运动疗法联合曲安奈德穴位注射治疗膝骨关节炎效果观察

发布时间：2018-02-13 09:16

本文关键词： 膝骨关节炎曲安奈德穴位注射运动疗法　出处：《山东医药》2017年30期 　论文类型：期刊论文

【摘要】：目的观察运动疗法联合曲安奈德穴位注射治疗膝骨关节炎(KOA)的效果。方法将75例KOA患者随机分为对照组37例和观察组38例,均在患侧内外侧膝眼、梁丘、血海、足三里、阳陵泉穴注射曲安奈德,每穴约1mg,每周1次,共3周。观察组在急性炎症期予等长收缩训练,炎症后期及慢性期予低强度有氧运动及肌力训练,肌力训练与有氧训练均进行3个月。分别于治疗前后不同时点行VAS,行Lysholm膝关节功能评分评价近期(第3次穴位注射后)及远期(治疗后6个月)疗效,记录不良反应。方法两组治疗后各时点VAS均较治疗前降低(P均0.05),两组同时点VAS比较差异无统计学意义(P均0.05)。观察组和对照组近期总有效率分别为94.7%、91.8%,远期疗效分别为92.1%、86.4%,两组远期总有效率比较P0.05。两组不良反应比较差异无统计学意义。结论运动疗法联合曲安奈德穴注可降低KOA患者疼痛,改善膝关节功能,无明显不良反应,且长期疗效较好。
[Abstract]:Objective to observe the effect of exercise therapy combined with triamcinolone acetonide injection on knee osteoarthritis. Methods 75 patients with KOA were randomly divided into control group (n = 37) and observation group (n = 38). Yanglingquan acupoint was injected with triamcinolone acetonide once a week for 3 weeks. The experimental group received isometric contraction training at acute inflammatory stage and low intensity aerobic exercise and muscle strength training at later and chronic stage of inflammation. Muscle strength training and aerobic training were performed for 3 months. Vas was performed at different time points before and after treatment, and Lysholm knee joint function score was used to evaluate the short-term (after the third point injection) and the long-term (6 months after treatment). Methods after treatment, VAS in both groups was lower than that before treatment (P < 0.05), and there was no significant difference in VAS between the two groups (P < 0.05). The short-term total effective rate of observation group and control group was 94.7g / 91.8, respectively. There was no significant difference in adverse reactions between the two groups. Conclusion exercise therapy combined with triamcinolone acetonide can reduce pain in patients with KOA. Improve knee joint function, no obvious adverse reaction, and long-term curative effect is better.
【作者单位】：广州中医药大学;
【分类号】：R684.3

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