膝骨关节炎社区康复干预效果观察

Effect of community rehabilitation intervention on knee osteoarthritis

目的:观察社区康复干预对膝骨关节炎的防治效果。方法:膝骨关节炎患者322例随机分为两组,观察组153例进行健康教育、日常生活指导、身体锻炼及膝关节功能锻炼;对照组169例按常规生活方式及防治方法。康复干预前、后6个月对两组患者进行骨性关节炎指数可视化量表(WOMAC)、临床症状体征评分。结果:观察组社区康复干预后WOMAC评分、关节活动度、压痛、肿胀评分均显著低于干预前,且低于对照组(P<0.05);而对照组观察6个月后上述指标评分无明显改善(P>0.05)。结论:社区康复干预可改善膝骨关节炎的病情,提高患者生活质量。

Objective： To observe the effect of community rehabilitation intervention on knee osteoarthritis.Methods： 322 patients with knee osteoarthritis were randomly divided into two groups,153 cases in the observation group were given health education,daily life instruction,physical exercise and functional knee exercises. 169 cases in the control group were treated according to the original lifestyle and prevention and treatment method. Before and after 6 months rehabilitation intervention,two groups of patients were evaluated by the Osteoarthritis Index Visualization Scale（ WOMAC）,clinical and symptom score. Results：The score of WOMAC,the degree of joint mobility,the tenderness and swelling in the intervention group after intervention were lower than those of the control group（ P〈0.05）,while those in the control group were not significantly improved after 6 months（ P〈0. 05）. Conclusion： Community rehabilitation intervention can improve the condition of knee osteoarthritis and improve the quality of life of patients.