易罐疗法在膝骨关节炎患者居家康复中的应用研究

徐仁杰; 廖小雨; 许光旭; 马景明; 李周; 周峰; 张玉鑫; 赵超臣

文章摘要

徐仁杰,廖小雨,许光旭,马景明,李周,周峰,张玉鑫,赵超臣.易罐疗法在膝骨关节炎患者居家康复中的应用研究[J].中国康复,2025,40(5):279-283

易罐疗法在膝骨关节炎患者居家康复中的应用研究

Application of Yiguan therapy in home rehabilitation of patients with knee osteoarthritis

DOI：10.3870/zgkf.2025.05.004

中文关键词: 膝骨关节炎居家康复拔罐膝关节功能障碍

英文关键词: knee osteoarthritis home rehabilitation training cupping dysfunction of knee joint

基金项目:昆山市科技局（KS2463）；2024昆山市科协青年科技人才托举项目；上海市自然科学基金资助项目（22ZR1437600）

作者	单位
徐仁杰	1.昆山市康复医院 a.康复治疗部，江苏昆山 215300；2.南京医科大学康复医学院，南京 210029
廖小雨	3.南京医科大学附属苏州市康复医院，江苏苏州 215000
许光旭	2.南京医科大学康复医学院，南京 210029；3.南京医科大学附属苏州市康复医院，江苏苏州 215000
马景明	1.昆山市康复医院 a.康复治疗部，江苏昆山 215300
李周	1.昆山市康复医院 a.康复治疗部，江苏昆山 215300
周峰	1.昆山市康复医院 b.骨关节康复科，江苏昆山 215300
张玉鑫	4.上海交通大学医学院附属第九人民医院口腔外科，上海 200000
赵超臣	1.昆山市康复医院 a.康复治疗部，江苏昆山 215300

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中文摘要:

目的：探究易罐疗法联合居家运动训练在膝骨关节炎患者中的临床应用。方法：采用信封法将52例膝骨关节炎患者随机分为研究组和对照组，每组26例。2组患者均给予健康宣教和下肢居家运动训练，研究组在此基础上增加易罐治疗。在治疗前和治疗4周后，采用西安大略和麦克马斯特大学骨关节炎指数（WOMAC）、5次坐立测试（FTSST）、“起立-行走”计时测试（TUGT）、6min步行测试（6MWT）评估2组疗效。结果：治疗4周后，2组WOMAC评分、FTSST时间、TUGT时间均低于治疗前（P＜0.05）、6MWT距离大于治疗前（P＜0.05）；研究组WOMAC评分低于对照组（P＜0.05），6MWT距离大于对照组（P＜0.05）；2组FTSST和TUGT指标差异无统计学意义。结论：易罐疗法联合居家康复训练能进一步缓解KOA患者的疼痛与僵硬、提高日常生活活动能力，并增加步行距离。

英文摘要:

Objective: To explore the clinical application of Yiguan therapy combined with home exercise training in patients with knee osteoarthritis. Methods:A total of 52 patients with knee osteoarthritis were randomly divided into an experimental group and a control group using the envelope method, with 26 patients in each group. Both groups received health education and home rehabilitation training for the lower limbs, while the experimental group additionally received Yiguan therapy. The efficacy of the two groups was assessed before and 4 weeks after treatment using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Five Times Sit to Stand Test (FTSST), the Timed Up and Go Test (TUGT), and the Six-Minute Walk Test (6MWT). Results:After 4 weeks of treatment, the WOMAC scores, FTSST times, and TUGT times in both groups were lower than before treatment (P<0.05), and the 6MWT distances were greater than before treatment (P<0.05). The WOMAC scores in the experimental group were lower than those in the control group (P<0.05), and the 6MWT distances in the experimental group were greater than those in the control group (P<0.05). There were no statistically significant differences in the FTSST and TUGT indicators between the two groups. Conclusion:Yiguan therapy combined with home-based rehabilitation training can further alleviate pain and stiffness in patients with knee osteoarthritis, improve daily living activities, and increase walking distance.

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