中西医结合治疗联合护理干预在老年膝骨关节炎中的应用研究
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R684.3

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Study on Application of Integrated Chinese and Western Medicine Therapy Combined with Nursing Intervention to Senile Knee Osteoarthritis
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    摘要:

    目的:观察中西医结合治疗联合护理干预在老年膝骨关节炎中的治疗效果。方法:将老年膝骨关节炎患者110 例随机分为2 组,每组55 例。2 组均给予必要的护理干预,如疼痛护理、肌力训练等;对照组给予依托考昔片口服,观察组在对照组的基础上给予四妙丸汤剂口服及中药外敷治疗。评价2 组患者治疗前、治疗1 周、3 周时膝关节功能[西安大略和麦克马斯特大学骨关节炎指数量表(WOMAC) 评分]、疼痛程度[视觉模拟评分法(VAS) 评分]、膝关节周径变化,于治疗结束时统计2 组临床治疗效果及不良反应情况。结果:总有效率观察组为94.55%,对照组为80.00%,2 组比较,差异有统计学意义(P<0.05)。治疗1 周、3 周,2 组膝关节WOMAC 评分、疼痛VAS 评分较治疗前逐渐下降,与同组前一时间点比较,差异均有统计学意义(P<0.05);且观察组两项评分下降较对照组同时间点更显著(P<0.05)。治疗1 周、3 周,2 组膝关节周径较治疗前逐渐减少,与同组前一时间点比较,差异均有统计学意义(P<0.05);且观察组膝关节周径减少较对照组同时间点更显著(P<0.05)。结论:中西医结合治疗联合护理干预可有助于缓解老年膝骨关节炎患者的疼痛,改善其关节功能,加速肿胀消退,从而提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the curative effect of integrated Chinese and western medicine therapy combined with nursing intervention to senile knee osteoarthritis. Methods: A total of 110 cases of senile patients with knee osteoarthritis were randomly divided into two groups,55 cases in each group. Both groups were given necessary nursing intervention such as pain nursing and muscle strength training; the control group was additionally given the oral administration of eloricoxib tablets;the observation group was additionally given the oral administration of simiao pill decoction and external application of Chinese medicine based on the treatment of the control group. Before treatment as well as after one and three weeks of treatment,scores of Western Ontario and McMaster Universities Osteoarthritis Index Scale(WOMAC) for evaluating the knee joint function, scores of Visual Analogue Scale(VAS) for evaluating pain degree, and the changes in circumference of the knee joint were evaluated in the two groups. After treatment,the clinical effect and the condition of adverse reactions were counted in the two groups. Results:The total effective rate was 94.55% in the observation group and 80.00% in the control group,the difference being significant(P<0.05). After one and three weeks of treatment,the WOMAC scores and the VAS scores in the two groups were gradually decreased when compared with those before treatment;when compared the two scores with those at the previous time point in the same group,differences were significant(P<0.05);the decrease of the two scores in the observation group was more significant than that in the same time point in the control group(P<0.05). After one and three weeks of treatment, circumferences of the knee joint in the two groups were gradually decreased when compared with those before treatment; when compared the circumferences with those at the previous time point in the same group,differences were significant(P<0.05);the decrease of the circumference of the knee joint in the observation group was more significant than that at the same time point in the control group(P<0.05). Conclusion: The therapy of integrated Chinese and western medicine therapy combined with nursing intervention can conduce to relieving arthralgia of senile patients with knee osteoarthritis,improve their joint function,and accelerate regression of swelling,thus improving the clinical effect.

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李小芝,陈碧,黄有翰.中西医结合治疗联合护理干预在老年膝骨关节炎中的应用研究[J].新中医,2020,52(20):158-160

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  • 在线发布日期: 2020-10-19
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