05);治疗后
2组患者膝关节活动度大于治疗前
且观察组大于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者LKSS评分和Lequesne指数比较
差异无统计学意义(P>0.05);治疗后
2组患者膝关节LKSS评分高于治疗前且观察组高于对照组
而Lequesne指数低于治疗前且观察组低于对照组
差异均有统计学意义(P<0.05)。观察组患者治疗总有效率为96.00%
高于对照组的82.00%
差异有统计学意义(P<0.05)。结论电针联合功能锻炼和中药外敷治疗膝骨关节炎
可明显缓解患者局部疼痛
改善患者膝关节活动功能。
Objective To explore the clinical efficacy of electroacupuncture combined with functional exercise and external application of traditional Chinese medicine in the treatment of knee osteoarthritis.Methods A total of100 patients with knee osteoarthritis treated in a hospital in Chongqing from January 2018 to January 2020 were randomly divided into observation group and control group
with 50 cases in each group.The patients in the control group were treated with electroacupuncture combined with knee joint functional exercise
and the patients in the observation group were treated with local external application of traditional Chinese medicine on the basis of the control group.Before and after treatment
the WOMAC scores and LKSS score and Lequesne index
knee joint range of motion and clinical efficacy of the two groups were compared.Results Before treatment
there was no significant difference in the WOMAC scores of each symptoms and total scores between the two groups(P>0.05).After treatment
the scores of WOMAC knee joint pain
stiffness and knee joint function and total scores in the two groups were lower than those before treatment
and those in the observation group were lower than those in the control group
and the differences were statistically significant(P<0.05).Before treatment
there was no significant difference in the range of motion of knee joint between the two groups(P>0.05).After treatment
the range of motion of knee joint in the two groups was larger than that before treatment
and that in the observation group was larger than that in the control group
and the difference was statistically significant(P<0.05).Before treatment
there was no significant difference in LKSS score and Lequesne index between the two groups(P>0.05).After treatment
the LKSS score of knee joint in the two groups was higher than that before treatment
and that in the observation group was higher than that in the control group
while the Lequesne index in the observation group was lower than that in the control group
and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 96.00%
which was higher than that of the control group(82.00%)
and the difference was statistically significant(P <0.05).Conclusion Electroacupuncture combined with functional exercise and external application of traditional Chinese medicine can significantly relieve local pain and improve knee joint function in patients with KOA.
膝骨关节炎电针功能锻炼中药外敷
Knee osteoarthritisElectroacupunctureFunctional exerciseExternal application of traditional Chinese medicine
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