首页|程序化疼痛护理联合神经肌肉训练干预对膝骨关节炎患者疼痛程度、膝关节功能的影响

程序化疼痛护理联合神经肌肉训练干预对膝骨关节炎患者疼痛程度、膝关节功能的影响

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目的 探讨程序化疼痛护理联合神经肌肉训练干预对膝骨关节炎(KOA)患者疼痛程度、膝关节功能的影响.方法 选取2021年1月—2023年1月泰安市中医二院收治的76例KOA患者为研究对象,按随机数表法将其分为对照组与观察组,各38例.对照组采用程序化疼痛护理,观察组在对照组基础上采用神经肌肉训练干预.对比两组患者的疼痛视觉模拟(VAS)评分、膝关节活动度及美国膝关节协会评分标准(KSS)评分.结果 干预前,两组疼痛程度、膝关节活动度及膝关节功能比较,组间差异无统计学意义(P>0.05);干预4周、8周后,观察组VAS评分分别为(4.28±0.80)分、(3.57±0.46)分,均低于对照组,外旋分别为(21.49±3.25)°、(34.89±2.63)°,内旋分别为(15.23±2.56)°、(25.07±2.23)°,屈曲分别为(83.33±6.22)°、(123.27±9.83)°,均大于对照组,KSS评分分别为(74.55±4.33)分、(87.13±3.27)分,均高于对照组,组间差异有统计学意义(P<0.05).结论 KOA患者采用程序化疼痛护理及神经肌肉训练干预,效果显著,可有助于缓解患者疼痛,改善患者膝关节活动度及膝关节功能.
Effect of Programmed Pain Nursing Combined with Neuromuscular Training Intervention on the Degree of Pain and Knee Joint Function in Patients with Knee Osteoarthritis
Objective To explore the effect of programmed pain nursing combined with neuromuscular training intervention on pain degree and knee joint function of patients with knee osteoarthritis (KOA).Methods A total of 76 patients with KOA admitted to the Second Hospital of Traditional Chinese Medicine of Tai'an City from January 2021 to January 2023 were selected as the study objects, and were divided into a control group and an observation group according to random number table method, with 38 cases in each group.The control group received programmed pain nursing, and the observation group received neuromuscular training intervention on the basis of the control group.The pain visual analogue scale (VAS) score, knee range of motion and and American Knee society scale (KSS) score were compared between the two groups.Results Before intervention, there were no significant differences in pain degree, knee motion and knee function between the two groups (P>0.05);after 4 and 8 weeks of intervention, the VAS scores of the observation group were (4.28±0.80) points and (3.57±0.46) points, respectively, which were lower than those of the control group, and the external rotation were (21.49± 3.25)° and (34.89±2.63)°, respectively, the internal rotation and buckling were (15.23±2.56)°, (25.07±2.23)°, and the buckling were (83.33±6.22)°, (123.27±9.83)°, respectively, and the KSS scores were (74.55±4.33) and (87.13±3.27) points, respectively, which were higher than those of the control group, the differences between the groups were statistically significant (P<0.05).Conclusion Programmed pain nursing and neuromuscular training intervention are effective for KOA patients, which can help to relieve pain and improve knee joint mobility and function.

Knee osteoarthritisProgrammed pain nursingNeuromuscular training interventionDegree of painKnee joint function

王倩倩

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泰安市中医二院骨科,山东泰安 271000

膝骨关节炎 程序化疼痛护理 神经肌肉训练干预 疼痛程度 膝关节功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)
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