中医定向透药疗法联合康复训练对膝关节骨性关节炎患者膝关节功能及疼痛程度的影响

Effect of Traditional Chinese Medicine Directional Penetration Therapy Combined with Rehabilitation Training on Knee Joint Function and Pain Degree of Patients with Knee Osteoarthritis

目的探讨中医定向透药疗法联合康复训练在膝关节骨性关节炎(KOA)患者中的应用效果.方法选取2020年2月—2021年11月我院收治的94例KOA患者为研究对象,按随机数字表法分为两组,每组47例.对照组进行康复训练,观察组在此基础上采用中医定向透药疗法,均持续干预4周.对比两组的膝关节功能、疼痛程度及生活质量.结果干预后,观察组的Lysholm膝关节功能评分为(74.89±6.61)分,高于对照组的(66.58±7.43)分,差异有统计学意义(P<0.05).干预后,观察组的疼痛程度轻于对照组,差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评定问卷中心理功能、躯体功能、社会功能、物质生活评分分别为(85.09±5.78)分、(82.20±6.66)分、(87.91±5.30)分、(80.04±6.30)分,均高于对照组的(76.68±6.99)分、(74.92±7.42)分、(80.09±6.70)分、(72.69±5.81)分,组间差异有统计学意义(P<0.05).结论中医定向透药疗法联合康复训练可有效改善KOA患者的膝关节功能,减轻膝关节疼痛,提升生活质量.

Objective To investigate the effect of traditional Chinese medicine directional penetration therapy combined with rehabilitation training in patients with knee osteoarthritis(KOA).Methods A total of 94 patients with KOA admitted to our hospital from February 2020 to November 2021 were selected as the research subjects,and they were divided into two groups according to random number table method,with 47 patients in each group.The control group received rehabilitation training,and the observation group received traditional Chinese medicine directional penetration therapy on this basis.Intervention lasted for 4 weeks in both groups.The knee joint function,pain degree and quality of life were compared between the two groups.Results After intervention,the Lysholm knee function score of the observation group was(74.89±6.61)points,higher than(66.58±7.43)points of the control group,the difference was statistically significant(P<0.05).After intervention,the pain degree of the observation group was lighter than that of the control group,the difference was statistically significant(P<0.05).After intervention,the generic quality of life inventory-74 scores of psychological function,physical function,social function and material life in the observation group were(85.09±5.78)points,(82.20±6.66)points,(87.91±5.30)points,(80.04±6.30)points,respectively,higher than(76.68±6.99)points,(74.92±7.42)points,(80.09±6.70)points and(72.69±5.81)points in the control group,the differences between groups were statistically significant(P<0.05).Conclusion Traditional Chinese medicine directed penetration therapy combined with rehabilitation training can effectively improve the knee joint function,alleviate knee joint pain and improve the quality of life of patients with KOA.