CAJ | 학술논문

目的：探讨针对膝关节屈肌群训练为主的综合康复治疗对膝骨性关节炎（KOA ）的临床效果。方法：KOA患者97例，分为屈膝组33例、伸膝组33例和药物组31例。屈膝组、伸膝组均给予肌力训练、针刺、中频等综合康复治疗，屈膝组治疗以屈膝肌群部位为主，伸膝组治疗以伸膝肌群部位为主；药物组给予双氯酚钠缓释片口服及双氯酚酸二乙胺乳胶剂外用。结果：治疗1个疗程后，3组患者西部安大略湖与麦克马斯特骨性关节炎指数（W O M-AC）中3项评分、体征检查及综合评价评分均较治疗前明显下降（P＜0．01），且屈膝组与伸膝组评分均更低于药物组（P＜0．01，0．05），屈膝组WOMAC中的疼痛、身体功能评分较伸膝组降低更显著（P＜0．05）。屈膝组、伸膝组总有效率均高于药物组（P＜0．05），复发率低于药物组（P＜0．05），屈膝组与伸膝组比较差异无统计学意义。结论：膝关节屈肌群在膝关节功能中有重要作用，在治疗时可给予一定程度重视，加强膝关节功能的整体性治疗。
목적：탐토침대슬관절굴기군훈련위주적종합강복치료대슬골성관절염（KOA ）적림상효과。방법：KOA환자97례，분위굴슬조33례、신슬조33례화약물조31례。굴슬조、신슬조균급여기력훈련、침자、중빈등종합강복치료，굴슬조치료이굴슬기군부위위주，신슬조치료이신슬기군부위위주；약물조급여쌍록분납완석편구복급쌍록분산이을알유효제외용。결과：치료1개료정후，3조환자서부안대략호여맥극마사특골성관절염지수（W O M-AC）중3항평분、체정검사급종합평개평분균교치료전명현하강（P＜0．01），차굴슬조여신슬조평분균경저우약물조（P＜0．01，0．05），굴슬조WOMAC중적동통、신체공능평분교신슬조강저경현저（P＜0．05）。굴슬조、신슬조총유효솔균고우약물조（P＜0．05），복발솔저우약물조（P＜0．05），굴슬조여신슬조비교차이무통계학의의。결론：슬관절굴기군재슬관절공능중유중요작용，재치료시가급여일정정도중시，가강슬관절공능적정체성치료。
Objective :To investigate the clinical effectiveness of the knee flexor muscles training-based comprehen-sive rehabilitation treatment on knee osteoarthritis (KOA) .Methods:All 97 patients with KOA were randomly di-vided into knee flexor group (n=33) ,knee extensor group (n=33) ,and drug group (n=31) .Both knee flexor group and knee extensor group were subjected to the comprehensive rehabilitation treatments including strength training ,acupuncture ,and the medium frequency electrotherapy .Knee flexor group was treated mainly on knee flexor muscles ,and knee extensor group on knee extensor muscles .The drug group was given oral administration diclofenac sodium sustained release tablets ,and diclofenac diethylamine emulsion for external use .Results:After one course of treatment ,the WOMAC evaluation ,physical examination evaluation and comprehensive evaluation scores in three groups were significantly decreased as compared with before treatment (P<0 .01) ,and those in knee flexor group and knee extension group were greater than those in drug group (P<0 .01 ,or 0 .05) .Pain and physical function scores in knee flexor group was decreased more significantly than in knee extensor group (P<0 .05) .The total effective rate was higher (P<0 .05) ,and the recurrent rate was lower in knee extensor group and knee flexor group than in drug group (P<0 .05) .There were no significant differences between the knee flexor group and knee extensor group .Conclusion :Knee flexors in knee joint function play an important role .We can give a certain degree of attention in the treatment ,and strengthen the overall treatment of knee joint function .