| 欧阳卉英,张欢.健康教育结合坐位调膝法治疗膝骨关节炎临床观察[J].上海护理,2020,20(2): |
| 健康教育结合坐位调膝法治疗膝骨关节炎临床观察 |
| Clinical observation on the treatment of knee osteoarthritis with health education combined with sitting position and knee adjustment |
| DOI： |
| 中文关键词: 健康教育 坐位调膝法 膝骨关节炎 |
| 英文关键词:health education sitting knee adjustment method knee osteoarthritis |
| 基金项目:上海市中医特色诊疗技术提升项目（zyjx-2017074） |
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| 中文摘要: |
| 摘要：目的：观察健康教育结合坐位调膝法治疗膝骨关节疼痛和屈伸不利的临床疗效。方法：选择2018年01月-2018年12月到医院治疗的膝关节病患者120例，治疗组60例运用针对性的健康教育手册结合坐位调膝法，对照组60例采用常规功能康复教育和温针治疗。采用HSS评分系统评价临床疗效和VAS评分系统评价即刻镇痛效果，观察患者首次治疗前后关节疼痛分值和疗程结束后临床疗效分值。结果：两组治疗后，患者首次治疗后，治疗组关节内、外侧VAS评分（3.74±1.65）和（5.03±1.27），明显低于对照组的（6.7±1.52）和（6.98±1.86），有统计学意义（P<0.05），疗程结束后治疗组的临床总有效率为100%，明显高于对照组的60%，治疗组HSS临床疗效评分（73.2±4.80），明显高于于对照组的（59.6±8.09），有统计学意义（P<0.05）。结论：健康教育结合坐位调膝法对膝骨关节炎有更加积极的治疗作用，有利的促进膝关节各项功能的恢复，值得临床推广。 |
| 英文摘要: |
| OBJECTIVE: To observe the clinical effect of health education combined with sitting position and knee adjustment for knee joint pain and flexion and extension. Methods: 120 patients with knee joint disease who were treated in hospital from January 20 to December 2018 were selected. 60 patients in the treatment group were given a targeted health education manual combined with sitting-position knee-adjusting method, and 60 patients in the control group were treated with routine functional rehabilitation and Warm needle treatment. The HSS scoring system was used to evaluate the clinical efficacy and the VAS score system to evaluate the immediate analgesic effect. The patient's joint pain scores before and after the first treatment and the clinical efficacy scores after the end of the treatment were observed. RESULTS: After the first treatment, the VAS scores of the intra-articular and lateral VAS of the treatment group (3.74±1.65) and (5.03±1.27) were significantly lower than those of the control group (6.7±1.52) and (6.98±1.86). Statistically significant (P<0.05), the total effective rate of the treatment group was 100% after treatment, which was significantly higher than 60% of the control group. The clinical efficacy score of HSS in the treatment group was (73.2±4.80), which was significantly higher than that of the control group. The group (59.6±8.09) was statistically significant (P<0.05). Conclusion: Health education combined with sitting position adjustment method has a more positive therapeutic effect on knee osteoarthritis, which is beneficial to promote the recovery of various functions of knee joint, which is worthy of clinical promotion. |
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