蜡药疗联合综合护理对膝骨关节炎干预的临床观察  

Clinical Observation of Chinese Herbal Medicine and Paraffin Therapy combined with Comprehensive Nursing Treatment in Patients with Knee Osteoarthritis

作　　者：王华新[1] 焦蕴岚[1] 高冬华[1] 

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《中医药导报》2016年第18期104-106,122,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京中医药大学自主课题资助项目(No:2014-SYJS-11)

摘　　要：目的:明确蜡药疗联合综合护理对膝骨关节炎的临床疗效,为以中医蜡药疗外治法为基础的中医综合护理方案的推广应用提供依据。方法:纳入膝骨关节炎患者72例,随机分为治疗组和对照组,各36例。在常规治疗方案和中医综合护理方案基础上,治疗组给予中医蜡药疗,而对照组不给予中药外敷单纯给予蜡疗,每次治疗20分钟,每日1次,治疗4周。观察并分析治疗前后两组患者中医临床症状及日常活动量化评分、SF-36量表评分、视觉模拟评分及临床疗效。结果:组间比较,两组治疗前各观察指标没有明显差异(P>0.05);治疗后,治疗组中医临床症状及日常活动量化评分、VAS评分及SF-36的9个维度均较对照组有明显差异(P<0.05);组内比较,治疗组治疗前后差异有统计学意义(P<0.05)。治疗组和对照组总有效率分别为86.1%和30.6%,两组差异有统计学意义(P<0.05);两组均未发生明显不良反应。结论:蜡药疗联合综合护理能够显著改善膝骨关节炎患者临床症状、提高患者生活质量,临床疗效显著,可以形成一套规范化的中医综合特色护理方案,以便临床推广应用。Objective： To observe the clinical curative effect of Chinese herbal medicine and paraffin thera- py combined with comprehensive nursing treatment in patients with knee osteoarthritis （KOA）, and to provide the basis for the popularization and application of traditional Chinese medicine comprehensive nursing plan, which based on the external treatment of Chinese herbal medicine and paraffin therapy. Methods： The 72 patients with KOA were collected, and were randomly divided into treatment group （36 cases） and control group （36 cases）. On the basis of conventional treatment of traditional Chinese medicine （TCM） and comprehensive nursing plan, treatment group was treated with Chinese herbal medicine and paraffin therapy, while the control group was treated only with paraffin therapy without Chinese herbal medicine external treatment. Each treatment for 20 minutes, 1 times a day, treatment of 4 weeks. The clinical symptoms of TCM and daily activities of quantitative score, SF-36 scale score, visual analogue scale （VAS） and clinical curative effect of the two groups were ob- served and analyzed before and after the treatment. Results： There was no significant difference between the ob- servation indexes of the two groups before treatment （P〉0.05）. The clinical symptoms of TCM and daily activities of quantitative score, VAS and SF-36 nine dimensions of the two groups have significant difference after treat- ment （P〈O.05）. There was a significant difference before and after treatment of treatment group （P〈0.05）. The to- tal effective rate of treatment group and control group were 86.11% and 30.56% respectively, and there was sig- nificant statistically difference （P〈O.05）. No obvious adverse reaction occurred in the two groups. Conclusion： Chi- nese herbal medicine and paraffin therapy combined with comprehensive nursing can significantly improve the clinical symptoms, quality of life of patients with KOA, and the clinical curative effect of it is remarkable. Based on

关 键 词：综合护理 蜡药疗 膝骨关节炎 

分 类 号：R248[医药卫生—中医临床基础]