对比观察综合康复治疗和单纯药物治疗老年膝骨性关节炎伴骨质疏松症的疗效

Compare and Observe the Effects of Comprehensive Rehabilitation Therapy and Medication Alone in the Treatment of Elderly Knee Osteoarthritis with Osteoporosis

目的探究老年膝骨性关节炎合并骨质疏松症患者采用综合康复治疗与单纯药物治疗的临床效果对比。方法于2017年4月—2019年4月期间随机选取该院收治的老年膝骨性关节炎合并骨质疏松症患者124例,按照数字表法将其分为两组,对比组患者采用单纯药物治疗,实验组患者实施综合康复治疗,并比较两组患者治疗优良率、疼痛程度评分、关节炎指数评分、膝关节功能评分、日常生活能力评分以及骨密度。结果对比组患者治疗后优良率70.97%,低于实验组的93.55%(χ^2=10.831,P<0.05);治疗后两组患者疼痛程度评分与关节炎指数评分均比治疗前显著降低,并且实验组患者治疗后评分低于对比组(t=2.673、17.355,P<0.001);治疗后两组患者膝关节功能评分与日常生活能力评分比治疗前有一定升高,并且实验组患者治疗后评分高于对比组(P<0.05);治疗后两组患者骨密度水平均比治疗前有一定升高,且治疗后实验组骨密度水平高于对比组(t=32.370,P<0.001)。结论与单纯药物治疗相比,老年膝骨性关节炎合并骨质疏松症患者采用综合康复治疗效果更明显,可使患者的疼痛程度、关节功能以及骨密度充分改善,提高日常生活能力。

Objective To explore the comparison of the clinical effects of comprehensive rehabilitation therapy and drug therapy in elderly patients with knee osteoarthritis combined with osteoporosis. Methods From April 2017 to April 2019,124 elderly patients with knee osteoarthritis and osteoporosis who were admitted to the hospital were randomly selected and divided into 2 groups according to the numerical table method. With drug treatment alone, patients in the experimental group were treated with comprehensive rehabilitation, and the two groups were compared with the treatment excellent rate,pain degree score, arthritis index score, knee joint function score, ability of daily living score, and bone mineral density.Results The excellent and good rate of patients in the control group was 70.97% after treatment, which was lower than the93.55% of the experimental group(χ^2=10.831, P<0.05);after treatment, the pain degree score and arthritis index score of the two groups were significantly lower than before treatment, and the experimental group The scores of patients after treatment were lower than those of the control group(t=2.673, 17.355, P<0.001);after treatment, the knee function scores and activities of daily living scores of the two groups were higher than before treatment, and the scores of the experimental group were higher after treatment In the control group(P<0.05);after treatment, the bone mineral density level of the two groups was higher than before treatment, and the bone mineral density level of the experimental group was higher than that of the control group after treatment(t=32.370, P<0.001).Conclusion Compared with medical treatment alone, comprehensive rehabilitation therapy is more effective in elderly patients with knee osteoarthritis and osteoporosis, which can fully improve the pain degree, joint function and bone density of the patients, and improve the ability of daily living.