首页|期刊导航|中医药学报|内热针疗法联合等速离心训练对膝骨关节炎患者关节功能和肌肉力量的影响

内热针疗法联合等速离心训练对膝骨关节炎患者关节功能和肌肉力量的影响OA

The Effect of Internal Heat Needle Therapy Combined with Isokinetic Centrifugation Training on Joint Function and Muscle Strength in Patients with Knee Osteoarthritis

中文摘要英文摘要

目的:探究内热针疗法联合等速离心训练对膝骨性关节炎(KOA)患者膝关节功能及下肢肌肉力量的影响.方法:选取 2023 年 1 月—2024 年 7 月武汉中西医结合骨科医院门诊及住院治疗的 80 例KOA患者,按照随机信封法分为对照组和研究组,每组40 例,对照组仅给予等速离心训练治疗,研究组给予等速离心训练联合内热针疗法治疗,4 周后评价疗效及相关临床指标的差异.结果:治疗干预后,研究组患者的肌肉力量、关节活动度、步态功能显著强于对照组(P<0.05);膝关节疼痛、功能障碍、中医症状、炎性指标及关节液蛋白水平显著低于对照组(P<0.05);研究组患者的临床总有效率92.50%(37/40)显著高于对照组的72.50%(29/40),差异有统计学意义(P<0.05).结论:内热针疗法联合等速离心训练治疗KOA可协同调控炎症,修复膝关节生物力学,从而显著改善KOA患者的膝关节功能,促进下肢肌肉力量的恢复,临床应用转化价值较高.

Objective:To investigate the effects of internal heat needle therapy combined with isokinetic centrifugal training on knee joint function and lower limb muscle strength in patients with knee osteoarthritis(KOA).Method:The selected study cases were 80 KOA patients who received outpatient and inpatient treatment in the hospital in the past year and a half(January 2023 to July 2024).They were randomly divided into groups(40 cases in each group)according to the random envelope method.The control group was only treated with isokinetic centrifugation training,while the study group was treated with isokinetic centrifugation training+internal heat injection therapy.The efficacy and related clinical indicators were evaluated after 4 weeks.Results:After treatment intervention,the muscle strength,joint mobility,and gait function of the study group patients were significantly stronger than those of the control group(P<0.05);Knee joint pain,functional impairment,traditional Chinese medicine symptoms,inflammatory indicators,and joint fluid protein levels were significantly lower than those in the control group(P<0.05);According to the statistical efficacy,the total clinical effective rate of 92.50%in the study group was significantly higher than that of 72.50%in the control group(P<0.05).Conclusion:The combination of internal heat needle therapy and isokinetic centrifugal training can synergistically regulate inflammation,repair knee joint biomechanics,significantly improve knee joint function in KOA patients,promote the recovery of lower limb muscle strength,and have high clinical application value.

李婉莹;张齐娟;刘正茂;余晗

武汉中西医结合骨科医院(武汉体育学院附属医院),湖北 武汉 430079武汉中西医结合骨科医院(武汉体育学院附属医院),湖北 武汉 430079武汉中西医结合骨科医院(武汉体育学院附属医院),湖北 武汉 430079武汉中西医结合骨科医院(武汉体育学院附属医院),湖北 武汉 430079

医药卫生

膝骨关节炎内热针等速离心训练关节功能肌肉力量炎性反应

Knee osteoarthritisInternal heat needleIsokinetic centrifugation trainingJoint functionMuscle strengthInflammatory reaction

《中医药学报》 2026 (3)

48-53,6

湖北省自然科学基金计划联合基金项目(2025AFD650)武汉中西医结合骨科医院(武汉体育学院附属医院)院级科研项目(HGY202204)

10.19664/j.cnki.1002-2392.260054

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