| 刘丽华,亓英国,吴 群,吴桂花,周长江.肌骨超声在评价筋针疗法联合下肢肌力训练治疗早中期膝骨关节炎临床疗效中的应用价值[J].,2024,(19):3795-3797 |
| 肌骨超声在评价筋针疗法联合下肢肌力训练治疗早中期膝骨关节炎临床疗效中的应用价值 |
| Application Value of Musculoskeletal Ultrasound in Evaluating the Clinical Efficacy of Tendon Acupuncture Therapy Combined with Lower Limb Muscle Strength Training in the Treatment of Early and Middle Stage Knee Osteoarthritis |
| 投稿时间：2024-05-16 修订日期：2024-06-10 |
| DOI：10.13241/j.cnki.pmb.2024.19.052 |
| 中文关键词: 肌骨超声 筋针疗法 下肢肌力训练 膝骨关节炎 临床疗效 应用价值 |
| 英文关键词: Musculoskeletal ultrasound Tendon acupuncture therapy Lower limb muscle strength training Knee osteoarthritis Clinical efficacy Application value |
| 基金项目:山东省医药卫生科技与发展计划项目（2018WS292） |
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| 中文摘要: |
| 摘要 目的：基于肌骨超声评估筋针疗法联合下肢肌力训练在早中期膝骨关节炎（KOA）中的应用价值。方法：按随机双盲法将118例早中期KOA患者分为研究组（59例）、对照组（59例）。对照组接受常规膝关节康复训练，研究组接受筋针疗法联合下肢肌力训练。比较两组疗效、肌骨超声指标、血清骨代谢指标[骨钙素（BGP）、抗酒石酸酸性磷酸酶（TRACP）、Ⅰ型胶原C末端肽（CTX-Ⅰ）、软骨寡聚基质蛋白（COMP）]。结果：研究组总有效率为89.83% 比对照组的74.58%高（P＜0.05）。两组治疗后膝关节滑膜厚度、髌上囊积液、软骨损伤分级、TRACP、CTX-Ⅰ、COMP下降，BGP升高，且研究组的变化幅度大于对照组（P＜0.05）。结论：筋针疗法联合下肢肌力训练可提升早中期KOA患者临床有效率，调节血清骨代谢水平，肌骨超声技术在早中期KOA疗效评价中有一定意义。 |
| 英文摘要: |
| ABSTRACT Objective: To evaluate the application value of tendon acupuncture therapy combined with lower limb muscle strength training in early and middle knee osteoarthritis (KOA) based on musculoskeletal ultrasound. Methods: 118 early and middle KOA patients were divided into study group (59 cases) and control group (59 cases) according to the random double-blind method. Control group received routine knee joint rehabilitation training, and study group received tendon acupuncture therapy combined with lower limb muscle strength training. The efficacy, musculoskeletal ultrasound indexes, serum bone metabolism indexes [osteocalcin (BGP), tartrate-resistant acid phosphatase (TRACP), type I collagen C-terminal peptide (CTX-I), cartilage oligomeric matrix protein (COMP)] were compared between two groups. Results: The study group's overall effective rate was 89.83% greater than the control group's 74.58% (P<0.05). The knee joint synovial thickness, suprapatellar bursa effusion, cartilage injury grade, TRACP, CTX-I and COMP decreased after treatment, BGP increased in the two groups, and the changes in study group were greater than those in control group(P<0.05). Conclusion: Tendon acupuncture therapy combined with lower limb muscle strength training can improve the clinical efficiency in early and middle KOA patients, and regulate the level of serum bone metabolism, musculoskeletal ultrasound technology has certain significance in the efficacy evaluation of early and middle KOA. |
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