中药熏洗与膝关节自我锻炼管理对老年骨性膝关节炎功能康复的影响

The effect of traditional Chinese medicine fumigation and self-training of knee joint on the functional rehabilitation of osteoarthritis of the elderly

目的探讨中药熏洗与膝关节自我锻炼管理对改善老年骨性膝关节炎功能康复效果。方法选择90例在本院就诊的老年骨性关节炎患者,按数字表法分为观察组和对照组各45例,对照组采用膝关节康复护理知识教育、膝部中药熏洗与揉搓按摩等治疗,观察组在此治疗护理上加强对患者进行膝关节功能训炼和自我活动行为管理;随访6周,评价两组患者膝关节肿胀、疼痛、训练依从性、膝关节功能。结果膝关节疼痛缓解、肿胀消退观察组优于对照组;膝关节功能康复效果观察组优于对照组,活动训练依从性观察组高于对照组。结论应用中药熏洗与加强患者膝关节自我活动训炼管理,可缓解膝关节疼痛、减轻膝关节肿胀,改善患者膝关节功能,提高患者自我功能训练的依从性和生活质量。

Objective To explore the effect of traditional Chinese medicine fumigation and knee joint exercise management on the rehabilitation of senile osteoarthritis of the knee.Methods 90 cases in our hospital for treatment of senile osteoarthritis were randomly divided into observation group and control group with 45 cases in each group,the control group used the knee joint rehabilitation nursing knowledge education,herbal fumigation and massage knee treatment;the observation group on the treatment and nursing with strengthening the function of knee joint training and self behavior management for the patients;6 weeks of follow-up,we have evaluation of two groups of patients with knee joint swelling,pain,and knee joint function training compliance.Results The knee joint pain,swelling,knee joint function rehabilitation effect in the observation group were better than that of control group;training compliance in the observation group was better than that of control group.Conclusion The application of herbal fumigation and strengthen the self training of patients with knee joint activity management,may relieve the pain of knee joint,swelling and improve knee function.Their training compliance and quality of life have been increased.