平乐正骨功能疗法对膝骨关节炎患者生活质量、焦虑和疼痛的影响效果观察  

Observation on the Effect of Pingle Zhenggu Functional Therapy on the Quality of Life,Anxiety and Pain of Patients with Knee Osteoarthritis

作　　者：刘芬之 邢林波 郭珈宜 张曼 LIU Fen-zhi;XING Lin-bo;GUO Jia-yi;ZHANG Man

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院),河南洛阳471002

出　　处：《风湿病与关节炎》2024年第8期22-25,共4页Rheumatism and Arthritis

基　　金：河南省中医药科学研究专项课题(20-21ZY2133)。

摘　　要：目的:探讨平乐正骨功能疗法与八段锦分别对Ⅰ~Ⅱ级膝骨关节炎患者生活质量、焦虑情绪和疼痛的影响。方法:将91例膝骨关节炎患者随机分为观察组45例和对照组46例,2组入院后均给予中药熏洗及针灸等常规治疗,对照组给予八段锦锻炼,观察组给予平乐正骨功能疗法锻炼。2组均随访3个月。在住院当天和就诊3个月后,使用健康状况调查问卷(SF-36)评估患者生活质量,采用自评焦虑量表(SAS)评估患者的焦虑,视觉模拟评分法(VAS)评估疼痛。结果:因脱落最终观察组纳入40例、对照组纳入41例,治疗后,2组患者SF-36评分各维度均较治疗前提高(P<0.05),SAS评分、VAS评分均较治疗前降低(P<0.05);2组SF-36评分、SAS评分比较,差异无统计学意义(P>0.05);观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。结论:平乐正骨功能疗法能改善Ⅰ~Ⅱ级膝骨关节炎患者的生活质量,缓解焦虑,减轻疼痛,值得临床推广应用。Objective:To explore the effects of Pingle Zhenggu Functional Therapy and Baduanjin on the quality of life,anxiety and pain of patients with knee osteoarthritis of gradeⅠtoⅡ.Methods:Ninety-one patients with knee osteoarthritis were randomly divided into an observation group(45 cases)and a control group(46 cases).After admission,both groups were given conventional treatments such as Chinese medicine fumigation and washing and acupuncture.The control group was asked to do Baduanjin exercise,and the observation group was asked to do Pingle Zhenggu Functional Therapy exercise.Both groups were followed up for three months.On the day of hospitalization and three months after the visit,the Health Questionnaire(SF-36)was used to assess the quality of life of the patients;the Self-Rating Anxiety Scale(SAS)was used to assess their anxiety,and the Visual Analogue Scale(VAS)was used to assess the pain.Results:Due to dropouts,40 cases were finally included in the observation group and 41 cases in the control group.After treatment,all dimensions of the SF-36 score of the two groups were higher than those before treatment(P<0.05),and the SAS score and VAS score were lower than those before treatment(P<0.05);there was no statistically significant difference in the SF-36 score and SAS score between the two groups(P>0.05);the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Pingle Zhenggu Functional Therapy can improve the quality of life of patients with knee osteoarthritis of gradeⅠtoⅡ,relieve anxiety and reduce pain,and is worthy of clinical promotion and application.

关 键 词：膝骨关节炎 平乐正骨功能疗法 八段锦 生活质量 焦虑 疼痛 

分 类 号：R274[医药卫生—中医骨伤科学]