摘要
目的探讨体外冲击波联合功能康复保健操对膝骨关节炎(KOA)患者炎症反应、疼痛及膝关节功能的影响.方法选取2019年3月—2022年3月本院收治的KOA患者82例为研究对象,根据随机数字表法将其分为对照组(n=41)和观察组(n=41).两组均接受常规药物治疗,在此基础上,对照组练习功能康复保健操,观察组采用体外冲击波联合功能康复保健操,均持续干预2个月.比较两组的白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平、疼痛视觉模拟量表(VAS)评分及膝关节功能.结果干预后,观察组的TNF-α、IL-1β水平分别为(72.54±5.17)μg/mL、(10.42±1.03)μg/mL,均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的VAS评分为(1.18±0.13)分,低于对照组,差异有统计学意义(P<0.05).干预后,观察组的各项膝关节功能评分均高于对照组,组间差异有统计学意义(P<0.05).结论体外冲击波联合功能康复保健操可改善KOA患者的炎症反应,降低疼痛程度,改善膝关节功能,且安全性较高,值得临床推广使用.
Objective To investigate the effects of extracorporeal shock wave combined with functional rehabilitation exercises on inflammation,pain and knee function in patients with knee osteoarthritis(KOA).Methods A total of 82 cases of KOA patients admitted to the hospital from March 2019 to March 2022 were selected as research objects and were divided into a control group(n=41)and an observation group(n=41)according to random number table method.Both groups received conventional drug therapy.On this basis,the control group practiced functional rehabilitation exercises,and the observation group received extracorporeal shock wave combined functional rehabilitation exercises.Both groups continued intervention for 2 months.The levels of interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α),pain visual analogue scale(VAS)score and knee function were compared between the two groups.Results After intervention,the levels of TNF-αand IL-1βin the observation group were(72.54±5.17)μg/mL and(10.42±1.03)μg/mL,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the VAS score of the observation group was(1.18±0.13)points,which was lower than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the knee joint function scores of the observation group were higher than those of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Extracorporeal shock wave combined functional rehabilitation exercises can improve the inflammatory response of OA patients,reduce the degree of pain,improve the function of knee joint,and is safe,worthy of clinical promotion and use.
作者
任井斌
周济超
朱明辉
REN Jingbin;ZHOU Jichao;ZHU Minghui(Department of Orthopedic Surgery,Lanling County People's Hospital,Linyi Shandong,277700,China;Department of Orthopedics,Linyi People's Hospital,Linyi Shandong,276000,China)
出处
《反射疗法与康复医学》
2022年第21期55-58,共4页
Reflexology And Rehabilitation Medicine
关键词
膝骨关节炎
体外冲击波
功能康复保健操
炎症反应
疼痛
膝关节功能
Knee osteoarthritis
Extracorporeal shock wave
Functional rehabilitation exercises
Inflammatory reaction
Pain
Knee function
作者简介
任井斌(1974-),男,山东临沂人,本科,副主任医师,研究方向:关节外科和运动医学.
