CAJ | 학술논문

目的：观察围浮刺配合股四头肌训练治疗膝骨关节炎的疗效及其在肌电图中波幅变化。方法将确诊为膝骨关节炎的90例患者按随机数字表随机分为治疗组和对照组，每组45例。治疗组运用围浮刺配合股四头肌训练治疗，对照组单纯用针刺治疗，两组均治疗2星期，采用视觉模拟评分法(VAS)和Lysholm膝关节量表评分(LKSS)、肌电积分值对治疗前后膝关节功能进行评分并比较，同时采用肌电图检查，观察比较两组患者膝骨关节炎在肌电图中的波幅变化情况。结果治疗组总有效率为88.9%，对照组为60.0%，治疗组优于对照组(P＜0.05)；治疗组治疗后VAS总分、LKSS评分、肌电积分值明显优于对照组(P＜0.05)。结论围浮刺配合股四头肌训练治疗膝骨关节炎具有显著疗效。
목적：관찰위부자배합고사두기훈련치료슬골관절염적료효급기재기전도중파폭변화。방법장학진위슬골관절염적90례환자안수궤수자표수궤분위치료조화대조조，매조45례。치료조운용위부자배합고사두기훈련치료，대조조단순용침자치료，량조균치료2성기，채용시각모의평분법(VAS)화Lysholm슬관절량표평분(LKSS)、기전적분치대치료전후슬관절공능진행평분병비교，동시채용기전도검사，관찰비교량조환자슬골관절염재기전도중적파폭변화정황。결과치료조총유효솔위88.9%，대조조위60.0%，치료조우우대조조(P＜0.05)；치료조치료후VAS총분、LKSS평분、기전적분치명현우우대조조(P＜0.05)。결론위부자배합고사두기훈련치료슬골관절염구유현저료효。
ObjectiveTo investigate the efficacy of superficial surround needling plus quadriceps femoris training in treating knee osteoarthritis and observe electromyographic amplitude variations by knee osteoarthritis.MethodNinety patients diagnosed with knee osteoarthritis were randomly allocated to treatment and control groups, 45 cases each. The treatment group received superficial surround needling plus quadriceps femoris training and the control group, acupuncture alone. Both groups were treated for two weeks. Pre-treatment and post-treatment knee joint functions were scored and compared using the Visual Analogue Scale (VAS), the Lysholm Knee Score Scale and the electromyographic integral value. Meanwhile, electromyography was performed and electromyographic amplitude variations by knee osteoarthritis were compared between the two groups of patients.ResultThe total efficacy rate was 88.9% in the treatment group and 60.0% in the control group. It was higher in the treatment group than in the control group (P<0.05). After treatment, the VAS score, the Lysholm score and the electromyographic integral value were significantly better in the treatment group than in the control group (P<0.05).ConclusionSuperficial surround needling plus quadriceps femoris training has a marked therapeutic effect on knee osteoarthritis.