健身气功五禽戏联合非甾体抗炎药治疗膝关节炎的临床疗效观察
Clinical Observation on the Effect of Health Qigong Wuqinxi Combined with Non-Steroidal Anti-Inflammatory Drug on Knee Arthritis

DOI: 10.12677/TCM.2020.93037, PP. 256-261

Keywords: 膝关节骨性关节炎，五禽戏，塞来昔布胶囊，VAS评分，Lysholm评分
Knee Osteoarthritis, Wuqinxi, Celecoxib Capsule, VAS Score, Lysholm Score

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Abstract:

目的：观察健身气功五禽戏对膝关节骨性关节炎患者的临床疗效。方法：选取90例膝骨性关节炎患者,按照随机数字表随机分成3组：A组(五禽戏配合塞来昔布胶囊)，B组(五禽戏)，C组(塞来昔布胶囊)，每组各30例，30天为一疗程。观察3组的临床总有效率、治疗前与治疗后组内及组间的VAS评分、Lysholm评分。结果3组膝骨性关节炎患者的临床有效率两两比较差异有显著统计学意义(P < 0.05)，A组最佳，B组次之，C组第三。治疗后3组的VAS、Lysholm评分与治疗前比较差异有显著统计学意义(P < 0.01)。3组Lysholm评分中的上楼能力、不稳定评分治疗前与治疗后比较，差异有显著统计学意义(P < 0.01)；治疗后3组患者的上楼能力、不稳定评分两两比较差异均有统计学意义(P < 0.05)，且A组最佳，B组次之，C组最后。结论：健身气功五禽戏可以缓解膝骨性关节炎患者的疼痛，改善患者的膝关节功能，提高患者的生活质量。
Objective: To examine the clinical efficacy of body building qigong wuqinxi in patients with knee osteoarthritis. Methods: 90 patients with knee osteoarthritis were randomly divided into 3 groups according to the random number table: group A (wuqinxi opera with celecoxib capsule), group B (wuqinxi opera), and group C (celecoxib capsule). The total clinical response rate, VAS score and Lysholm score before and after transactions were watched. Results: The clinical effectiveness of knee osteoarthritis patients in the three groups was statistically indicated (P < 0.05), with group A being the best, group B the second, and group C the third. VAS and Lysholm scores of the three groups after transactions were significantly diverse from those before transactions (P < 0.01). The upstairs ability and instability scores of Lysholm scores in the three groups before and after transactions showed statistical indication diversities (P < 0.01). Three groups of patients after transactions ability of upstairs, unstable score two comparison diversity had statistical indications (P < 0.05), and the best group A and group B times, the last group C. Conclusion: body-building qi-gong wuqinxi can relieve the pain of patients with knee osteoarthritis, improve the knee joint function and improve the quality of life.

References

[1]	Liu, C.Y. and Miao, F.T. (2020) An Invited Commentary on the Article: “The Efficacy and Safety of Extracorporeal Shockwave Therapy in Knee Osteoarthritis: A Systematic Review and Meta-Analysis”. International Journal of Sur-gery, 76, 130-131. https://doi.org/10.1016/j.ijsu.2020.02.038
[2]	汤丽珠, 李长辉, 张坤木, 肖爱俤, 潘政炜, 林洋. 推拿结合等速训练配合五禽戏治疗膝骨关节炎的临床疗效观察[J]. 湖南中医药大学学报, 2019, 39(7): 879-884.
[3]	毛国庆, 陈世洲, 孙玉明, 蒋东明, 曹鲁梅, 李五妹, 张立, 郑泽鹏. 五禽戏联合钙剂治疗原发性骨质疏松症的临床研究[J]. 上海中医药杂志, 2020, 54(1): 60-63.
[4]	中华医学会风湿病学分会. 骨关节炎诊断及治疗指南[J]. 中华风湿病学杂志, 2010, 14(6): 416-418.
[5]	袁冬, 李慧英. 中医特色护理对膝骨性关节炎的影响[J]. 山西中医, 2019, 35(2): 59-60.
[6]	卓悦耿, 符彦基, 梁越飞, 张雪燕. 玻璃酸钠联合硫酸氨基葡萄糖治疗膝关节骨性关节炎的疗效[J]. 中国处方药, 2019, 17(7): 81-82.
[7]	乐意, 金荣疆, 阳杨, 等. 从下肢生物力学来解析膝骨关节炎[J]. 中国康复理论与实践, 2013, 19(6): 505-509.
[8]	沈金明, 封蕾, 陈杰, 等. 温针灸联合非甾体类消炎药治疗膝骨关节炎的临床研究[J]. 湖南中医药大学学报, 2017, 37(9): 1008-1012.
[9]	曹彦俊, 胡笑燊, 何静, 朱烱伟, 冯伟. 简化五禽戏功法锻炼对老年人动态平衡能力影响的临床研究[J]. 上海中医药杂志, 2019, 53(5): 64-68.
[10]	褚东晓, 王大伟, 苏虔, 易进. 早期膝骨关节炎治疗的研究进展[J]. 风湿病与关节炎, 2018, 7(1): 72-76.
[11]	何宜忠, 周锦锋. 健身气功？五禽戏之猿戏健身养生作用[J]. 医学信息(中旬刊), 2010, 5(2): 431-433.
[12]	卢远坚, 曹彦俊, 冯伟, 等. 五禽戏锻炼对中老年女性膝关节肌力及平衡能力影响的临床研究[J]. 上海中医药杂志, 2017, 51(4): 73-76.

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