股九针+隔姜灸联合系统康复护理对膝骨关节炎患者下肢生物力学的影响*
作者：龙 梅1，雷丽萍1，周 沁1，杜谢琴2
单位：1.四川大学华西医院，四川 成都 610041； 2.武汉市第三医院，湖北 武汉 430061
引用：引用：龙梅，雷丽萍，周沁，杜谢琴.股九针+隔姜灸联合系统康复护理对膝骨关节炎患者下肢生物力学的影响[J].中医药导报,2025,31(7):110-113.
DOI：10.13862/j.cn43-1446/r.2025.07.018
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摘要：
目的：探讨股九针+隔姜灸联合系统康复护理对膝骨关节炎患者下肢生物力学的影响。方法：选取96例膝骨关节炎患者为研究对象，随机分为对照组48例和研究组48例，对照组患者给予系统康复护理干预，研究组患者在对照组的基础上给予股九针+隔姜灸干预，两组均持续干预4周。比较两组患者主要症状评分、美国特种外科医院膝关节评分（HSS）和下肢生物力学指标（膝关节支撑位内屈伸角度峰值及肌肉屈伸力矩峰值）。结果：干预后，两组患者主要症状评分，触底瞬间、支撑末期最大内屈伸角度均较干预前降低（P<0.05），HSS评分、支撑中期最大内屈伸角度、触底瞬间膝关节肌肉最大屈伸力矩均较干预前升高（P<0.05）。干预后，研究组患者主要症状评分低于对照组（P<0.05），HSS评分高于对照组（P<0.05），触底瞬间、支撑末期最大内屈伸角度均小于对照组（P<0.05），支撑中期最大内屈伸角度大于对照组（P<0.05），触底瞬间膝关节肌肉最大屈伸力矩大于对照组（P<0.05）。结论：股九针+隔姜灸联合系统康复护理能够有效的缓解膝骨关节炎患者临床症状，减轻疼痛强度，改善膝关节功能及下肢生物力学参数。
关键词：膝骨关节炎；股九针；隔姜灸；系统康复护理；下肢生物力学
Abstract：
Objective:
To explore the effects of the combination of buttocks nine needles and ginger
moxibustion and systematic rehabilitation nursing on lower limbs biomechanics
in patients with knee osteoarthritis. Methods: A total of 96 patients with knee
osteoarthritis were selected as the study subjects and randomly separated into
control group and study group, 48 cases in each. The control group received
systematic rehabilitation nursing intervention, while the study group received
buttocks nine needles and ginger moxibustion based on the control group. Both
groups received continuous intervention for 4 weeks. The two groups of patients
were compared in terms of major symptom scores, Hospital for Special Surgery
(HSS) knee scores, and lower limb biomechanical parameters (peak knee
flexion-extension angles during the stance phase and peak muscle flexion-extension
moments). Results: After the intervention, both groups showed reductions in
major symptom scores, peak knee flexion-extension angles at initial contact and
late stance compared to pre-intervention values (P<0.05), while HSS scores,
peak flexion-extension angles at mid-stance, and peak knee muscle
flexion-extension moments at initial contact significantly increased
(P<0.05). Post-intervention, the study group demonstrated lower major
symptom scores (P<0.05), higher HSS scores (P<0.05), smaller peak
flexion-extension angles at initial contact and late stance (P<0.05),
greater peak flexion-extension angles at mid-stance (P<0.05), and larger
peak knee muscle flexion-extension moments at initial contact (P<0.05) when
compared with the control group. Conclusion: The combination of buttocks nine
needles and ginger moxibustion systematic rehabilitation nursing can
effectively alleviate clinical symptoms, reduce pain intensity, and improve
knee joint function and lower limb biomechanical parameters in patients with
knee osteoarthritis.
Key words：knee osteoarthritis; buttocks nine needles; ginger moxibustion; systematic rehabilitation nursing; lower limb biomechanics
发布时间：2026-01-06
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