摘要
目的:研究骨科康复治疗老年性膝关节骨关节炎的临床效果。方法:选取2016年3月至218年3月于我院就诊的148例老年性膝关节骨关节炎患者,随机分为研究组和对照组,每组74例。对照组病人患者采用口服塞来昔布胶囊,0.1g·次-1,2次/天。研究组病人在对照组治疗的基础上进行运动疗法和中药熏蒸14d。通过总有效率、视觉模拟评分法和WOMAC评分量表,评价临床疗效、关节疼痛程度和膝关节功能恢复状态。结果:研究组的总有效率明显高于对照组(93.24%vs 75.68%,P<0.05);研究组患者无痛率(9.46%)明显高于对照组(2.70%),而研究组患者重度疼痛(2.70%)明显低于对照组(12.16%)(P<0.05);治疗后研究组WOMAC评分和对照组WOMAC评分有显著性差别(P<0.05)。结论:西医药物治疗联合运动疗法和中药熏洗治疗老年性膝关节骨关节炎疗效显著。
Objective:To evaluate the clinical effects of orthopedics rehabilitation on senile knee osteoarthritis.Methods:All together 148 patients admitted to our hospital from March 2016 to March 2018 were randomly divided into the study group(74 cases)and the control group(74 cases).Patients of the control group were treated with celebrex sustained release capsules.Patients of the study group were treated with kinesiotheraph and Chinese herbal fumigation under the treatment of the control group.The clinical efficacy rate,the degree of joint pain and recovery of knee joint were evaluated with the total effective rate,visual analogue scale and the Western Ortario and Mcmaster universities osteoarthritis index.Results:The total effective rate of the study group was higher than that of the control group(93.24%vs75.68%,P<0.05).The painless rate of the study group was higher than that of the control group(P<0.05),while the severe pain rate of the study group was lower than that of the control group(P<0.05).There was significant difference in WOMAC score between the study group and the control group(P<0.05).Conclusion:It is effective to treat senile knee osteoarthritis with western medicine combined with kinesiotheraph and traditional Chinese medicine fumigation.
作者
陈祥勇
罗春丽
阮丽萍
陈新飞
何娇
Cheng Yong-xiang;Luo Chun-li;Ruan Li-ping;Chen Xin-fei;He Jiao(The First People Hospital of Zhaotong,Yunnan Zhaotong 657000)
出处
《四川生理科学杂志》
2018年第3期194-196,共3页
Sichuan Journal of Physiological Sciences
作者简介
陈祥勇,男,副主任医师,主要从事康复医师,E-mail:15012301909@139.com。