CAJ | 학술논문

目的：观察康复训练在早期膝骨关节炎患者中的疗效。方法将120例膝关节骨性关节炎患者随机分为康复组和对照组，每组60例，康复组采用膝关节腔内注射臭氧＋玻璃酸钠＋曲安奈德＋庆大霉素联合膝关节康复训练，对照组采用腔内注射方法，对两组患者治疗前后进行VAS疼痛评估、Lysholm膝关节功能评分和表面肌电检测。结果两组治疗后疼痛程度均明显减轻，但两组比较差异有统计学意义（P＜0．05）。康复组Lysholm评分显著高于对照组（P＜0．05）；康复组功能恢复优良率为85．0％，明显优于对照组（P＜0．05）。两组患者治疗后股四头肌表面肌电的中位频率和平均频率改善程度有显著差异（P＜0．05）。结论腔内注射联合康复训练能够有效治疗早期膝关节的骨性关节炎，有效提高股四头肌抗疲劳能力。
목적：관찰강복훈련재조기슬골관절염환자중적료효。방법장120례슬관절골성관절염환자수궤분위강복조화대조조，매조60례，강복조채용슬관절강내주사취양＋파리산납＋곡안내덕＋경대매소연합슬관절강복훈련，대조조채용강내주사방법，대량조환자치료전후진행VAS동통평고、Lysholm슬관절공능평분화표면기전검측。결과량조치료후동통정도균명현감경，단량조비교차이유통계학의의（P＜0．05）。강복조Lysholm평분현저고우대조조（P＜0．05）；강복조공능회복우량솔위85．0％，명현우우대조조（P＜0．05）。량조환자치료후고사두기표면기전적중위빈솔화평균빈솔개선정도유현저차이（P＜0．05）。결론강내주사연합강복훈련능구유효치료조기슬관절적골성관절염，유효제고고사두기항피로능력。
Objective To evaluate the clinical efficacy of rehabilitation training in treating senile knee osteoarthritis.Methods A hun-dred and twenty patients with knee osteoarthritis were randomized into rehabilitation group and control group with 60 cases each for int-racavitary administration of sodium hyaluronate,ozone,triamcinolone acetonide and gentamicin plus rehabilitation training or only intra-cavitary administration.The therapeutic effects were evaluated using visual analogue scale (VAS),Lysholm knee score scale and sur-face electromyogram.Results The pain was obviously relieved in both groups(P<0.05)and better therapeutic effects were achieved in the combination group.Lysholm scores in rehabilitation group were significantly higher than those of control group (P<0.05);after treatment,85 .0% of patients in rehabilitation group acquired good knee joint function.There were statistically significant differences in the improvements of median frequency and mean power frequency on the surface electromyogram of quadriceps femoris between the two groups (P<0.05).Conclusions Intracavitary administration combined with rehabilitation training has effectively marked therapeutic effects in treating senile knee osteoarthritis and can relieve quadriceps femoris fatigue in these patients.