CAJ | 학술논문

目的: 观察和评价针灸推拿治疗膝骨关节炎的临床疗效,分析针灸推拿对患者股四头肌肌力的影响.方法: 将80例膝骨关节炎患者随机分为2组,治疗组40例采用针灸推拿治疗,对照组40例口服芬必得,治疗前后采用疗效评定量表、Lequene & Mery严重度指数评分以及等速测试系统进行评估.结果: 治疗组总有效率90.0%,对照组总有效率87.5%,治疗后组间比较无明显差异;Lequene & Mery评分显示,两组治疗后组间比较无明显差异.等速测试结果显示,两组治疗前后比较均有显著性差异(P＜0.05);治疗后组间比较有显著性差异(P＜0.05).结论: 针灸推拿和口服芬必得均能改善患者症状,但对膝骨关节炎严重程度改善较小.针灸推拿治疗可以提高膝骨关节炎患者股四头肌肌力、做功和爆发力,其影响大于口服芬必得.
목적: 관찰화평개침구추나치료슬골관절염적림상료효,분석침구추나대환자고사두기기력적영향.방법: 장80례슬골관절염환자수궤분위2조,치료조40례채용침구추나치료,대조조40례구복분필득,치료전후채용료효평정량표、Lequene & Mery엄중도지수평분이급등속측시계통진행평고.결과: 치료조총유효솔90.0%,대조조총유효솔87.5%,치료후조간비교무명현차이;Lequene & Mery평분현시,량조치료후조간비교무명현차이.등속측시결과현시,량조치료전후비교균유현저성차이(P＜0.05);치료후조간비교유현저성차이(P＜0.05).결론: 침구추나화구복분필득균능개선환자증상,단대슬골관절염엄중정도개선교소.침구추나치료가이제고슬골관절염환자고사두기기력、주공화폭발력,기영향대우구복분필득.
Objective: To observe the effect of acupuncture and Chinese mina manipulation therapy in treating knee osteoarthritis, and analyze the alteration of musculus quadriceps femoris strength.Methods: A total of 80 patients were randomly assigned to a treatment group receiving acupuncture combined Chinese tuina manipulation therapy (n=40) and a control group receiving Fenbid treatment (n=40), curative effective score, Lequene & Mery assessment tests, and isokinetic evaluation were recorded before and after the treatment course. Results: The total effective rate was 90.0 % in the treatment group and 87.5% in the control group, without a significant difference between the two groups. Lequene & Mery assessment tests had no significant change. Musculus quadriceps femoris isokinetic evaluation improved significantly after the treatment course in the two groups (P＜0.05), and there was a significant difference between the two groups (P＜0.05). Conclusion: Acupuncture combined with tuina manipulation therapy and Fenbid treatment both can reduce knee pain and joint disability in the short term, though no improvement was shown in the severity of the disease.Acupuncture combined with mina manipulation therapy is better than Fenbid in improving the strength, total work and explosive force of the musculus quadriceps femoris.