辅汗三法治疗寒凝证型膝关节骨性关节炎疗效观察及辨证施护

Clinical Observation and Dialectical Nursing of Three Methods in the Treatment of Cold Coagulation Syndrome Type of Knee Osteoarthritis

目的:探讨辅汗三法治疗寒凝证型膝关节骨性关节炎的效果及其辨证施护方法。方法:采用前瞻性随机平行对照、病例序列研究的方法,选择符合"寒凝证型"诊断标准的膝骨关节炎100例,按照随机数字表法将患者随机分为对照组和观察组各50例,所有患者均予以辅汗三法治疗,对照组予以常规护理,观察组在对照组基础上予以辨证施护干预,比较两组患者的治疗效果。结果:观察组患者临床症状总有效率为96.00%,显著高于对照组的82.00%,差异有统计学意义(P<0.05)。观察组患者的疼痛总有效率为92.00%,显著高于对照组的78.00%,差异有统计学意义(P<0.05)。结论:在辅汗三法治疗寒凝证型膝关节骨性关节炎中实施辨证施护,能有效提高临床治疗效果,促进患者的康复。

Objective： To investigate the effect of three methods on treating cold coagulation syndrome type of knee osteoarthritis and the method of syndrome differentiation. Methods： In this study, 100 patients with knee osteoarthritis were selected according to the diagnostic criteria of ＂cold coagulation syndrome type＂ by the method of prospective randomized parallel control and case series study, according to the random number table method, the patients were randomly divided into the control group and the observation group of 50 cases, all patients were treated with auxiliary sweat three method, the control group was given routine care, the observation group was based on the control group to be dialectic nursing intervention, compared the treatment effect of the two groups of patients. Results ： The total effective rate of clinical symptoms in the observation group was 96%, significantly higher than that in the control group of 82%, the difference was statistically significant （ P〈0.05 ）. The total effective rate of pain in the observation group was 92%, which was significantly higher than that of the control group （ 78% ）, and the difference was statistically significant （ P〈0.05 ）. Conclusion ： In the treatment of cold coagulation syndrome type of knee osteoarthritis, the three method of auxiliary sweat can effectively improve the clinical treatment effect and promote the rehabilitation of patients.