等速肌力训练结合中医特色康复护理干预对膝关节骨性关节炎疼痛影响临床观察  

Clinical Observation of Isokinetic Muscle Strength Exercise Combined with Nursing Rehabilitation Intervention Characterized by Chinese Medicine on Knee Osteoarthritis Pains

作　　者：王宇[1] 

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2016年第10期208-211,共4页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨中医特色康复护理对膝关节骨性关节炎患者等速肌力训练后患膝疼痛、膝关节功能活动的影响。方法:选择2013年6月—2014年12月期间我院收治的膝关节骨性关节炎患者60例,随机分为观察组和对照组,每组各30例。对照组给予骨科常规护理及功能锻炼指导,观察组在骨科常规护理及功能锻炼指导的基础上给予中医特色护理干预。对干预14 d后两组患者的疼痛评分、膝关节日常功能评分、患者护理依从性及不良反应发生率进行比较。结果:(1)干预后观察组患者患膝VAS评分明显优于对照组,具有显著性差异(P<0.05)。(2)干预后观察组患者膝关节功能评分明显优于对照组,具有显著性差异(P<0.05)。(3)干预后观察组的护理依从性(96.67%)明显优于对照组(73.33%),具有显著性差异(P<0.05)。(4)干预后观察组及对照组均无不良反应发生。结论:针对膝关节骨性关节炎患者进行等速肌力训练治疗的同时实施中医特色康复护理干预,可明显减轻患者患膝疼痛,改善膝关节功能评分,提高患者对中医特色康复护理的依从性,并且具有无不良反应的优点,值得临床推广与应用。Objective：To investigate the impact of rehabilitation nursing characterized by Chinese medicine on functional activity of patients with knee osteoarthritis（KOA）. Methods：60 patients replacement of hip joint admitted by our hospital during period from June 2013 to December 2014 were chosen,and they were randomly divided into two groups,observation group and control group,with 30 cases in each. The control group was received orthopedic routine care and functional exercise guidance,while the observation group was received traditional Chinese medical nursing intervention apart from routine care of orthopedics and guidance of functional exercise. Comparison was made between the two groups of patients fourteen days after the intervention in aspects of pain scores,scoring of daily knee function,patients＇ nursing compliance,and incidence of adverse reactions. Results：（1）VAS score of patients in observation group after the intervention was significantly lower than that in the control group,with significant difference（P〈0.05）.（2）Knee function score in the observation group after the intervention was significantly superior to that in the control group（73.33%）,with significant difference（P〈0.05）.（3）Nursing compliance（96.67%）in the observation group after the intervention was significantly superior to that in the control group（73.33%）,with significant differences（P〈0.05）.（4）There were no adverse reactions in both the observation group and the control group after the intervention. Conclusion：Traditional Chinese medical nursing intervention was implemented for patients while they were receiving isokinetic muscle strength training,which could significantly reduce patients＇ knee pain,and improve scoring of knee function and patients＇ rehabilitation nursing compliance characterized by Chinese medicine,no adverse reactions,thus this it is worthy of promotion and application.

关 键 词：膝关节骨性关节炎 疼痛 等速肌力训练 中医特色护理干预 

分 类 号：R684.3[医药卫生—骨科学]