摘要
目的:观察老年性膝骨关节炎(KOA)采用低强度聚焦超声波治疗与超短波治疗的临床疗效.方法:选取2016年1月-2016年12月我院门诊治疗的老年性膝骨关节炎患者60例,将60例患者随机分为观察组与对照组.观察组采用低强度聚焦超声波治疗配合康复指导;对照组采用超短波治疗配合康复指导.旨在探究对缓解该病疼痛、肿胀的物理因子治疗更行之有效的方法.每次15分钟,每天1次;10次为1个治疗疗程,3个疗程后观察临床疗效.观察2组治疗后的各项相关指标,主要表现为VAS评分、Lysholm膝关节功能评分和汉密尔顿抑郁量表(HAMD-17)评分.结果:研究显示通过治疗,2组内治疗前、后VAS评分、Lysholm评分、HAMD评分的比较中均有改善,差异具有显著性(P<0.05).2组间比较观察组在治疗后VAS评分、HAMD评分均优于对照组,差异具有显著性(P<0.05);观察组在改善Lysholm评分方面与对照组无差别(P>0.05).但是将Ly-sholm评分中的肿胀单项分值改变,进行组间前后比较具有显著差异性(P<0.05).结论:观察到两种方法在用于老年性KOA的临床治疗中均有效,且低强度聚焦超声波治疗较超短波治疗就肿胀、疼痛及情绪改善方面疗效更优.
To investigate the clinical effects between the low-intensity ultrasound and ultrashort-wave diathermy on senile gonarthritis.To explore the more efficient therapy to relieve the pain and swelling.Methods:60 patients with gonarthritis from the outpatients are randomized into treatment group and control group.Treatment group receives low-intensity ultrasound combined with rehabilitation guide,while control group receives ultrashort-wave diathermy.After 45 treatments,VAS,Lysholm test and HAMD are used to assess the function of patients.Results:There was significant difference in VAS and HAMD after treatment(P<0.05).There was no different in Lysholm test(P>0.05).But there was significant difference in swelling score in Lysholm test(P<0.05).Conclusion:It was concluded that two therapies were both effective.The low-intensity ultrasound were more effective in improving pain and swelling of the knee.
作者
陈烨
李艳
茅慧雯
CHEN Ye;LI Yan;MAO Hui-wen(Department of Rehabilitation,The Shanghai Tongren Hospital,Shanghai200336,CHINA)
出处
《中国伤残医学》
2018年第24期11-15,共5页
Chinese Journal of Trauma and Disability Medicine
