三联序贯特色疗法联合中医护理在老年膝骨性关节炎患者中的应用效果  

Application Effect of Triple Sequential Characteristic Therapy Combined with Traditional Chinese Medicine Nursing in Elderly Patients with Knee Osteoarthritis

作　　者：冯雪娜 张亚蒙 冯苗 Feng Xuena;Zhang Yameng;Feng Miao(Department of Orthopaedics and Traumatology,Zhumadian Hospital of Traditional Chinese Medicine,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中医院骨关节科,河南驻马店463000 [2]驻马店市中医院内科,河南驻马店463000

出　　处：《黑龙江医学》2024年第20期2541-2544,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨三联序贯特色疗法(STTS)联合中医护理在老年膝骨性关节炎(KOA)患者中的效果。方法:选取2021—2023年驻马店市中医院收治的114例KOA患者作为研究对象,采用随机数表法将其分为对照组与STTS组,每组各57例。对照组实施普通治疗护理,STTS组实施STTS联合中医护理。比较两组患者的临床效果。结果:STTS组总有效率为94.74%,高于对照组的73.68%,差异有统计学意义(χ^(2)=9.500,P<0.05);干预后,STTS组与对照组比较,数字疼痛评分表(NRS)评分低,膝关节评分表(Lysholm)评分高,差异有统计学意义(t=29.487、9.829,P<0.05);干预后,STTS组KOA严重指数(ISOA)评分较对照组低,差异有统计学意义(t=29.021,P<0.05);干预后,STTS组肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)、基质金属蛋白酶(MMP)水平较对照组低,差异均有统计学意义(t=30.059、28.426、20.458,P<0.05)。结论:STTS联合中医护理治疗老年KOA,可降低血清炎症因子水平,缓解膝关节肿胀疼痛、控制病情进展,应用效果确切。Objective:To explore the effect of triple sequential characteristic therapy(STTS)combined with traditional Chinese medicine nursing on elderly knee osteoarthritis(KOA).Methods:114 KOA patients from the hospital were selected and randomly divided into STTS group and control group,with 57 patients in each group.The control group received general treatment nursing,while the STTS group received STTS combined with traditional Chinese medicine nursing.The clinical effects of two groups were compared.Results:The total effective rate of STTS group(94.74%)was higher than 73.68%of control group(χ^(2)=9.500,P<0.05).After intervention,compared with the control group,the STTS group had lower NRS and ISOA scores,while the Lysholm score was higher(t=29.487,9.829;P<0.05).After intervention,compared with the control group,STTS group had TNF-α,IL-1 and MMP(t=30.059,28.426,20.458;P<0.05).Conclusion:The combination of STTS and traditional Chinese medicine nursing in the treatment of elderly KOA can reduce serum inflammatory factor levels,alleviate knee joint swelling and pain,control disease progression.It has good application effect.

关 键 词：膝骨性关节炎 三联序贯特色疗法 中医护理 炎症因子 膝关节功能 

分 类 号：R47[医药卫生—护理学]