《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (1): 76-78.

• 论文 • 上一篇    下一篇

体外冲击波治疗早中期膝骨关节炎的效果

赵喆，史展，闫君，艾全，丁泽坤，邢更彦   

  1. 1.武警总医院，a.骨科; b.冲击波治疗中心，北京市100039。
  • 收稿日期:2013-05-21 修回日期:2013-07-26 出版日期:2014-01-25 发布日期:2014-01-25
  • 通讯作者: 邢更彦

Effects of Extracorporeal Shock Wave Therapy on Early to Mid-term Knee Osteoarthritis: A Randomized Controlled Clinical Tri-al

ZHAO Zhe, SHI Zhan, YAN Jun, et al.   

  1. Department of Orthopaedics, the General Hospital of Chinese People's Army Police Forces, Beijing 100039, China
  • Received:2013-05-21 Revised:2013-07-26 Published:2014-01-25 Online:2014-01-25

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摘要： 目的探讨体外冲击波疗法(ESWT)治疗早中期膝骨关节炎的有效性。方法70 例膝骨关节炎患者随机分为ESWT组(n=34)和对照组(n=36)。ESWT组予放射状ESWT干预，对照组将能流密度调整为0。在干预前和12 周后，采用活动时疼痛视觉模拟评分(VAS)、Lequesne 指数评分和WOMAC骨关节炎指数评分进行评定。结果干预后，ESWT组VAS评分、Lequesne 指数评分
和WOMAC骨关节炎指数评分均明显优于对照组(P<0.01)。结论ESWT对早中期膝骨关节炎治疗有效。

关键词: 骨关节炎, 膝, 体外冲击波, 物理治疗

Abstract: Objective To investigate the effect of extracorporeal shock wave therapy (ESWT) on early and mid-term knee osteoarthritis (KOA). Methods 70 patients were randomly assigned to ESWT group (n=34) or control group (n=36). The ESWT group was given shock wave on unilateral knee, while the control group accepted shock wave with the energy density of 0. They were evaluated with Visual Analog Scale (VAS) on movement, Lequesne Index and Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index before and 12 weeks after the intervention. Results The scores of VAS, Lequesne Index and WOMAC Osteoarthritis Index improved more in the ESWT group than in the control group after intervention (P<0.01). Conclusion ESWT is effective on KOA as a non-surgical treatment.

Key words: osteoarthritis, knee, extracorporeal shock wave, physical therapy