强膝健骨操对膝骨关节炎疼痛及功能活动的影响

Effect of Strengthening Knee and Strengthening Bone Exercise on Pain and Functional Activities of Patients with Knee Osteoarthritis

目的探讨强膝健骨操联合温针透刺法对膝骨关节炎疼痛及功能活动的影响,为临床治疗提供一定借鉴。方法将120例患者分为观察组和对照组两组,每组60例,两组都给以温针透刺治疗,其中观察组在此基础上再加上强膝健骨操治疗,评估两组治疗总有效率,采用WOMAC指数评分评估两组治疗前后膝关节健康程度,分数越低表示膝关节健康程度越高;采用VAS评分法对两组治疗前后膝关节疼痛程度进行评估;观察两组治疗后住院时间,采用匹茨堡睡眠质量指数量表评估两组治疗前后睡眠质量;分别采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评估两组治疗前后心理状况,采用自制调查问卷评估两组治疗总满意度。结果治疗后,观察组临床总有效率显著高于对照组(P<0.05);两组西安大略和麦克马斯特大学骨关节炎(WOMAC)和视觉模拟(VAS)评分指数均明显降低(P <0.05),且观察组评分低于对照组(P <0.05);观察组住院时间较对照组短,差异显著(P <0.05);两组睡眠质量评分、SAS评分、SDS评分较治疗前均有显著改善(P <0.05),观察组上述各项评分均明显优于对照组(P <0.05);观察组的治疗总满意度显著高于对照组总满意度(P <0.05)。结论强膝健骨操治疗膝骨关节炎疗效显著,能有效改善患者膝骨关节功能,缓解患者疼痛,促进患者康复,且有缓解患者焦虑情绪、改善患者睡眠质量,提升患者满意度的作用。

Objective To explore the effect of strengthening knee and strengthening bone exercise combined with warm and penetrating needling on pain and functional activities of patients with knee osteoarthritis,so as to provide some reference for clinical treatment. Method A total of 120 patients were divided into observation group and control group,60 cases in each group. Both groups were treated with warm and penetrating needling,and the observation group,on the basis,combined with the treatment of strengthening knee and strengthening bone exercise. We evaluated the total effective rate of the two groups.WOMAC index score was used to evaluate the knee joint health before and after treatment. The lower the score,the higher the knee joint health. VAS score was used to evaluate the degree of knee joint pain before and after treatment in the two groups.The time of hospitalization was observed and the sleep quality of the two groups before and after treatment was evaluated by Pittsburgh sleep quality index scale. Self rating depression scale( SDS) and self rating anxiety scale( SAS) were used to assess the psychological status of the two groups before and after treatment,and self-designed questionnaire was used to assess the total satisfaction of the two groups. Result After treatment,the total clinical effective rate of the observation group was significantly higher than that of the control group( P < 0. 05). The scores of WOMAC and VAS in the two groups were significantly lower than those in the control group( P < 0. 05). The hospitalization time of the observation group was shorter than that of the control group( P < 0. 05),and the sleep quality score,SAS score and SDS score of the two groups were significantly improved( P < 0. 05). The scores of the observation group were significantly better than those of the control group( P < 0. 05). The total satisfaction of the observation group was significantly higher than that of the control group( P < 0. 05). Conclusion It can effectively improve the function of knee joint,relieve the pain of patients,promote the recovery of patients,relieve the anxiety of patients,and improve the sleep quality and the satisfaction of patients.