中医健康管理对膝骨关节炎患者临床症状和生活质量的影响

Effect of Chinese Medicine Health Management on Clinical Symptoms and Quality of Life of Patients with Knee Osteoarthritis

目的:观察中医健康管理对膝骨关节炎患者临床症状和生活质量的影响。方法:选取膝骨关节炎患者140例,按随机数字表法分为对照组和观察组各70例。对照组给予常规关节康复管理,观察组在对照组基础上给予中医健康管理。比较2组治疗前后临床症状评分、生活质量及疼痛视觉模拟评分法(VAS)评分情况。结果:治疗前,2组各项临床症状评分比较,差异无统计学意义(P>0.05)。治疗后,2组各项临床症状评分较治疗前降低,且观察组各项临床症状评分低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组生活质量各项评分比较,差异无统计学意义(P>0.05)。治疗后,2组生活质量各项评分较治疗前升高,且观察组生活质量各项评分高于对照组,差异均有统计学意义(P<0.05)。治疗前,2组VAS评分比较,差异无统计学意义(P>0.05)。治疗后14 d、30 d、60 d,2组VAS评分逐渐降低,且观察组VAS评分均低于同时间点对照组,差异均有统计学意义(P<0.05)。结论:中医健康管理可以改善膝骨关节炎患者临床症状,提高患者生活质量,减轻患者疼痛。

Objective:To observe the effect of Chinese medicine health management on clinical symptoms and quality of life of patients with knee osteoarthritis.Methods:A total of 140 cases of patients with knee osteoarthritis were selected and divided into the control group and the observation group according to the random number table method,70 cases in each group.The control group was given routine joint rehabilitation management,and the observation group was additionally given Chinese medicine health management based on the treatment of the control group.Before and after treatment,the scores of clinical symptoms and Visual Analogue Scale(VAS)for pain as well as quality of life were compared between the two groups.Results:Before treatment,there was no significant difference being found in the comparison of each score of clinical symptoms between the two groups(P>0.05).After treatment,each score of clinical symptoms in the two groups was decreased when compared with that before treatment,and each score in the observation group was lower than that in the control group,differences being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of each score of quality of life between the two groups(P>0.05).After treatment,each score of quality of life in the two groups was increased when compared with that before treatment,and each score in the observation group was higher than that in the control group,differences being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of the score of VAS between the two groups(P>0.05).On the 14th,30th,and 60th day after treatment,the scores of VAS in the two groups were gradually decreased,and the scores in the observation group were lower than those in the control group at the same time point,differences being significant(P<0.05).Conclusion:Chinese medicine health management can improve clinical symptoms of patients with knee osteoarthritis,enhance their quality of life,and relieve pain.