[1]宝金才 苏彬△ 许钰 王峰.六步手法联合体外冲击波治疗老年膝关节炎的临床研究[J].中国中医骨伤科杂志,2021,29(01):70-73.
　BAO Jincai SU Bin XU Yu WANG Feng.Clinical Study of Six-Step Manipulation Combined withExtracorporeal Shock Wave on Elderly Knee Arthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(01):70-73.
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六步手法联合体外冲击波治疗老年膝关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年01期
页码:
70-73
栏目:
临床报道
出版日期:
2021-01-15

文章信息/Info

Title:
Clinical Study of Six-Step Manipulation Combined withExtracorporeal Shock Wave on Elderly Knee Arthritis
文章编号:
1005-0205(2021)01-0070-04
作者:
宝金才1 苏彬2△ 许钰1 王峰2
Author(s):
BAO Jincai1 SU Bin2△ XU Yu1 WANG Feng2
1Rehabilitation Department of Bone Joint and Industrial Injury,Wuxi Tongren Rehabilitation Hospital(Wuxi Mental Health Center),Wuxi 214151,Jiangsu China; 2Rehabilitation Department,Wuxi Tongren Rehabilitation Hospital(Wuxi Mental Health Center),Wuxi 214151,Jiangsu China.
关键词:
六步手法;  体外冲击波;  老年;  膝关节炎
Keywords:
six-step technique;  extracorporeal shock wave;  elderly;  knee arthritis
分类号:
R684.3
文献标志码:
B
摘要:
目的:分析六步手法联合体外冲击波治疗老年膝关节炎的临床效果。方法:选取2017年1月至2019年6月到我科进行治疗的老年膝关节炎患者60例,根据治疗方式不同分为对照组和观察组(各30例),对照组采用塞来昔布胶囊联合体外冲击波治疗,观察组采用六步手法联合体外冲击波治疗,检测2组患者治疗前后血清中C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)及白细胞介素-1β(IL-1β)水平,观察和记录两组患者疗效、疼痛视觉模拟评分(VAS)、WOMAC骨关节炎指数评分及Barthel指数。结果:观察组治疗有效率(90.0%)高于对照组(67.7%),差异有统计学意义(P<0.05)。治疗后观察组CRP,TNF-α及IL-1β均低于对照组,差异有统计学意义(P<0.05)。治疗后1周、1个月、2个月和3个月观察组VAS评分及WOMAC骨关节炎指数评分均高于对照组,而Barthel指数均低于对照组,差异有统计学意义(P<0.05)。结论:六步手法联合体外冲击波治疗老年膝关节炎疗效明显,能降低患者炎症因子,减轻疼痛,改善膝关节功能,提高患者独立生活能力,且安全性较好。
Abstract:
To analyze the clinical effect of six-step manipulation combined with extracorporeal shock wave on elderly knee arthritis.Methods:60 elderly patients with knee arthritis who were treated in our department from January 2017 to June 2019 were selected and divided into the control group(n=30)and observation group(n=30)according to different treatment.The control group used Celecoxib capsules combined with extracorporeal shock wave therapy,and the observation group used a six-step method combined with extracorporeal shock wave therapy.Serum C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-1β,visual analogue score(VAS),Western Ontario McMaster Universities osteoarthritis index score(WOMAC),Barthel index of the patients were documented and compared in the two groups.Results:The effective rate in the observation group was 90.0% which was higher than that in the control group with 67.7%(P<0.05).After treatment,the CRP,TNF-α,and IL-1β in the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Patients in the observation group revealed lower VAS scores and WOMAC osteoarthritis index scores than those in the control group at 1st week,1st month,2nd month and 3rd month after treatment(P<0.05),while Barthel indexes were higher than those in the control group(P<0.05).Conclusion:Six-step technique combined with extracorporeal shock wave has obvious curative effect on senile knee arthritis,which can reduce patients’ inflammatory factors,relieve pain,improve knee function,and improve independent living ability.

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备注/Memo

备注/Memo:
基金项目:无锡市卫计委2017年度面上项目(MS201754)
1无锡市同仁康复医院(无锡市精神卫生中心)骨与关节及工伤康复科(江苏 无锡,214151)
2无锡市同仁康复医院(无锡市精神卫生中心)康复治疗部
△通信作者 E-mail:13951585359@163.com
更新日期/Last Update: 2021-01-15