体外冲击波治疗中老年女性膝关节炎的疗效观察

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Abstract Objective To study the effect of extracorporeal shock wave therapy on middle-aged and old women with knee osteoarthritis.Methods We recuited patients from August 2014 to December 2014. 65 female patients with knee arthritis were randomly divided into two groups: Glucosamine ammonia sugar group was given glucosamine sulfate capsules orally, 1-2 (0.314 g-0.628 g)once, 3 times a day, for 8 weeks. Extracorporeal shock wave(ESW)group was given the impact frequency of 7 Hz, healing energy to choose 1-2 bar, every part, under the shock of 2000 per week, 8 times for one course of treatment. Before and after a course of treatment,for the two groups of patients,we evaluated the visual analog pain score (visual analog scale, VAS), knee functional score (Western Ontario and McMaster University Osteoarthritis Index, WOMAC) and measurement of 50 meters walking time.Results The two groups of patients did not have serious adverse reactions. ESW group of patients had a different degree of pain symptoms relief, the average VAS pain score (3.2±2.4) before the treatment (6.8±2.2) decreased significantly (P<0.05). The knee joint function was improved; the WOMAC index (P<0.05). 50 meters walking time (37.0±6.3 s) before the treatment (39.9±7.7 s) have significantly reduced (P<0.05). In control group,VAS pain score, the knee joint function, 50 meters walking time had no obvious improvement.Conclusion Compared with oral glucosamine, ESWT for treatment of knee osteoarthritis in elderly women has no side effects, can relieve pain, restore joint function and can be selected as a new treatment for osteoarthritis.

Key words： female knee osteoarthritis extracorporeal shock wave function scores

Received: 21 October 2015

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	Articles by authors
	LIU Yu
	WU Kun
	LIU Shuitao
	ZHAO Zhe
	YANG Jun
	and XING Gengyan

Cite this article:

LIU Yu,WU Kun,LIU Shuitao等. Curative effect of extracorporeal shock wave therapy in elderly women with knee osteoarthritis[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(4): 349-352.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I4/349

[1]	Kon E, Filardo G, Drobnic M, et al. Non-surgical management of early knee osteoarthritis[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(3): 436-449.
[2]	王伟, 王坤正, 党小谦,等. 中老年膝骨关节炎发病的相关因素[J]. 中国临床康复,2006, 10(44): 15-18.
[3]	Hunter D J, Felson D T. Osteoarthritis[J]. BMJ, 2006, 332(7542): 639-642.
[4]	Zhao Z, Jing R, Shi Z. Efficacy of extracorporeal shockwave therapy for knee osteoarthritis: a randomized controlled trial[J]. J Surg Res, 2013,185(2): 661-666.
[5]	Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association[J]. Arthritis Rheum, 1986, 29(8): 1039-1049.
[6]	邹贵骞, 罗才连, 熊川川. 镜下清理术联合玻璃酸钠、西乐葆和氨基葡萄糖治疗膝关节炎的临床观察. 现代诊断与治疗[J]. 2014,15 (22): 5060-5062.
[7]	王卫红, 谷振光, 卜晓峰. 人工膝关节单髁置换术治疗单间室骨性膝关节炎的疗效观察[J]. 中外医学研究, 2015,22 (11): 26-28.
[8]	Ioppolo F, Tattoli M, Di S L, et al. Extracorporeal shock-wave therapy for supraspinatus calcifying tendinitis: a randomized clinical trial comparing two different energy levels[J]. Phys Ther, 2012, 92(11): 1376-1385.
[9]	Vulpiani M C, Vetrano M, Trischitta D, et al. Extracorporeal shock wave therapy in early osteonecrosis of the femoral head: prospective clinical study with long-term follow-up[J]. Arch Orthop Trauma Surg,2012,132(4): 499-508.
[10]	Zhao Z, Ji H, Jing R, et al. Extracorporeal shock-wave therapy reduces progression of knee osteoarthritis in rabbits by reducing nitric oxide level and chondrocyte apoptosis[J]. Arch Orthop Trauma Surg, 2012, 132(11): 1547-1553.
[11]	赵喆, 刘春梅, 白晓东. 体外冲击波对兔膝软骨细胞增殖的影响[J]. 中国康复理论与实践, 2012, 25(9): 824-826.
[12]	Murata R, Nakagawa K, Ohtori S, et al. The effects of radial shock waves on gene transfer in rabbit chondrocytes in vitro[J]. Osteoarthritis Cartilage, 2007, 15(11): 1275-1282.
[13]	Wang C J, Weng L H, Ko J Y, et al. Extracorporeal shockwave shows regression of osteoarthritis of the knee in rats[J]. J Surg Res, 2011, 171(2): 601-608.
[14]	Zhao Z, Ji H, Jing R, et al. Extracorporeal shock-wave therapy reduces progression of knee osteoarthritis in rabbits by reducing nitric oxide level and chondrocyte apoptosis[J]. Arch Orthop Trauma Surg, 2012, 132(11): 1547-1553.
[15]	赵喆,史展,闫君.体外冲击波治疗早中期膝骨关节炎的效果[J]. 中国康复理论与实践, 2014,23(1):76-78.