骨科康复治疗在老年骨性关节炎中的应用

Application of Orthopedic Rehabilitation Therapy for Elderly Patients with Osteoarthritis

目的 总结分析骨科康复治疗在老年骨性关节炎中的应用效果。方法 选择2022年1月—2023年2月本院收治的160例骨性关节炎老年患者为研究对象,根据治疗方式的差异性分为骨科康复治疗的观察组(80例)、常规治疗的对照组(80例),对比两组在治疗前、治疗后的VAS疼痛评级、运动功能评价、生活质量(Barthel指数)、临床疗效以及心理状态(SAS焦虑程度评价与SDS抑郁程度评价)。结果 治疗后观察组VAS疼痛评分、SAS焦虑评分、SDS抑郁评分均明显低于对照组,同时Fugl-Meyer评分、Barthel评分、治疗优良率均明显高于对照组,组间差异有统计学意义(P<0.05)。结论 骨科康复治疗在老年骨性关节炎中的应用效果突出,有助于更进一步提高临床疗效,促进关节结构和运动功能修复,更好地缓解疼痛,并能改善患者心理状态,值得推广使用。

Objective To summarize and analyze application effect of orthopedic rehabilitation treatment for elderly osteoarthritis.Methods The paper chose 160 elderly patients with osteoarthritis admitted to our hospital from January 2022 to February 2023 as research subjects,and divided them into groups according to different treatment methods,80 cases in observation group were treated with orthopedic rehabilitation,and 80 cases in control group with routine treatment.VAS pain rating,motor function evaluation,and life quality(Barthel index)was compared before and after treatment between two groups,clinical effect and psychological status(SAS anxiety level evaluation and SDS depression level)was evaluated.Results After treatment,VAS pain scores(1.9±0.3),SAS anxiety scores(35.1±0.3),and SDS depression scores(34.2±0.6)in observation group were significantly lower than control group.At the same time,Fugl Meyer scores(76.8±2.2),Barthel scores(86.2±2.1),and treatment excellence rate of 76.25%were significantly higher than control group,with significant difference(P<0.05).Conclusion Orthopedic rehabilitation therapy can achieve outstanding effect for elderly osteoarthritis,can further improve clinical effect,promote joint structure and motor function repair,alleviate pains,and improve psychological status of patient,which is worthy of promotion and application.