CAJ | 학술논문

目的探讨本体感觉训练结合透明质酸钠关节腔注射治疗对膝关节骨性关节炎(KOA)老年患者的影响.方法选取KOA老年患者45例,按照随机数字表法将其分为对照组(22例)和治疗组(23例),2组患者均给予透明质酸钠膝关节腔注射治疗,治疗组在此基础上增加本体感觉训练.治疗前、治疗5周后及治疗3个月后,采用Lysholm膝关节功能评分量表对患者的膝关节功能进行评定.结果治疗前,2组患者膝关节功能评分之间比较,差异无统计学意义(P＞0.05).治疗5周后及治疗3个月后,2组患者的膝关节功能评分均较组内治疗前增高(P＜0.05).与组内治疗5周后比较,治疗组治疗3个月后的膝关节功能评分[(84.39±9.51)分]较高,差异有统计学意义(P＜0.05).与对照组同时间点比较,治疗组治疗3个月后的膝关节功能评分[(84.39±9.51)分]显著高于对照组[(73.5 ±9.64)分],差异有统计学意义(P＜0.05).结论在透明质酸钠关节腔注射治疗基础上增加本体感觉训练,可提高KOA老年患者的膝关节运动功能,是一种有效的综合治疗方法,值得临床应用、推广.
목적 탐토본체감각훈련결합투명질산납관절강주사치료대슬관절골성관절염(KOA)노년환자적영향.방법 선취KOA노년환자45례,안조수궤수자표법장기분위대조조(22례)화치료조(23례),2조환자균급여투명질산납슬관절강주사치료,치료조재차기출상증가본체감각훈련.치료전、치료5주후급치료3개월후,채용Lysholm슬관절공능평분량표대환자적슬관절공능진행평정.결과 치료전,2조환자슬관절공능평분지간비교,차이무통계학의의(P＞0.05).치료5주후급치료3개월후,2조환자적슬관절공능평분균교조내치료전증고(P＜0.05).여조내치료5주후비교,치료조치료3개월후적슬관절공능평분[(84.39±9.51)분]교고,차이유통계학의의(P＜0.05).여대조조동시간점비교,치료조치료3개월후적슬관절공능평분[(84.39±9.51)분]현저고우대조조[(73.5 ±9.64)분],차이유통계학의의(P＜0.05).결론 재투명질산납관절강주사치료기출상증가본체감각훈련,가제고KOA노년환자적슬관절운동공능,시일충유효적종합치료방법,치득림상응용、추엄.
Objective To observe any therapeutic effect of proprioception training and intra-articular injection of sodium hyaluronate on knee osteoarthritis (KOA) in the elderly.Methods Forty-five patients with KOA were randomly divided into a treatment group (23 cases) and a control group (22 cases).The arthritic knees of both groups were treated with sodium hyaluronate injections,but the patients in the treatment group also received proprioception training.Before treatment,and after 5 weeks and 3 months of treatment,knee function was assessed against Lysholm's assessment standard.Results There was no significant difference in the average Lysholm scores of the two groups before treatment.After 5 weeks and 3 months the patients in each group scored significantly higher than before treatment.After 3 months the average score of the treatment group was significantly higher than that of the control group.Conclusion Proprioception training and sodium hyaluronate injections together constitute a useful method to treat KOA in elderly patients.