针刺运动疗法结合康复训练干预社区中老年膝关节骨性关节炎的效果研究

李秀红++++++何永昌++++++罗健华++++++梁碧森

[摘要]目的 探討针刺运动疗法和针灸与康复训练结合治疗膝关节骨性关节炎的效果。方法 选取2014年2月～2016年2月本院康复科门诊治疗的90例膝关节骨性关节炎患者作为研究对象，按照随机对照分组法分为针刺运动疗法结合康复训练组、康复训练组和药物组，每组各30例，针刺运动疗法结合康复训练组采用温针和针刺运动疗法结合康复训练疗法，康复训练组采用康复训练，药物组采用口服硫酸氨基葡萄糖及仙灵骨葆，采用膝关节HSS评分和膝关节骨性关节炎严重性指数（ISOA）作为评定指标，评价各组的治疗效果。结果 三组治疗后的HSS和ISOA评分均高于治疗前，差异有统计学意义（P<0.05）。针刺运动疗法结合康复训练组治疗后的HSS和ISOA评分显著高于康复训练组和药物组，差异有统计学意义（P<0.05）。康复训练组和药物组治疗后的HSS和ISOA评分比较，差异无统计学意义（P>0.05）。针刺运动疗法结合康复训练组的总有效率高于康复训练组和药物组，差异有统计学意义（P<0.05）。康复训练组和药物组的总有效率比较，差异无统计学意义（P>0.05）。结论 针刺运动疗法结合康复训练能有效治疗膝关节骨性关节炎，值得临床推广应用。

[关键词]膝关节骨性关节炎；针灸；针刺运动疗法；康复训练

[中图分类号] R684.3 [文献标识码] A [文章编号] 1674-4721（2017）07（a）-0074-04

Effect study of acupuncture and exercise therapy combined with rehabilitation training as an intervention on treating knee osteoarthritis in middle-aged and elderly patients

LI Xiu-hong HE Yong-chang LUO Jian-hua LIANG Bi-sen

Community Health Service Center of Liurong Street of Yuexiu District in Guangzhou City，Guangdong Province，Guangzhou 510180，China

[Abstract]Objective To explore the effect of acupuncture and exercise therapy combined with acu-moxibustion and rehabilitation training in the treatment of knee osteoarthritis.Methods A total of 90 patients with knee osteoarthritis treated in rehabilitation department in our hospital from February 2014 to February 2016 were selected as research objects.By random，they were evenly divided into the acupuncture and exercise therapy combined with rehabilitation training group，rehabilitation group and the medication group.In the acupuncture and exercise therapy combined with rehabilitation training group，warm needling，exercise therapy during acupunctural insertion combined with rehabilitation training were used.In the rehabilitation group，only rehabilitation training was used.In the medication group，glucosamine sulfate and Xianling Gubao for oral administration was applied.The HSS score of knee joint and the index of severity for osteoarthritis （ISOA） were selected as evaluated indicators for assessing the therapeutic effect.Results The scores of HSS and ISOA after treatment in the three groups were both higher than those before treatment，with significant difference （P<0.05）.The scores of HSS and ISOA in the acupuncture and exercise therapy combined with rehabilitation training group after treatment was higher than that in the rehabilitation group and the medication group，with significant difference （P<0.05）.There was no significant difference in the scores of HSS and ISOA between the rehabilitation group and the medication group after therapy （P>0.05）.The total effective rate in the acupuncture and exercise therapy combined with rehabilitation training group was higher than that in the rehabilitation group and the medication group，with significant difference （P<0.05）.There was no significant difference in the total effective rate between the rehabilitation group and the medication group after therapy （P>0.05）.Conclusion Acupuncture and exercise therapy combined with rehabilitation training can effectively treat knee osteoarthritis，and is worthy of clinical application and promotion.

[Key words]Knee osteoarthritis；Acu-moxibustion；Acu puncture and exercise therapy；Rehabilitation training

膝关节骨性关节炎是一种常见的以软骨退行性变和继发骨质增生为主的，以关节疼痛、僵硬、活动受限为主要表现的慢性退行性骨关节病，临床中多发病于中老年人，严重影响老年人的生活质量和健康。有资料显示，中医针灸治疗具有安全性高、副作用小、疗效显著等优势，在膝关节骨性关节炎中具有较高的应用价值[1]。本研究采用温针和针刺运动疗法结合康复训练疗法治疗该病，取得了较好的效果，现报道如下。……