|本期目录/Table of Contents|

[1]李聪聪,翟艳萍,罗媛媛,等.短波与激光疗法治疗膝骨关节炎的疗效比较[J].天津医科大学学报,2018,24(01):55-58.
 LI Cong-cong,ZHAI Yan-ping,LUO Yuan-yuan,et al.Comparison of short wave and laser therapy in the treatment of knee osteoarthritis[J].Journal of Tianjin Medical University,2018,24(01):55-58.
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
24卷
期数:
2018年01期
页码:
55-58
栏目:
临床医学
出版日期:
2018-01-20

文章信息/Info

Title:
Comparison of short wave and laser therapy in the treatment of knee osteoarthritis
文章编号:
1006-8147(2018)01-0055-04
作者:
李聪聪翟艳萍罗媛媛谢 城安丙辰郑洁皎
(复旦大学附属华东医院康复科, 上海 200040)

Author(s):
LI Cong-cong ZHAI Yan-pingLUO Yuan-yuanXIE ChengAN Bing-chenZHENG Jie-jiao
(Department of Rehabilitation Medicine,Huadong Hospital,Fudan University ,Shanghai 200040, China)
关键词:
膝骨关节炎关节活动度训练股四头肌训练短波疗法激光疗法
Keywords:
knee osteoarthritis range of motion training of whole jointquadriceps exercise short-wave therapy laser therapy
分类号:
R684.3
DOI:
-
文献标志码:
A
摘要:
目的:比较短波疗法与激光疗法治疗膝骨关节炎(KOA)的疗效,优化膝骨关节炎发作期物理因子治疗方案。方法:膝骨关节炎患者48例,随机分为短波组和激光组,每组24例,均口服扶他林,并进行全关节活动度牵伸和床边等长股四头肌训练,激光疗法组应用激光治疗,短波治疗组应用短波治疗。比较治疗15次后,WOMAC评分的疼痛、僵硬和功能障碍的变化。结果:15次治疗后短波治疗组患者较治疗前WOMAC评分的疼痛项(10.58±3.98 vs 3.54±2.15,P<0.05)、僵硬项(3.17±1.69 vs 1.17±0.87,P<0.05)和功能障碍项(33.54±12.96 vs 20.67±11.98, P<0.05)均明显改善。15次治疗后,激光治疗组较治疗前的WOMAC评分的疼痛项(10.50±3.53 vs 7.04±2.14, P<0.05)和功能障碍项(29.38±11.93 vs 21.29±7.89,P<0.05)均较治疗前有明显改善;僵硬项(2.79±1.96 vs 1.92±1.44, P>0.05)无明显改善。15次治疗后,短波治疗组和激光治疗组相比,WOMAC评分中疼痛项差值改变(6.96 vs 3.46, P<0.05)具有统计学意义,僵硬项差值(2 vs 0.88,P<0.05)具有统计学意义。结论:短波疗法缓解膝骨关节炎发作期疼痛、改善僵硬的疗效明显优于激光疗法,这可能与短波的穿透深度较深有关,提示软骨下骨病变是KOA的重要病理机制之一。
Abstract:
Objective: To compare the efficacy of short-wave therapy and laser therapy in the treatment of knee osteoarthritis(KOA) and to optimize the treatment plan of physical therapy during the onset of KOA. Methods: Forty-eight cases of KOA were randomly divided into short-wave group and laser group, 24 cases in each group, treated with Voltaren 75 mg once a day, and the range of motion training of whole joint and quadricep exercise were carried; laser therapy group was treated with laser therapy while the short-wave group was treated with short-wave. The pain, stiffness, and physical function changes of the WOMAC score were compared between 15 treatments. Results: From baseline to 15 treatments, the short-wave therapy group demonstrated improvement in WOMAC pain(10.58±3.98 vs 3.54±2.15,P<0.05), stiffness(3.17±1.69 vs 1.17±0.87,P<0.05), and physical function score(33.54±12.96 vs 20.67±11.98,P<0.05).The laser therapy group demonstrated improvement in WOMAC pain(10.50±3.53 vs 7.04±2.14,P<0.05), and physical function score(29.38±11.93 vs21.29±7.89,P<0.05). No significant improvement in stiffness(2.79±1.96 vs 1.92±1.44,P> 0.05) was observed. In addition, after the treatment, short-wave group vs laser group, the pain score in the WOMAC were(3.54±2.15 vs 7.04±2.14,P<0.05),stiffness score were (1.17±0.87 vs1.92±1.44,P<0.05). Conclusion: Short-wave therapy can alleviate the pain and improve the stiffness and is better than laser therapy, due to the deep penetration depth of short-wave, suggesting that the subchondral bone disease is one of most important pathological mechanism of KOA.

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备注/Memo

备注/Memo:
作者简介 李聪聪 (1992-),女, 硕士在读,研究方向: 膝关节康复 ,E-mail:18321554693@163.com 。
更新日期/Last Update: 2018-01-19