间歇充气加压与传统冷敷对减轻老年骨关节炎患者膝关节肿胀的疗效对比

Comparison of the effect of intermittent pneumatic compression and traditional cold compress on reducing knee joint swelling in elderly osteoarthritis patients

目的对比间歇充气加压及传统冰敷对老年骨关节炎患者膝关节肿胀的疗效。方法选取2018年1月至2019年12月在上海市浦东医院骨科住院的100例老年膝骨关节炎患者作为研究对象,随机分为两组分别接受间歇充气加压与冰敷治疗,治疗1个月后评估膝关节物理参数,患者主观症状,生活质量及不良反应。结果观察组治疗前后关节活动度及肿胀程度均显著改善,而治疗前后对照组仅关节肿胀程度显著改善(P<0.05),关节活动度未见改善,治疗后观察组关节活动度及肿胀程度均显著优于对照组(P<0.05);两组治疗前后视觉模拟评分(VAS)及骨关炎节指数(WOMAC)评分均显著改善,但治疗后观察组WOMAC评分显著优于对照组(P<0.05);观察组治疗前后匹兹堡睡眠质量指数(PSQI)及骨关节炎生活质量量表(OAQoL)评分均显著改善,而对照组仅PSQI评分显著改善(P<0.01),OAQoL评分未见改善。治疗后观察组PSQI及OAQoL评分均显著优于对照组(P<0.01);观察组出现1例过敏引起的皮疹,不良反应发生率为2%,与对照组(8%)差异具有统计学意义(P<0.05)。结论间歇充气加压可安全有效地改善老年膝骨关节炎患者关节活动度及肿胀程度,缓解疼痛,减轻症状,提高生活质量,具有良好的临床应用前景。

Objective To compare the effect of intermittent pneumatic compression and traditional cold compress on knee joint swelling in elderly patients with osteoarthritis.Methods A total of 100 elderly knee osteoarthritis patients hospitalized from January 2018 to December 2019 were selected as the research object.They were divided into two groups to receive intermittent pneumatic compression and cold compress treatment.Physical parameters,patient’s subjective symptoms,quality of life and adverse reactions after 1 month of treatment were evaluated.Results The degree of joint activity and swelling in the observation group were improved before and after treatment,while only the degree of joint swelling was improved before and after treatment,but there was no improvement in joint activity in the control group.The degree of joint activity and swelling of the observation group after treatment was better than that of the control group.The VAS and WOMAC scores of the two groups were improved before and after treatment,but the WOMAC score of the observation group after treatment was better than that of the control group;the PSQI and OAQoL scores of the observation group were improved before and after treatment,while the PSQI score of the control group was improved,but the OAQoL score did not improve.After treatment,the PSQI and OAQoL scores of the observation group were better than those of the control group.There was one patient with rash caused by allergy in the observation group,and the incidence of adverse reactions was 2%,which was significantly lower than that of the control group(8%).Conclusions Intermittent pneumatic compression could safely and effectively improve the joint mobility and swelling of elderly knee osteoarthritis patients,relieve pain,relieve symptoms,improve quality of life,and have good clinical application prospects.