中药热敷联合本体感觉训练对膝关节骨性关节炎患者步行功能的影响  

Effect of traditional Chinese medicine hot compress combined with proprioception training on walking function in patients with knee osteoarthritis

作　　者：杨丹丹 周楠 宋永达[1] YANG Dandan;ZHOU Nan;SONG Yongda(Orthopaedics Department,Henan Provincial Hospital of TCM,Zhengzhou 450000,China)

机构地区：[1]河南省中医院骨病科,河南郑州450000

出　　处：《临床医学研究与实践》2025年第5期126-129,共4页Clinical Research and Practice

基　　金：2022年度河南省中医药科学研究专项课题(No.2022ZY2023)。

摘　　要：目的分析中药热敷联合本体感觉训练对膝关节骨性关节炎患者步行功能的影响。方法选取2020年12月至2022年12月我院130例膝关节骨性关节炎患者的临床资料进行分析,根据康复方式不同将其分为B组(63例)、A组(67例)。两组术后均进行常规护理与功能性锻炼,B组在此基础上加用本体感觉训练,A组在B组基础上加用中药热敷。比较两组的干预效果。结果A组的干预总有效率高于B组(P<0.05)。干预后,两组的视觉模拟量表(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分明显低于干预前,日常生活活动(ADL)评分高于干预前,6 min步行试验(6MWT)长于干预前(P<0.05);干预后,A组的VAS、WOMAC评分明显低于B组,ADL评分高于B组,6MWT长于B组(P<0.05)。A组的护理满意度明显高于B组(P<0.05)。结论中药热敷联合本体感觉训练可明显提升膝关节骨性关节炎患者的临床康复效果,改善生活能力及提升步行功能。Objective To analyze the effect of traditional Chinese medicine hot compress combined with proprioception training on walking function in patients with knee osteoarthritis.Methods The clinical data of 130 patients with knee osteoarthritis in our hospital from December 2020 to December 2022 were analyzed.According to different rehabilitation methods,the patients were divided into group B(63 cases)and group A(67 cases).Both groups were given routine nursing and functional exercise after operation.On this basis,the group B was given proprioception training,and the group A was given traditional Chinese medicine hot compress on the basis of the group B.The intervention effects of the two groups were compared.Results The total effective rate of intervention in the group A was higher than that in the group B(P<0.05).After intervention,the Visual Analogue Scale(VAS)and Western Ontario and McMaster University Osteoarthritis Index(WOMAC)scores of the two groups were significantly lower than those before intervention,and the Activity of Daily Living(ADL)score was higher than that before intervention,the 6 minute walk test(6MWT)was longer than that before intervention(P<0.05);after intervention,the VAS and WOMAC scores of the group A were significantly lower than those of the group B,the ADL score was higher than that of the group B,and the 6MWT was longer than that of the group B(P<0.05).The nursing satisfaction of the group A was significantly higher than that of the group B(P<0.05).Conclusion Traditional Chinese medicine hot compress combined with proprioception training can significantly improve the clinical rehabilitation effect of patients with knee osteoarthritis,improve their living ability and improve their walking function.

关 键 词：中药热敷 本体感觉训练 膝关节骨性关节炎 步行功能 

分 类 号：R684.3[医药卫生—骨科学]