关节松动术对膝关节痛风性关节炎的疗效观察

Observation on the Efficacy of Joint Mobilization in the Treatment of Knee Gouty Arthritis

摘要: 目的：观察关节松动术对膝关节痛风性关节炎的长期疗效与安全性。方法：选取30例膝关节痛风性关节炎患者，采用常规药物治疗、痛风健康教育、关节松动治疗。于治疗前、治疗2周后、随访1个月、3个月及6个月时，评估患者Lysholm膝关节评分、关节活动度(屈膝、伸膝)及步幅、步速，记录不良事件。结果：最终25例患者完成全程随访(5例脱落)，平均年龄(45.92 ± 8.48)岁，平均病程(13.56 ± 3.48)年。与治疗前相比，患者治疗2周后及各随访时间点的Lysholm评分、屈膝、伸膝活动度、步幅及步速均显著改善(P < 0.05)；仅2例患者出现短暂膝关节酸痛(1周内自行缓解)，无严重不良事件发生。结论：关节松动术可显著改善膝关节痛风性关节炎患者的膝关节功能、活动度及步行能力，疗效长期稳定且安全性良好，具有重要临床应用价值。

Abstract: Objective: To observe the long-term efficacy and safety of joint mobilization in the treatment of knee gouty arthritis. Methods: Thirty patients with knee gouty arthritis were selected and treated with conventional drug therapy, gout health education, and joint mobilization therapy. Before treatment, after 2 weeks of treatment, and at follow-up points of 1 month, 3 months, and 6 months, patients were assessed using the Lysholm knee score, range of motion (knee flexion, knee extension), stride length, and walking speed. Adverse events were recorded. Results: Ultimately, 25 patients completed the entire follow-up (5 dropped out), with an average age of (45.92 ± 8.48) years and an average disease duration of (13.56 ± 3.48) years. Compared with pre-treatment, patients’ Lysholm scores, knee flexion and extension range of motion, stride length, and walking speed were significantly improved after 2 weeks of treatment and at all follow-up time points (P < 0.05). Only 2 patients experienced transient knee soreness (resolved spontaneously within 1 week), with no serious adverse events. Conclusion: Joint mobilization can significantly improve knee function, range of motion, and walking ability in patients with knee gouty arthritis. The therapeutic effect is long-term, stable, and safe, demonstrating significant clinical application value.