CAJ | 학술논문

目的观察穴位变频电针治疗老年膝关节骨性关节炎(KOA)的临床疗效.方法将120例老年KOA患者随机分为治疗组及对照组,治疗组给予穴位变频电针治疗,对照组给予传统肌力训练.于治疗前及治疗8周后分别采用Lysholm膝关节评分标准评价膝关节功能,采用膝关节伸直位最大负荷量评价股四头肌肌力,采用静态平衡功能检测评价姿势稳定性.结果治疗组除支撑外,其余各项Lysholm评分及总分均较治疗前明显提高(P<0.05);对照组跛行、交锁、膝软、疼痛、爬楼梯及Lysholm总分亦较治疗前显著改善(P<0.05);并且治疗组交锁、疼痛、肿胀、爬楼梯、下蹲及Lysholm总分改善幅度均明显优于对照组水平(P<0.05).2组患者膝关节伸直位最大负荷量均较治疗前明显改善(P<0.05).2组患者睁眼及闭眼状态下静态平衡功能各项指标均较治疗前明显改善(P<0.05),且以治疗组患者动摇轨迹长、矩形面积、外周面积及单位面积轨迹长的改善幅度显著优于对照组(P<0.05).结论穴位变频电针治疗能有效改善老年KOA患者膝关节及患肢肌肉功能,增强姿势稳定性,该疗法值得临床推广、应用.
목적 관찰혈위변빈전침치료노년슬관절골성관절염(KOA)적림상료효.방법 장120례노년KOA환자수궤분위치료조급대조조,치료조급여혈위변빈전침치료,대조조급여전통기력훈련.우치료전급치료8주후분별채용Lysholm슬관절평분표준평개슬관절공능,채용슬관절신직위최대부하량평개고사두기기력,채용정태평형공능검측평개자세은정성.결과 치료조제지탱외,기여각항Lysholm평분급총분균교치료전명현제고(P<0.05);대조조파행、교쇄、슬연、동통、파루제급Lysholm총분역교치료전현저개선(P<0.05);병차치료조교쇄、동통、종창、파루제、하준급Lysholm총분개선폭도균명현우우대조조수평(P<0.05).2조환자슬관절신직위최대부하량균교치료전명현개선(P<0.05).2조환자정안급폐안상태하정태평형공능각항지표균교치료전명현개선(P<0.05),차이치료조환자동요궤적장、구형면적、외주면적급단위면적궤적장적개선폭도현저우우대조조(P<0.05).결론 혈위변빈전침치료능유효개선노년KOA환자슬관절급환지기육공능,증강자세은정성,해요법치득림상추엄、응용.
Objective To investigate the therapeutic effects of variable-frequency electroacupuncture treatment for elderly patients with knee osteoarthritis. Methods One hundred and twenty patients with knee oste-oarthritis were randomly divided into a treatment group and a control group. The treatment group was treated with variable-frequency electroaeupuncture, while the control group was treated with muscle strength training. Before treatment and after 8 weeks of treatment, the motor function of their knee joints was evaluated according to Lysholm' s knee scoring scale, quadriceps muscle strength was evaluated according to the maximum load capacity of knee ex-tension, and postural stability was evaluated using a static balance function test. Results Lysholm scores in the treatment group improved significantly compared with those before treatment, except for the item assessing support-ing. While in the control group, compared with before treatment, there were significant differences in the items as-sessing limp, inter-locking, instability, pain and stair activity. There were significant differences in the items as-sessing inter-locking, pain, swelling, stair activity and.squatting between the two groups after treatment. The maxi-mum knee extension load improved significantly in both groups. Static balance with the eyes both open and closed also improved significantly in both groups. There were significant difference in the length, covered area, rectangle-area and length/area of the sway traces of the two groups after treatment. Conclusions Variable-frequency elec-troacupuneture can effectively improve knee function, quadriceps muscle strength and postural stability in elderly patients with knee osteoarthritis.