等長訓(xùn)練聯(lián)合康復(fù)護(hù)理對膝骨性關(guān)節(jié)炎患者疼痛的影響

韓茜

【摘要】 目的：探討等長訓(xùn)練聯(lián)合康復(fù)護(hù)理對膝骨性關(guān)節(jié)炎患者疼痛的影響。方法：選擇2016年6月-2018年12月于筆者所在醫(yī)院就診的膝骨性關(guān)節(jié)炎患者72例，采用隨機(jī)數(shù)字表法將患者分為研究組（n=36）與參照組（n=36），參照組患者采用常規(guī)護(hù)理模式干預(yù)，研究組患者在此基礎(chǔ)上予以等長訓(xùn)練聯(lián)合康復(fù)護(hù)理干預(yù)，比較兩組干預(yù)效果。結(jié)果：研究組干預(yù)后主動(dòng)30°、主動(dòng)60°位置覺值均低于參照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組干預(yù)后GMFM-88評分、Berg評分、AROM值均高于參照組，VAS評分低于參照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組干預(yù)后WOMAC評分低于參照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：等長訓(xùn)練聯(lián)合康復(fù)護(hù)理干預(yù)可有效減輕膝骨性關(guān)節(jié)炎患者的疼痛程度，改善患者本體感覺，提高粗大運(yùn)動(dòng)功能及平衡功能，改善膝關(guān)節(jié)活動(dòng)度，促進(jìn)膝關(guān)節(jié)功能恢復(fù)，提高患者的運(yùn)動(dòng)功能，干預(yù)效果良好，值得推薦。

【關(guān)鍵詞】 膝骨性關(guān)節(jié)炎 等長訓(xùn)練 康復(fù)護(hù)理 本體感覺 運(yùn)動(dòng)功能 疼痛程度

doi：10.14033/j.cnki.cfmr.2019.30.075 文獻(xiàn)標(biāo)識碼 B 文章編號 1674-6805（2019）30-0-03

[Abstract] Objective： To explore the effect of equal length training combined with rehabilitation nursing on pain in patients with knee osteoarthritis. Method： Seventy-two patients with knee osteoarthritis who were treated in our hospital from June 2016 to December 2018 were selected. They were divided into the study group （n=36） and the reference group （n=36） by random number table method. The control group was intervened by routine nursing mode. The study group was given equal-length training combined with rehabilitation nursing intervention on this basis. The intervention effect was compared between the two groups. Result： The scores of active 30 and active 60 position perception in the study group were significantly lower than those in the control group （P<0.05）. The GMFM-88 score， Berg score and AROM value of the study group after intervention were significantly higher than those of the control group， and the VAS score was significantly lower than that of the control group （P<0.05）. The WOMAC score of the study group after intervention was significantly lower than that of the control group （P<0.05）. Conclusion： Isometric training combined with rehabilitation nursing intervention can effectively alleviate the pain of patients with knee osteoarthritis， improve the proprioception of patients， improve the gross motor function and balance function， improve the range of motion of knee joint， promote the recovery of knee joint function， improve the motor function of patients， and the effect of intervention is good， which is worthy of recommendation.

[Key words] Knee osteoarthritis Isometric training Rehabilitation nursing Proprioception Motor function Pain degree

First-authors address： The Affiliated Hospital of Xuzhou Medical University， Xuzhou 221000， China

膝骨性關(guān)節(jié)炎（KOA）是一種臨床上比較常見的慢性退行性疾病，以關(guān)節(jié)疼痛、運(yùn)動(dòng)障礙為主要臨床特征，發(fā)病率高，患者多為中老年人，且女性多于男性。該病會導(dǎo)致患者的膝關(guān)節(jié)骨軟骨破壞，骨質(zhì)增生及破壞，韌帶病變，嚴(yán)重影響患者的運(yùn)動(dòng)功能，導(dǎo)致患者的日常生活質(zhì)量明顯下降[1-3]。因此，本研究探討探討等長訓(xùn)練聯(lián)合康復(fù)護(hù)理對膝骨性關(guān)節(jié)炎患者疼痛的影響，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選擇2016年6月-2018年12月于筆者所在醫(yī)院就診的膝骨性關(guān)節(jié)炎患者72例。納入標(biāo)準(zhǔn)：（1）符合美國風(fēng)濕病學(xué)會制定的KOA診斷標(biāo)準(zhǔn)[4];（2）既往無膝關(guān)節(jié)手術(shù)史。排除標(biāo)準(zhǔn)：（1）合并嚴(yán)重神經(jīng)系統(tǒng)疾病;（2）合并風(fēng)濕性疾病;（3）合并嚴(yán)重心、肺、肝、腎疾病;（4）合并其他骨關(guān)節(jié)疾病;（5）合并認(rèn)知功能障礙。采用隨機(jī)數(shù)字表法將患者分為研究組（n=36）與參照組（n=36）。研究組男12例，女24例，年齡47～78歲，平均（57.88±4.10）歲，病程1～6年，平均（4.32±1.09）年;參照組男13例，女23例，年齡49～74歲，平均（57.92±4.35）歲，病程1～6年，平均（4.28±1.10）年。……