首页|膝关节骨性关节炎患者应用中医辨证用药综合疗法联合康复训练进行治疗的效果分析

膝关节骨性关节炎患者应用中医辨证用药综合疗法联合康复训练进行治疗的效果分析

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目的 探讨对膝关节骨性关节炎患者采取中医辨证用药综合疗法联合康复训练的治疗效果.方法 90 例膝关节骨性关节炎患者,随机分为观察组和对照组,每组 45 例.对照组行常规西药治疗,观察组行中医辨证用药综合疗法联合康复训练.比较两组视觉模拟评分法(VAS)评分、症状评分、Lysholm膝关节评分(LKS评分)、日常生活活动能力(ADL)评分、10 m最大步行速度(10 MWS)、生活质量评分及治疗效果.结果 治疗后,观察组VAS评分(1.22±0.31)分、症状评分(6.35±1.22)分均低于对照组的(3.03±0.82)、(9.49±2.08)分(P<0.05).治疗后,观察组的LKS、ADL评分及 10 m MWS分别为(90.33±6.43)分、(78.69±5.48)分、(0.88±0.19)m/s,均高于对照组的(83.89±7.57)分、(73.36±4.98)分、(0.78±0.18)m/s(P<0.05).治疗后,观察组生理功能(PF)、生理职能(RP)、社会功能(SF)、情感职能(RE)评分分别为(85.78±7.43)、(85.11±7.43)、(87.59±6.93)、(86.99±5.87)分,均高于对照组的(79.56±6.12)、(80.69±6.38)、(74.82±4.95)、(79.92±7.31)分(P<0.05).观察组总有效率为 97.78%,高于对照组的86.67%(P<0.05).结论 对膝关节骨性关节炎患者采取中医辨证用药综合疗法联合康复训练治疗,可有助于改善疼痛等临床症状,促进膝关节功能的康复,提高日常生活活动能力,生活质量得以提升,效果显著.
Analysis of the effect of traditional Chinese medicine syndrome differentiation and comprehensive therapy combined with rehabilitation training on patients with knee osteoarthritis
Objective To explore the effect of traditional Chinese medicine syndrome differentiation and comprehensive therapy combined with rehabilitation training on patients with knee osteoarthritis.Methods 90 patients with knee osteoarthritis were randomly divided into an observation group and a control group,with 45 cases in each group.The control group received conventional Western medicine therapy,and the observation group received traditional Chinese medicine syndrome differentiation and comprehensive therapy combined with rehabilitation training.Both groups were compared in terms of visual analogue scale(VAS)score,symptom score,Lysholm knee score(LKS),activity of daily living(ADL)score,10 m maximum walking speed(10 MWS),quality of life score and treatment effect.Results After treatment,the observation group had VAS score of(1.22±0.31)points and symptom score of(6.35±1.22)points,which were lower than(3.03±0.82)and(9.49±2.08)points in the control group(P<0.05).After treatment,the scores of LKS,ADL and 10 m MWS were(90.33±6.43)points,(78.69±5.48)points and(0.88±0.19)m/s in the observation group,which were higher than(83.89±7.57)points,(73.36±4.98)points and(0.78±0.18)m/s in the control group(P<0.05).After treatment,the scores of physical functioning(PF),role-physical(RP),social functioning(SF)and role-emotional(RE)were(85.78±7.43),(85.11±7.43),(87.59±6.93)and(86.99±5.87)points in the observation group,which were higher than(79.56±6.12),(80.69±6.38),(74.82±4.95)and(79.92±7.31)points in the control group(P<0.05).The total effective rate of 97.78%in the observation group was higher than 86.67%in the control group(P<0.05).Conclusion For patients with knee osteoarthritis,traditional Chinese medicine syndrome differentiation and comprehensive therapy combined with rehabilitation training shows significant effect,which can help reduce pain and other clinical symptoms,promote the rehabilitation of knee joint function,improve the ability of daily life activities,improve the quality of life.

Knee osteoarthritisTraditional Chinese medicine syndrome differentiation and comprehensive therapyRehabilitation trainingEfficacy

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271000 泰安市中医医院骨科

膝关节骨性关节炎 中医辨证用药综合疗法 康复训练 疗效

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(22)