髌骨骨折术后患者应用针刺干预联合本体感觉训练的护理效果

Nursing effect of acupuncture intervention combined with proprioceptive training on postoperative patients with patellar fracture

目的 观察髌骨骨折术后患者应用针刺干预联合本体感觉训练的护理效果。方法 采用随机数字表法将2019年2月—2020年8月本院收治的92例髌骨骨折术后患者分为联合组与对照组,每组各46例。对照组患者实施常规康复锻炼,联合组患者使用本体感觉训练联合针刺干预。采用卡方检验分析2组患者康复效果;采用t检验分析2组患者干预前、干预4周后膝关节恢复情况[膝关节活动度(HSS)]、平衡功能[Breg平衡量表(BBS)]及生活质量[生活质量综合评定问卷(GQOLI-74)]。结果 联合组患者总康复效果(86.957%)高于对照组(69.565%)(χ^(2)=4.089,P<0.050)。干预4周后,联合组HSS总分(80.231±5.936)优于对照组(74.586±5.831)(P<0.001);联合组BBS总分(48.983±5.522)及GQOLI-74各维度评分[(74.964±3.383)(70.454±3.362)(71.423±2.530)(74.951±5.442)]均高于对照组的BBS总分(45.343±5.282)及各维度评分[(70.136±3.247)(66.019±3.133)(67.948±2.462)(70.369±4.343)](P<0.050)。结论 针刺干预联合本体感觉训练在髌骨骨折术后患者中效果明显,能够提高患者膝关节活动度,恢复平衡功能,提高锻炼生活质量。

Objective To observe the nursing effect of acupuncture intervention combined with proprioceptive training in patients with patellar fracture after operation.Methods Totally 92 postoperative patients with patella fractures admitted to the hospital from February 2019 to August 2020 were divided into a combined group and a control group according to the random number table method,with 46 cases in each group.The patients in the control group received the routine rehabilitation exercise while the patients in combined group were given proprioceptive training combined with acupuncture intervention.The rehabilitation effects of the two groups were analyzed by chi-square test,and t test was used to analyze the knee joint recovery [Hospital for Special Surgery Knee Score(HSS)],balance function [Breg Balance Scale(BBS)] and quality of life [Generic Quality of Life Inventor-74(GQOLI-74)] in the two groups before the intervention and after 4 weeks of intervention.Results The total rehabilitation effect of the combined group(86.957%) was higher than that of the control group(69.565%)(χ^(2)=4.089,P < 0.050).After 4 weeks of intervention,the total score of HSS in the combined group(80.231 ±5.936) was better than that in the control group(74.586 ± 5.831)(P < 0.001).The total score of BBS(48.983 ± 5.522)and scores of dimension of GQOLI-74 [(74.964 ± 3.383),(70.454 ± 3.362),(71.423 ± 2.530),(74.951 ± 5.442)] in the combined group were higher than the total scores of BBS(45.343 ± 5.282) and scores of dimension of GQOLI-74 [(70.136 ±3.247),(66.019 ± 3.133),(67.948 ± 2.462),(70.369 ± 4.343)](P < 0.050) in the control group.Conclusions The acupuncture intervention combined with proprioceptive training has a significant effect on patients after patella fracture surgery.It can improve the knee joint mobility,restore the balance function,and enhance the quality of life.