中医定向透药联合康复护理措施干预膝骨关节炎效果分析

Analysis of Effect of Directed Chinese Medicine Penetration Combined with Rehabilitation Nursing on Knee Osteoarthritis

目的:观察在常规西药治疗及护理措施的基础上加用中医定向透药联合康复护理措施治疗膝骨关节炎的临床疗效。方法:选取本院骨科收治的150例膝骨关节炎患者纳入临床研究,按随机数字表法分为观察组与对照组各75例,2组均给予常规西药和护理措施干预,观察组加用中医定向透药治疗,并实施康复护理措施,2组均治疗4周。治疗前后采用视觉模拟评分法(VAS)评定膝关节的疼痛程度,用Lysholm膝关节功能评分表评价膝关节活动功能,应用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)量表评价关节炎严重程度,用日常生活活动能力(ADL)量表评价膝关节的ADL。治疗4周后评估2组的临床治疗效果和患者对护理工作的满意度。结果:治疗后,观察组、对照组的临床疗效总有效率分别为88.00%、72.00%,组间比较,差异有统计学意义(P<0.05)。2组VAS评分均较治疗前降低,Lysholm评分均较治疗前升高,差异均有统计学意义(P<0.05)。观察组VAS评分低于对照组,Lysholm评分高于对照组,差异均有统计学意义(P<0.05)。2组WOMAC评分均较治疗前降低,ADL评分均较治疗前升高,差异均有统计学意义(P<0.05)。观察组WOMAC评分低于对照组,ADL评分高于对照组,差异均有统计学意义(P<0.05)。观察组护理总满意率为94.67%,高于对照组的78.67%,差异有统计学意义(P<0.05)。结论:在常规西药治疗及护理措施的基础上加用中医定向透药治疗,并配合康复护理措施干预KOA患者疗效满意,可有效减轻膝关节疼痛程度和关节炎严重程度,改善膝关节功能,提高患者膝关节的ADL,减少病情的复发,且能提高患者对护理工作的满意度。

Objective:To observe the clinical effect of the additional application of directed Chinese medicine penetration and rehabilitation nursing based on conventional western medicine and nursing measures on knee osteoarthritis(KOA).Methods: A total of 150 KOA patients admitted into the department of orthopedics of our hospital were selected into the clinical study, and were divided into the observation group and the control group according to the random number table method, 75 patients in each group. Both groups were given conventional western medicine and nursing, while the observation group was additionally treated with directed Chinese medicine penetration and rehabilitation nursing. Both groups were treated for four weeks. The Visual Analogue Scale(VAS) was used to evaluate knee pain before and after treatment;the Lysholm Knee Function Scale was used to evaluate knee movement function;the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) was used to evaluate the severity;and the Activity of Daily Living(ADL) scale was used to evaluate ADL of knee joint. After four weeks of treatment,clinical effect and nursing satisfaction of patients were observed. Results:After treatment,the total effective rate of clinical effect in the observation group and the control group was 88.00% and 72.00%, respectively, the difference being significant(P<0.05). The VAS scores in both groups were decreased when compared with those before treatment,and the Lysholm scores were increased when compared with those before treatment,differences being significant(P<0.05). The VAS score in the observation group was lower than that in the control group,and the Lysholm score was higher than that in the control group,differences being significant(P<0.05). The WOMAC scores in both groups were decreased when compared with those before treatment, and the ADL scores were increased when compared with those before treatment, differences being significant(P<0.05). The WOMAC score in the observation group was lower than that in the control group,and the ADL score was higher than that in the control group,differences being significant(P<0.05). The total nursing satisfaction rate was 94.67% in the observation group,higher than that of 78.67% in the control group, the difference being significant(P<0.05). Conclusion: The additional application of directed Chinese medicine penetration and rehabilitation nursing measures based on conventional western medicine and nursing measures,has significant therapeutic effect in treating KOA patients,which can effectively reduce the pain degree of knee joint and the severity,improve the knee joint function and ADL,reduce the recurrence of the disease,and improve their nursing satisfaction.