家庭康复训练配合药物治疗膝骨性关节炎伴骨质疏松症的疗效观察  

Clinical efficacy of medicine plus family rehabilitation training in the treatment of knee osteoarthritis and osteoporosis

作　　者：张敬[1] 钟良宝[1] 郑颜萍[1] 刘楠[1] 苏丽莉[2] 陈默[2] 

机构地区：[1]海南医学院附属医院康复医学科,海南海口570102 [2]中山大学附属第五医院,广东珠海519000

出　　处：《海南医学》2013年第16期2371-2374,共4页Hainan Medical Journal

摘　　要：目的探讨家庭康复训练配合药物治疗对膝关节骨性关节炎伴骨质疏松症患者临床疗效的影响。方法采用病例对照研究方法,对46例膝关节骨性关节炎(Osteoarthritis,KOA)并骨质疏松症患者进行为期4个月的观察,A组(23例)采用常规药物治疗,B组(23例)在A组基础上配合家庭康复训练。入选时及治疗4个月后采用VAS评分、AIMS评分、Lysholm评分对患者疗效进行康复评定。结果两组患者治疗前疼痛、生存质量、Lysholm评分差异均无统计学意义(P>0.05),治疗4个月后两组患者的疼痛和生存质量评分比较差异有统计学意义(P<0.05),但A组Lysholm评分治疗前后差异无统计学意义(P>0.05);B组配合康复治疗后疗效显著(P<0.05)。结论药物治疗或药物联合康复治疗均能减轻膝骨性关节炎伴骨质疏松症患者的疼痛,提高生存质量,但在膝关节功能改善方面,单纯药物治疗效果不佳;家庭康复训练配合药物治疗膝骨性关节炎伴骨质疏松症疗效显著。Objective To explore the clinical efficacy of medicine plus family rehabilitation training for knee osteoarthritis and osteopororosis.Methods In a case-control study,forty-six patients with knee osteoarthritis and ostenporosis were divided into two group A and group B,and followed up for four months.Patients in group A were treated with general medicine therapy,while those in group B were treated with general medicine therapy plus family rehabilitation training.The visual analogue scale （VAS）,arthritis impact measurement scale （AIMS） and Lysholm knee score （LKSS） were used to appraise the therapeutic effect of two groups on admission and four months after treatment.Results There was no significant difference in two groups on pain,quality of life （QOL） and Lysholm knee score （LKSS）,P＞0.05 before treatment.Four months after treatment,the pain,QOL showed statistically significant difference between group A and group B （P＜0.05）.For Lysholm knee score （LKSS）,there was no significant difference in group A before and after treatment （P＞0.05）.The clinical efficacy was significantly improved in group B after family rehabilitation training （P＜0.05）.Conclusion For patients with knee osteoarthritis with osteoporosis,both medicine therapy and medicine therapy combined with rehabilitation training can reduce the pain and improve the quality of life,but the latter has significantly better effect on the function of knee joint than the former.

关 键 词：家庭康复训练 膝关节骨性关节炎(KOA) 骨质疏松症(OP) 疗效 

分 类 号：R684.3[医药卫生—骨科学]