康复训练联合脉冲磁疗治疗膝关节骨性关节炎的疗效观察

摘要

Objective To observe clinical effects of rehabilitation training combined with impulse magnetotherapy in the treatment of knee osteoarthritis ( KOA ).Methods Thirteen patients ( 17 males and 13 females,range: 45-65 years ) with KOA were divided into two groups according to the random number table method: control group (n=15 ) and observation group (n=15 ).Both groups were treated by impulse magnetotherapy.Observation group had rehabilitation training.The function of knee was evaluated before and 8 weeks after the therapy by Lysholm score.Results These Lysholm scores in two groups ( control group: 71.27±7.49; observation group: 81.54±7.46 ) were higher than that before the treatment ( control group: 60.47±7.63; observation group: 59.54±7.37 ) with statistical signiifcance (P＜0.05 ).Lysholm evaluation and clinical effects of the observation group were signiifcantly better than that of the control group with statistical signiifcance (P＜0.05 ).Conclusions Rehabilitation training combined with impulse magnetotherapy performs better than simple impulse magnetotherapy,even both of them are effective in the treatment of KOA.%目的 观察康复训练联合脉冲磁疗治疗膝关节骨性关节炎 (knee osteoarthritis,KOA ) 临床疗效.方法 2014年1月至2014年10月,我院采用康复训练联合脉冲磁疗治疗老年KOA患者30例,其中男17例,女13例,年龄 45～65岁.采用随机数字表法分为观察组和对照组,每组15例.两组均进行脉冲磁治疗,观察组同时配合康复训练.于治疗前、治疗后8周分别采用 Lysholm膝关节功能评分对两组患者膝关节功能恢复情况进行评定.结果 对照组和观察组Lysholm评分分别为71.27±7.49和81.54±7.46,显著大于治疗前的60.47±7.63和59.54±7.37,差异有统计学意义 (P＜0.05 );治疗后观察组患者 Lysholm 评分及临床疗效结果均显著优于对照组水平,组间差异均有统计学意义 (P＜0.05 ).结论 单纯脉冲磁疗和康复训练联合脉冲磁疗均能有效地治疗 KOA,康复训练联合脉冲磁疗可明显提高治疗效果.