磁振热联合运动疗法治疗膝关节骨性关节炎疗效观察.docVIP

磁振热联合运动疗法治疗膝关节骨性关节炎疗效观察 　　[摘要] 目的 观察磁振热联合运动疗法治疗膝关节骨性关节炎（OA）的疗效。 方法 56例膝关节OA患者随机分为对照组26例与治疗组30例，均给予磁振热治疗，治疗组再增加运动疗法。治疗前、后采用视觉模拟评分法（VAS）和美国特殊外科医院（HSS）膝关节功能评分评定膝关节疼痛程度及功能。 结果 治疗30 d后，两组的VAS评分较治疗前明显减低（P0.05），且治疗组明显低于对照组（P0.05），两组的HSS评分较治疗前明显提高，且治疗组明显高于对照组（P0.05）。结论 磁振热联合运动疗法能明显改善膝关节OA患者的症状，值得临床推广。 　　[关键词] 膝关节；骨性关节炎；运动疗法；磁振热 　　[中图分类号] R684.3 [文献标识码] B [文章编号] 2095-0616（2013）13-185-02 　　Effectiveness of magnetic resonance thermal combine with movement therapy for knee osteoarthritis 　　MIN Yu GUO Kaifeng LI Hao HUANG Zhen 　　Department of Rehabilitation Medicine，Panyu Central Hospital of Guangzhou，Guangzhou 511400，China 　　[Abstract] Objective To observe the clinical effectiveness of magnetic resonance thermal combine with movement therapy on knee osteoarthritis. Methods 56 cases of patients with knee osteoarthritis were randomly divide into 30 cases in treatment group and 26 cases in control group. The treatment group received Magnetic resonance thermal and movement therapy，while the control group received Magnetic resonance thermal. Before and after the treatment，the visual analogue scale （VAS） and the Hospital for Special Surgery（HSS） knee joint function score were used to evaluate the pain and function of the knee joint. Results After the treatment of 30 days，the VAS was significantly decreased in both groups and there was significant difference between two groups （P0.05）.Meanwhile，the HSS of treatment group was improved more significantly than in control group （P0.05）. Conclusion Magnetic resonance thermal combine with movement therapy can obviously improve the symptoms of patients with knee osteoarthritis，it is worth clinical application. 　　[Key words] Knee joint；Osteoarthritis；Movement therapy；Magnetic resonance thermal 　　膝关节骨性关节炎（knee osteoarthritis，KOA）是一种以关节软骨变性和丢失及关节边缘和软骨下骨质再生为特征的慢性关节炎疾病[1]。其最显著的临床表现是关节疼痛、活动受限，严重影响患者的生活质量。本研究采用磁振热联合运动疗法治疗膝关节OA，临床疗效较好，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2011年2月～2013年2月在广州市番禺区中心医院康复医学科门诊和病房就诊的膝关节OA患者56例，均符合1995年美国风湿病学会制定的OA诊