本文關(guān)鍵詞： 膝骨關(guān)節(jié)炎 曲安奈德 穴位注射 運(yùn)動(dòng)療法　出處：《山東醫(yī)藥》2017年30期 　論文類型：期刊論文

【摘要】：目的觀察運(yùn)動(dòng)療法聯(lián)合曲安奈德穴位注射治療膝骨關(guān)節(jié)炎(KOA)的效果。方法將75例KOA患者隨機(jī)分為對(duì)照組37例和觀察組38例,均在患側(cè)內(nèi)外側(cè)膝眼、梁丘、血海、足三里、陽(yáng)陵泉穴注射曲安奈德,每穴約1mg,每周1次,共3周。觀察組在急性炎癥期予等長(zhǎng)收縮訓(xùn)練,炎癥后期及慢性期予低強(qiáng)度有氧運(yùn)動(dòng)及肌力訓(xùn)練,肌力訓(xùn)練與有氧訓(xùn)練均進(jìn)行3個(gè)月。分別于治療前后不同時(shí)點(diǎn)行VAS,行Lysholm膝關(guān)節(jié)功能評(píng)分評(píng)價(jià)近期(第3次穴位注射后)及遠(yuǎn)期(治療后6個(gè)月)療效,記錄不良反應(yīng)。方法兩組治療后各時(shí)點(diǎn)VAS均較治療前降低(P均0.05),兩組同時(shí)點(diǎn)VAS比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P均0.05)。觀察組和對(duì)照組近期總有效率分別為94.7%、91.8%,遠(yuǎn)期療效分別為92.1%、86.4%,兩組遠(yuǎn)期總有效率比較P0.05。兩組不良反應(yīng)比較差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論運(yùn)動(dòng)療法聯(lián)合曲安奈德穴注可降低KOA患者疼痛,改善膝關(guān)節(jié)功能,無(wú)明顯不良反應(yīng),且長(zhǎng)期療效較好。
[Abstract]:Objective to observe the effect of exercise therapy combined with triamcinolone acetonide injection on knee osteoarthritis. Methods 75 patients with KOA were randomly divided into control group (n = 37) and observation group (n = 38). Yanglingquan acupoint was injected with triamcinolone acetonide once a week for 3 weeks. The experimental group received isometric contraction training at acute inflammatory stage and low intensity aerobic exercise and muscle strength training at later and chronic stage of inflammation. Muscle strength training and aerobic training were performed for 3 months. Vas was performed at different time points before and after treatment, and Lysholm knee joint function score was used to evaluate the short-term (after the third point injection) and the long-term (6 months after treatment). Methods after treatment, VAS in both groups was lower than that before treatment (P < 0.05), and there was no significant difference in VAS between the two groups (P < 0.05). The short-term total effective rate of observation group and control group was 94.7g / 91.8, respectively. There was no significant difference in adverse reactions between the two groups. Conclusion exercise therapy combined with triamcinolone acetonide can reduce pain in patients with KOA. Improve knee joint function, no obvious adverse reaction, and long-term curative effect is better.
【作者單位】： 廣州中醫(yī)藥大學(xué);
【分類號(hào)】：R684.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張華軍;徐海東;劉婷婷;李培法;;電針合雷火灸治療寒濕痹阻型退行性膝關(guān)節(jié)炎臨床研究[J];中國(guó)針灸;2016年12期

2 葛偉韜;高云;劉珍珠;王鳳蘭;張明明;魏戌;張興平;;膝骨關(guān)節(jié)炎中醫(yī)病名辨識(shí)[J];中醫(yī)雜志;2016年23期

3 剛嘉鴻;宓軼群;王華敏;;電針與美洛昔康治療早中期膝骨關(guān)節(jié)炎臨床療效比較:隨機(jī)對(duì)照研究[J];中國(guó)針灸;2016年05期

4 趙明雷;白躍宏;張穎;施問(wèn)民;;小針刀配合運(yùn)動(dòng)療法治療膝骨關(guān)節(jié)炎:隨機(jī)對(duì)照3個(gè)月隨訪[J];中國(guó)組織工程研究;2016年07期

5 魏祿浩;;復(fù)方倍他米松聯(lián)合玻璃酸鈉膝關(guān)節(jié)腔內(nèi)注射治療膝骨關(guān)節(jié)炎療效觀察[J];山東醫(yī)藥;2015年38期

6 何磊;敖永星;馬海堂;;早期血管神經(jīng)修復(fù)股骨下段骨折合并膝關(guān)節(jié)損傷:韌帶愈合及膝關(guān)節(jié)功能評(píng)價(jià)[J];中國(guó)組織工程研究;2015年33期

7 沈梓維;林子洪;鄭秋堅(jiān);;膝關(guān)節(jié)骨關(guān)節(jié)炎的非手術(shù)治療現(xiàn)狀[J];中華骨科雜志;2015年07期

8 柳青;翟偉;任秋蘭;譚亞芹;黃娟;郝華;奧曉靜;劉亮;馬昕婷;孔凡亮;郭義;;膝骨關(guān)節(jié)炎針灸取穴配伍規(guī)律淺析[J];遼寧中醫(yī)雜志;2015年05期

9 路瑩;車明學(xué);張震宇;韓忠孝;;玻璃酸鈉聯(lián)合曲安奈德治療中老年膝關(guān)節(jié)炎的療效[J];中國(guó)老年學(xué)雜志;2014年21期

10 邴長(zhǎng)建;;石蠟貼敷配合針刺治療膝骨關(guān)節(jié)炎療效觀察[J];山東醫(yī)藥;2014年36期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 郭天e，

本文編號(hào)：1507817