循证医学结合康复训练治疗绝经期妇女膝关节退行性关节炎的疗效分析

Evidence-based medicine combined with rehabilitation training in the treatment of knee osteoarthritis in menopausal women

目的探究循证医学结合康复训练治疗绝经期妇女膝关节退行性关节炎的疗效。方法选取2013年2月~2014年2月于哈尔滨医科大学附属第四医院就诊的128例绝经期妇女膝关节退行性关节炎患者为研究对象,随机分为对照组和观察组,每组64例。两组患者均给予止痛和消炎处理。对照组采取常规医学护理模式,同时避免剧烈运动。观察组则给予循证医学护理并结合康复训练对患者进行干预。统计两组患者的治疗效果,对膝关节疼痛度、关节活动度和膝关节活动度进行评价。进行VAS,Lysholm膝关节评分和髋骨移动度测量。结果观察组患者中经过循证医学和康复训练后病情得到控制的人数和总有效率明显高于对照组,无效和恶化的人数明显低于对照组,差异具有统计学意义(P<0.05)。在实施干预后,两组患者的膝关节疼痛度、关节活动度和膝关节活动度均升高,但观察组的评分明显高于对照组,差异具有统计学意义(P<0.05)。在干预后,两组患者的VAS评分均降低,Lysholm膝关节评分和髋骨移动度均升高,但观察组的VAS评分明显高于对照组,Lysholm膝关节评分和髋骨移动度评分明显低于对照组,差异具有统计学意义(P<0.05)。结论循证医学结合康复训练治疗绝经期妇女膝关节退行性关节炎效果明显,可以有效地控制病情,改善不适症状,值得进一步临床推广。

Objective To explore the clinical effects of the combination of evidence-based nursing and rehabilitation training in the treatment of knee joint degenerative arthritis in menopausal women. Methods The clinical data of 128 cases of postmenopausal women with knee joint degenerative arthritis patients in our hospital from February 2013 to February 2014 were collected and randomly divided into control group and observation group, 64 cases in each group. Two groups of patients were given analgesic and anti-inflammatory treatment. The control group adopted routine nursing mode, while aw）iding strenuous exercise. The observation group was given evidence-based nursing combined with rehabilitation training for patients with intervention. The effects of the two groups were statistically analyzed, and the knee pain, joint activity and knee joint activity were evaluated. Vas, lysholm knee score and hip mobility were measured. Results In the observation group after evidence-based nursing and rehabilitation training, the number of the condition under control and the total efficiency was significantly higher than that of the control group, the number of invalid and deterioration was significantly lower than that of the control group, the difference had statistical significance （P 〈 0.05 ）. In the implementation of the intervention, there was less knee joint pain, more joint activity and more knee joint activity in two groups, but the observation group was significantly higher than the control group, the difference was statistically significant （ P 〈 0. 05 ）. After the intervention, VAS scores of two groups were decreased, lysholm knee score and hip mobility were increased, but the observation group in the VAS score was significantly higher than that in the control group, lysholm knee score and hip mobility score was significantly lower than that of the control group, the difference was statistically significant （P 〈 0. 05 ）. Conclusion The clinical efficacy of evidence-based nursing combined with rehabilitation training in the treatment of postmenopausal women with knee joint degenerative arthritis is obvious, which effectively control the disease, improve symptoms, and it is worthy of further clinical promotion.