中药封包配合康复训练治疗膝痹病的效果观察与护理研究  

Observation and nursing research on the treatment of knee osteoarthritis by using Chinese Medicine Package and rehabilitation training

作　　者：田烨[1] 熊丹婷 李细娥[1] TIAN Ye;XIONG Dan-ting;LI Xi-e(Department of Orthopedics,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330008,China)

机构地区：[1]南昌市洪都中医院骨科,江西南昌330008

出　　处：《中国当代医药》2019年第10期208-210,共3页China Modern Medicine

基　　金：江西省卫生计生委中医药科研课题(2017B056)

摘　　要：目的探讨应用中药封包配合康复训练治疗膝痹病的效果观察与护理。方法选取本院2016年1月～2017年12月收治的100例膝痹病患者作为研究对象,随机分为观察组和对照组,每组各50例。观察组采用中药封包治疗加用膝关节康复训练,对照组单纯采用中药封包治疗。从疼痛、肿胀、股四头肌萎缩、活动功能、X线检查情况5个方面进行治疗前后评分分析。结果两组治疗后的疼痛、肿胀、股四头肌萎缩评分较治疗前显著降低,活动功能(屈伸活动范围)评分较治疗前均显著增加,差异有统计学意义(P<0.05),X线检查结果比较,差异无统计学意义(P>0.05)。观察组治疗后的疼痛、肿胀、股四头肌萎缩评分显著低于对照组,活动功能(屈伸活动范围)评分显著高于对照组,差异有统计学意义(P<0.05)。观察组治疗效果显著优于对照组,差异有统计学意义(P<0.05)。结论应用中药封包配合康复训练治疗膝痹病的方法,减少患者在治疗过程中出现的不良反应,降低患者并发症的发生率和复发率,具有广阔的应用前景。Objective To explore the efficacy and nursing of Chinese medicine package combined with rehabilitation training in the treatment of knee Knee Osteoarthritis(KO).Methods A total of 100 patients with KO admitted to our hospital from January 2016 to December 2017 were selected and randomly divided into observation group and control group,50 cases in each group.The observation group was treated with traditional Chinese medicine encapsulation plus knee rehabilitation training,while the control group was treated with traditional Chinese medicine encapsulation alone.The scores of pain,swelling,quadriceps femoris atrophy,motor function and X-ray examination were analyzed before and after treatment.Results Pain,swelling and quadriceps femoris atrophy score of the two groups after treatment were significantly lower than those before treatment,and activity(flexion and extension range)score were significantly increased compared with those before treatment,and the differences were statistically significant(P<0.05).There was no significant difference in the results of X-ray examination.The scores of pain,swelling and quadriceps femoris atrophy in the observation group after treatment were significantly lower than those in the control group,and the scores of motor function(flexion and extension range of motion)were significantly higher than those in the control group(P<0.05).The treatment effect of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of traditional Chinese medicine encapsulation combined with rehabilitation training in the treatment of KO can reduce the adverse reactions and the incidence of complications and recurrence rate,which has broad prospects for development.

关 键 词：中药封包 康复训练 膝关节骨性关节炎 

分 类 号：R274.9[医药卫生—中西医结合]