顾光丽,孙丽华,胡丽华,孟显美,冯安琪
GU Guangli,SUN Lihua,HU Lihua,MENG Xianmei,FENG Anqi

• 1:贵州医科大学附院
• 2:贵州医科大学附属口腔医院

摘要(Abstract)：

目的:观察康复训练联合膝关节腔注射对中老年膝关节骨性关节炎(KOA)患者的膝关节疼痛及功能恢复的效果。方法:选取44例KOA患者均分为实验组(行康复训练联合膝关节腔注射)与对照组(行单纯膝关节腔注射),两组患者采用所对应方法治疗5周,术后第8、12周随访;于治疗前、治疗后第1周、第2周、第3周、第4周、第8周和第12周时,采用数字疼痛强度量表(NRS)、膝关节置换术后评定量表(HSS)评估患者膝关节疼痛程度和关节功能恢复情况。结果:随治疗时间的延长,实验组患者NRS评分呈明显下降趋势(P<0.001),治疗后第4周、第8周和第12周的NRS评分均低于对照组患者,差异有统计学意义(P<0.05);随着治疗时间的延长,实验组患者HSS评分呈明显上升趋势(P<0.001),治疗后第3周、第4周、第8周和第12周的HSS评分均高于对照组患者,差异均有统计学意义(P<0.05或P<0.01)。结论:相较于单纯膝关节腔注射,康复训练联合膝关节腔注射可以更有效地缓解中老年KOA患者膝关节疼痛和促进其功能恢复。
Objective: To investigate knee joint pain and efficacy of recovery of knee joint cavity injection combined with recovering training on knee osteoarthritis in middle aged and elderly patients. Methods: Selecting 44 patients with knee osteoarthritis randomly, and randomly dividing them into experimental group(receiving recovering training combined with knee joint cavity injection) and control group(receiving knee joint cavity injection). Both groups received designated treatment for five weeks; follow-up interview were conducted in 8~(th) and 12~(th) week after surgery. NRS and HSS scores were used to compare the pain level and joint function recovery levels of knee before treatment, 1~(st), 2~(nd), 3~(rd), 4~(th), 8~(th) and 12~(th) week after treatment. Results: With the treatment protracted, NRS scores of experiment group showed an obvious decreasing trend(P<0.001); NRS scores of 4~(th), 8~(th) and 12~(th) week after treatment were lower than control groups, differences were statistically significant(P<0.05); the prolonged treatment also witnessed an upward trend in HSS scores of experiment group(P<0.001), HSS scores of 3~(rd), 4~(th), 8~(th) and 12~(th) week after treatment were higher than control groups, differences were statistically significant(P<0.05 or P<0.01). Conclusion: Recovering training combined with knee joint cavity injection were better at alleviating the pain and promoting functional recovery of knee osteoarthritis.

关键词(KeyWords)： 康复护理;膝关节;骨关节炎;功能恢复;膝关节腔注射
recovering training;knee joint;osteoarthritis;recovery of function;knee joint cavity injection

Abstract:

Keywords:

基金项目(Foundation): 贵州医科大学附属医院科研基金项目(GYHLB201712)

作者(Author): 顾光丽,孙丽华,胡丽华,孟显美,冯安琪
GU Guangli,SUN Lihua,HU Lihua,MENG Xianmei,FENG Anqi

DOI: 10.19367/j.cnki.1000-2707.2019.09.025

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