早期康复护理在关节镜下微骨折技术治疗膝骨关节炎的临床效果

Effect of early rehabilitation nursing on the treatment of knee os-teoarthritis under arthroscopic microfracture technique

目的探究与分析早期康复护理在关节镜下微骨折技术治疗膝骨关节炎的效果。方法选取哈尔滨医科大学附属第一医院2014年6月~2016年6月收治的经关节镜下微骨折技术治疗的膝骨性关节炎患者110例,采取随机数字表法分为对照组与观察组,每组各55例。对照组给予常规护理,观察组在对照组基础上给予早期康复护理,对比两组患者护理满意度,随访6个月时HSS膝关节评分程度及生活质量评分。结果观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。观察组HSS膝关节评分情况明显优于对照组,差异有统计学意义(P<0.05)。两组治疗后与治疗前相比,躯体疼痛、生理功能、精神健康、社会功能及总体健康评分升高,观察组各项评分升高更加显著,差异有统计学意义(P<0.05)。结论早期康复护理能够辅助提高关节镜下微骨折技术治疗膝骨关节炎的临床效果,缓解疼痛,提高生活质量。

Objective To explore and analyze the effect of early rehabilitation nursing on the treatment of knee osteoarthritis under arthroscopic microfracture technique. Methods 110 patients with knee osteoarthritis under arthroscopic microfracture technique in the First Affiliated Hospital of H arbin Medical University from June 2014 to June2016 were selected. All the patients divided into control group and observation group according to random number table, with 55 cases in each group. The control group was received routine nursing, while the observation group was received early rehabilitation nursing on the basis of the control group. The nursing satisfaction, the degree of HSS score were followed up for 6 months, and the quality of life scores of the two groups were compared. Results The satisfaction to nursing care of observation group was obviously higher than that of control group, with statistically significant difference（P〈0.05）. The HSS knee score of observation group was better than that of control group, with statistically significant difference（P〈0.05）. The scores of body pain, physical function, mental health, social function and overall health score of two groups were increased after treatment, and the increase of observation group after treatment were more remarkable than those of the control group, with statistically significant difference（P〈0.05）. Conclusion Early rehabilitation nursing can help to improve the clinical effect of the microfracture technique on knee osteoarthritis, which can relieve pain and improve the quality of life.