[1]展嘉文 王尚全 朱立国 陈明 李玲慧 闫安 赵国东 韩涛 邵晨晨 周良.经皮穴位电刺激治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2019,27(08):28-31.
　ZHAN Jiawen WANG Shangquan ZHU Liguo CHEN Ming LI Linghui YAN An ZHAO Guodong HAN Tao SHAO Chenchen ZHOU Liang.Effect of Transcutaneous Electrical Acupoint Stimulation(TEAS)on Dysfunctional of Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(08):28-31.
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经皮穴位电刺激治疗膝骨关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年08期
页码:
28-31
栏目:
临床研究
出版日期:
2019-07-30

文章信息/Info

Title:
Effect of Transcutaneous Electrical Acupoint Stimulation(TEAS)on Dysfunctional of Knee Osteoarthritis
文章编号:
1005-0205(2019)08-0028-04
作者:
展嘉文1; 2 王尚全1 朱立国2; 3 陈明1 李玲慧1 闫安1 赵国东1 韩涛1 邵晨晨1 周良1
1中国中医科学院望京医院骨伤综合科(北京,100102) 2中医正骨技术北京市重点实验室 3中国中医科学院望京医院脊柱二科
Author(s):
ZHAN Jiawen1; 2 WANG Shangquan1 ZHU Liguo2; 3△ CHEN Ming1 LI Linghui1 YAN An1 ZHAO Guodong1 HAN Tao1 SHAO Chenchen1 ZHOU Liang1
1Department of the General Orthopedics,Wangjing Hospital of China Academy of Traditional Chinese Medicine Sciences,Beijing 100102,China; 2The Key Laboratory of Chinese Medicine Technology in Beijing,Beijing 100102,China; 3Second Spine,Wangjing Hospital of China Academy of Traditional Chinese Medicine Sciences,Beijing 100102,China.
关键词:
经皮穴位电刺激;  功能锻炼;  膝骨关节炎;  功能障碍
Keywords:
transcutaneous electrical acupoint stimulation(TEAS);  functional exercise;  knee osteoarthritis(KOA);  dysfunction
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察经皮穴位电刺激(TEAS)配合功能锻炼治疗轻中度膝骨关节炎(KOA)患者的临床疗效。方法:将50例KOA患者随机分为两组,治疗组25例应用TEAS配合功能锻炼,对照组25例仅进行功能锻炼。应用VAS评价患者疼痛程度,Lysholm膝关节评分量表评价患者膝关节改善程度,分别于治疗前、治疗后2周、4周、随访1个月进行评估。结果:应用TEAS配合功能锻炼治疗2周显效率40%,有效率64%,治疗后4周显效率76%,有效率100%; 在VAS评分及Lysholm评分上,治疗2周、4 周、随访均与治疗前差异有统计学意义(P<0.001); 治疗4周、随访与治疗2周相比,差异有统计学意义(P<0.05); 治疗4周及随访VAS评分,与治疗2周、4周及随访各访视点Lysholm评分,治疗组与对照组相比差异有统计学意义(P<0.05)。结论:经皮穴位电刺激配合功能锻炼能改善KOA患者疼痛症状及功能障碍,且随访期疗效稳定。
Abstract:
Objective: To observe the clinical efficacy of TEAS with functional exercise in improving the dysfunction of patients KOA.Methods: 50 KOA cases were randomly divided into two groups.In the treatment group,25 cases were treated with TEAS combined with functional exercise. In the control group,25 cases were treated only with functional exercise.The VAS and Lysholm scores were recorded before treatment and after treatment 2 weeks,4 weeks as well as follow-up after 1 month while observing of the clinical symptoms and judging the curative effect.Results: The clinical explicit efficiency and efficiency of 2 weeks of treatment group were respectively 40% and 64%,after 4 weeks the two figure jumped to 76% and 100%.There was a significant difference between the VAS and Lysholm scores of before treatment with after treatment and follow-up(P<0.001),so was that of 2 weeks of treatment with 4 weeks and follow-up(P<0.05); but there were no statistical significance between the 4 weeks and follow-up 1 months(P>0.05).There was a significant difference between treatment group and controls in each point of views after treatment and follow-up on Lysholm and VAS(P<0.05).Conclusion: TEAS combined with functional exercise can significantly improve the clinical symptoms of dysfunction of KOA patients,and the curative effect is stable during follow-up period.

