电针联合股四头肌功能锻炼治疗膝骨性关节炎的临床研究

电针联合股四头肌功能锻炼治疗膝骨性关节炎的临床研究

摘要：

膝骨性关节炎是一种常见的关节疾病，主要特征是关节软骨退行性改变、骨质增生，临床表现为膝关节疼痛、僵硬、功能障碍等。目前，常见的治疗方法包括药物治疗、物理治疗和手术治疗等。本研究旨在探讨电针联合股四头肌功能锻炼对膝骨性关节炎的治疗效果。

方法：

选取80例膝骨性关节炎患者，随机分为治疗组和对照组，每组40例。治疗组患者接受电针联合股四头肌功能锻炼治疗，对照组患者接受传统物理治疗。治疗组患者在电针治疗的基础上，进行股四头肌功能锻炼。观察两组在治疗前后的疼痛程度、关节活动度、体功能评估、生活质量评估等指标。

结果：

治疗组在治疗后疼痛程度较对照组明显减轻（P<0.05），关节活动度显著改善，股四头肌力量明显增强。治疗组的体功能评估和生活质量评估得分均明显优于对照组（P<0.05）。

讨论：

电针联合股四头肌功能锻炼治疗膝骨性关节炎可有效缓解疼痛、改善关节活动度和肌力，提高患者的体功能和生活质量。电针治疗可以促进局部血液循环，缓解关节炎症反应，减少关节疼痛。股四头肌功能锻炼有助于增强肌力，提升关节稳定度，减轻关节负荷，从而缓解症状。综合应用这两种治疗方法，可以更好地改善患者的疼痛感受和功能障碍。

结论：

电针联合股四头肌功能锻炼治疗膝骨性关节炎具有显著的疗效，可以有效减轻疼痛、改善关节活动度和肌力，提高患者的体功能和生活质量。这一治疗方法值得在临床中推广应用。

关键词：膝骨性关节炎，电针，股四头肌功能锻炼，治疗效果

Abstract:

Kneeosteoarthritisisacommonjointdiseasecharacterizedbydegenerativechangesinthearticularcartilage,bonehypertrophy,andclinicalmanifestationsofkneejointpain,stiffness,andfunctionalimpairment.Currently,commontreatmentmethodsincludemedication,physicaltherapy,andsurgery.Thisstudyaimstoexplorethetherapeuticeffectofelectroacupuncturecombinedwithquadricepsfunctionalexerciseinthetreatmentofkneeosteoarthritis.

Methods:

Eightypatientswithkneeosteoarthritiswererandomlydividedintoatreatmentgroupandacontrolgroup,with40patientsineachgroup.Patientsinthetreatmentgroupreceivedelectroacupuncturecombinedwithquadricepsfunctionalexercise,whilepatientsinthecontrolgroupreceivedtraditionalphysicaltherapy.Inadditiontoelectroacupuncture,patientsinthetreatmentgroupperformedquadricepsfunctionalexercise.Thepainlevel,jointrangeofmotion,functionalassessment,andqualityoflifewereobservedbeforeandaftertreatmentinbothgroups.

Results:

Thepainlevelinthetreatmentgroupwassignificantlyreducedcomparedtothecontrolgroupaftertreatment(P<0.05),andthejointrangeofmotionandquadricepsstrengthweresignificantlyimproved.Thefunctionalassessmentandqualityoflifescoresinthetreatmentgroupweresignificantlybetterthanthoseinthecontrolgroup(P<0.05).

Discussion:

Electroacupuncturecombinedwithquadricepsfunctionalexercisecaneffectivelyalleviatepain,improvejointrangeofmotionandmusclestrength,andenhancepatients'functionalabilitiesandqualityoflifeinthetreatmentofkneeosteoarthritis.Electroacupuncturepromoteslocalbloodcirculation,reducesjointinflammation,andrelievesjointpain.Quadricepsfunctionalexercisehelpstoenhancemusclestrength,improvejointstability,andreducejointload,therebyalleviatingsymptoms.Thecombinationofthesetwotreatmentmethodscanbetterimprovepatients'painperceptionandfunctionalimpairments.

Conclusion:

Electroacupuncturecombinedwithquadricepsfunctionalexercisehassignificanttherapeuticeffectsinthetreatmentofkneeosteoarthritis,effectivelyrelievingpain,improvingjointrangeofmotionandmusclestrength,andenhancingpatients'functionalabilitiesandqualityoflife.Thistreatmentmethodisworthpromotingandapplyinginclinicalpractice.

Keywords:kneeosteoarthritis