CAJ | 학술논문

目的：研究等速肌力训练为主、结合玻璃酸钠关节腔注射及关节松动术的综合疗法改善膝骨关节炎疼痛及生活能力的疗效。方法采用随机数字表法将55例膝骨关节炎患者分为观察组和对照组，观察组给予等速肌力训练为主，结合玻璃酸钠关节腔注射及关节松动术治疗的综合疗法，对照组仅指导患者进行家庭自我踝泵训练，并按照试验方案定期复查。在治疗前，治疗4、8周后，分别采用视觉模拟评分法(VAS)、WOMAC简明健康调查量表进行患膝疼痛及日常生活能力状况的疗效评估。结果治疗源周后，观察组膝关节疼痛的VAS、WOMAC评分较治疗前及对照组明显下降(P<0.05)；治疗8周后，观察组膝关节疼痛的VAS、WOMAC评分呈持续下降趋势，且较对照组明显下降(P<0.05)；对照组治疗4周后的VAS、WOMAC评分与治疗前比较差异无统计学意义，治疗8周后的VAS、WOMAC评分与治疗前、治疗4周后比较差异有统计学意义(P<0.05)。结论随着治疗时间的延长，以等速肌力训练为主，结合玻璃酸钠关节腔注射及关节松动术的综合疗法对缓解膝骨关节炎患膝疼痛、改善日常生活能力具有更好的治疗效果。
목적：연구등속기력훈련위주、결합파리산납관절강주사급관절송동술적종합요법개선슬골관절염동통급생활능력적료효。방법채용수궤수자표법장55례슬골관절염환자분위관찰조화대조조，관찰조급여등속기력훈련위주，결합파리산납관절강주사급관절송동술치료적종합요법，대조조부지도환자진행가정자아과빙훈련，병안조시험방안정기복사。재치료전，치료4、8주후，분별채용시각모의평분법(VAS)、WOMAC간명건강조사량표진행환슬동통급일상생활능력상황적료효평고。결과치료원주후，관찰조슬관절동통적VAS、WOMAC평분교치료전급대조조명현하강(P<0.05)；치료8주후，관찰조슬관절동통적VAS、WOMAC평분정지속하강추세，차교대조조명현하강(P<0.05)；대조조치료4주후적VAS、WOMAC평분여치료전비교차이무통계학의의，치료8주후적VAS、WOMAC평분여치료전、치료4주후비교차이유통계학의의(P<0.05)。결론수착치료시간적연장，이등속기력훈련위주，결합파리산납관절강주사급관절송동술적종합요법대완해슬골관절염환슬동통、개선일상생활능력구유경호적치료효과。
Objective To investigate the effects of combination therapy including isokinetic muscle strength training,in-tra-articular injection of sodium hyaluronate and joint mobilization to improve pain and life skills on patients with knee osteoarthritis. Methods 55 patients with knee osteoarthritis were divided into the observation group and the control group by using random digit table.The observation group was treated with isokinetic muscle strength training,articular injection of sodium hyaluronate and joint mobilization treatment,while the control group only was given family guidance of self ankle pump training and periodic review in accordance with the test program.The visual analogue scale (VAS) score for pain and WOMAC condensed health survey were used to evaluate knee pain and daily living skills of the pa-tients before treatment and after 4 weeks,8 weeks treatment respectively. Results After 4 weeks treatment,knee pain VAS score and WOMAC score of the observation group than those before treatment and the control group was signifi-cantly decreased (P<0.05),after 8 weeks treatment,knee pain VAS score and WOMAC score of the observation group continued a downward trend (P<0.05) and there was a statistical difference between the two groups (P<0.05). Above-mentioned score of the control group before treatment was compared with after 4 weeks treatment,and there was no sta-tistical difference (P>0.05),above-mentioned score of the control group after 8 weeks treatment was compared with be-fore treatment and after 4 weeks treatment,and there was a statistical difference (P<0.05). Conclusion With the exten-sion of treatment time,combination therapy including isokinetic muscle strength training,intra-articular injection of sodium hyaluronate and joint mobilization has a better therapeutic effect to alleviate knee pain and improve daily living skills of patients with knee osteoarthritis.