中医综合护理对骨刺颗粒联合消炎膏治疗膝骨关节炎的效果

Comprehensive traditional Chinese medical nursing of patients with knee osteoarthritis treated by osteophyte particles with antiphlogistin

目的探讨中医综合护理在膝骨关节炎（KOA）治疗中的效果。方法将133例骨科住院KOA患者按照简单随机原则分为观察组和对照组，其中观察组75例，对照组58例。观察组接受中医综合护理（包括内服中药护理、外用中药护理、情志调节、康复指导、饮食护理），对照组接受常规护理措施。治疗前后采用“健康调查简易量表”对两组患者进行评估，治疗后采用《中医病证诊断疗效标准》中“骨痹”的评价标准对患者进行疗效评估。结果观察组治疗后的体能、精神影响、社会活动、心理健康、体能影响、精力、身体疼痛、一般健康等指标的评分均明显高于对照组[（76．22±11．35）比（67．62±11．53）分，（54．22±11．38）比（48．73±9．40）分，（77．49±12．50）比（65．22±10．62）分，（68．33±10．72）比（60。31±11．55）分，（42．53±6．21）比（37．41±8．05）分，（61．61±9．54）比（50．27±5．62）分，（70．22±10．08）比（63．72±8．58）分，（66．95±9．31）比（59．27±8．47）分]，差异有统计学意义（t值分别为4．3035，2．9720，5．9878，4．1363，4．1418，8．0345，3．9309，4．9052；P〈0．05）。两组治疗结束后，根据《中医病证诊断疗效标准》中之“骨痹”疗效标准，观察组的显效率高于对照组（98．67％比93．10％），但两者间差异无统计学意义（P〉0．05）。结论中医综合护理及治疗可明显提高KOA患者的治疗效果，改善患者的生活质量。

Objective To discuss the application effect of comprehensive traditional Chinese medical （TCM） nursing during knee osteoarthritis treatment. Methods One hundred and thirty-three hospitalized patients with knee osteoarthritis were randomly divided into observation group （75 cases） and control group （58 cases）. The observation group received comprehensive TCM nursing including oral Chinese medicine, external-applied Chinese medicine, emotional adjustment, rehabilitation guidance and diet nursing, while the control group received conventional nursing methods. Health survey scales and bone rheumatism in ＂TCM diagnostic efficacy standards＂ were respectively used to evaluate the curative effect before and after the treatment. Results The scores in physical agility, metal influence, social activities, psychological health, physical influence, energy, pain and general health were obviously higher in the observation group than those in the control group after treatment [ （76.22 ± 11.35 ） vs （67.62± 11.53）, （ 54.22 ± 11.38 ） vs （ 48.73 ± 9.40）, （77.49 ± 12.50）vs （65.22 ± 10.62）, （68.33 ± 10.72） vs（60.31 ± 11.55）,（42.53 ±6.21）vs （37.41 ± 8.05） ,（61.61 ±9.54） vs （50.27 ±5.62） ,（70.22 ± 10.08）vs （63.72 ±8.58） ,（66.95 ±9.31）vs （59.27 ± 8.47） ], and the differences were statistically significant （t =4. 303 5,2. 972 0,5. 987 8,4. 136 3,4. 141 8, 8. 034 5,3. 930 9,4. 905 2 ;P 〈 0.05 ）. The successful rate according to the bone rheumatism in ＂TCM diagnostic efficacy standards＂ after treatment was higher in the observation group than in the control group （98.67% vs 93.10% ）, but the difference was not statistically significant （P 〉 0.05 ）. Conclusions Comprehensive TCM nursing can evidently increase the curative effect of patients with knee osteoarthritis, and improve their quality of life.