参考文献/References:

[1] WEBER K L,JEVSEVAR D S,MCGRORY B J.AAOS clinical practice guideline:surgical management of osteoarthritis of the knee:evidence-based guideline[J].J Am Acad Orthop Surg,2016,24(8):94-96. [2] NGUYEN C,LEFAVRE-COLAU M M,POIRAUDEAU S,et al.Rehabilitation(exercise and strength training)and osteoarthritis:a critical narrative review[J].Annals of Physical & Rehabilitation Medicine,2016,59(3):190-195. [3] 牟玉庆,刘兴山,魏彦龙.经皮穴位电刺激的临床应用进展[J].长春中医药大学学报,2017,33(1):169-171. [4] 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中华关节外科杂志,2007,1(4):287-291. [5] ZHU L,YANG S,WANG S,et al.Effectiveness and safety of manufactured Chinese herbal formula for knee osteoarthritis:insights from a systematic review[J].Evidence-based Complementary and Elternative Medicine,2015(9):328642. [6] 闫安,张宽,秦伟凯,等.基于从筋治骨理论的康复锻炼对膝骨关节炎的疗效观察[J].中国骨伤,2017,30(8):731-734. [7] 国家中医药管理局.中医病证诊断疗效标准:ZY/T 001.1～001.9-94[S].南京:南京大学出版社,1994. [8] 林建宁,孙笑非,阮狄克.膝关节lysholms评分等级评价膝关节功能[J].中国骨与关节损伤杂志,2008,23(3):230-231. [9] YOSHIYUKI H,MICHIYA H,AKIRA F,et al.The relationship among psychological factors,neglect-like symptoms and postoperative pain after total knee arthroplasty[J].Pain Research and Management,2014,19(5):251-256. [10] LEWIS D,LEWIS B,STURROCK R D.Transcutaneous electrical nerve stimulation in osteoarthrosis:a therapeutic alternative?[J].Annals of the Rheumatic Diseases,1984,43(1):47-49. [11] RHON D,ZHANG W,MOSKOWITZ R W,et al.OARSI recommendations for the management of hip and knee osteoarthritis,Part Ⅱ:OARSI evidence-based,expert consensus guidelines[J].Osteoarthritis & Cartilage,2008,16(12):137-162. [12] PIETROSIMONE B G,SALIBA S A,HART J M,et al.Effects of transcutaneous electrical nerve stimulation and therapeutic exercise on quadriceps activation in people with tibiofemoral osteoarthritis[J].Journal of Orthopaedic & Sports Physical Therapy,2011,41(1):4-12. [13] 马松涛,邱庆虎,王科,等.经皮穴位电刺激预防髋膝关节置换术后深静脉血栓的疗效观察[J].中国中医骨伤科杂志,2018,26(3):31-35. [14] 晁敏,梁丰,王尊,等.经皮穴位电刺激在慢性病中的临床应用研究进展[J].中国康复医学杂志,2016,31(6):710-714. [15] 方剑乔,张奕,宣丽华,等.经皮穴位电刺激治疗不同时期肩周炎疗效观察[J].中国针灸,2006,26(1):11-14. [16] 武中庆,许侃娜,谢晶军,等.经皮穴位电刺激改善全膝关节置换术后疼痛临床研究[J].山东中医药大学学报,2017,41(3):244-246. [17] 沈淑劲,卢建华,樊炳楷,等.中医药预防全膝关节置换术后深静脉血栓形成的研究进展[J].中国中医骨伤科杂志,2018,26(10):86-88. [18] 胡安华,程少丹.热针治疗肾虚寒凝型膝骨性关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(6):16-20. [19] 李永婷,石广霞,屠建锋,等.针灸治疗膝骨关节炎选穴规律分析[J].辽宁中医杂志,2017,44(10):2179-2182. [20] 孙士全,谭涛.针灸治疗膝骨关节炎的作用机制探讨[J].中国医药导报,2017,14(10):127-130. [21] 王亮,陈祁青,童培建,等.膝关节骨性关节炎早期诊断的临床特征分析[J].中国骨与关节损伤杂志,2015,30(2):161-163.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81804120) 北京地区中医骨科康复服务能力与技术平台规范化建设项目(110019) 国家体育总局中医特色技术在体育运动中的应用 (HXKT2017001) 中国中医科学院望京医院科研课题(WJYY2018-07) 中医药康复医疗国际合作基地项目(GZYYGJ2018032)通信作者 E-mail:zhlg95@aliyun.com(收稿日期:2018-12-14) 延缓骨与关节退行性病变与临床及实验研究 (ZZ10-022)
更新日期/Last Update: 1900-01-01