中医特色健康管理与治疗对膝骨关节炎术后关节功能及生活质量的影响
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R684

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Effect of Health Management and Treatment of Chinese Medicine Characteristics on Postoperative Joint Function and Quality of Life in Patients with Knee Osteoarthritis
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    摘要:

    目的:观察中医特色健康管理与治疗对膝骨关节炎(KOA)患者术后关节功能和生存质量的影响。方法:选取158例KOA患者,采用随机数字表法分为对照组和观察组各79例。对照组给予常规治疗,观察组在此基础上加用中医特色健康管理与治疗方法。治疗后比较2组临床疗效,观察患者治疗前后膝关节评分、生活质量评分及自我管理行为评分。结果:观察组治疗总有效率93.67%,对照组治疗总有效率83.54%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组健康调查简表(SF-36)评分和美国膝关节学会评分(AKSS) 均较治疗前升高(P<0.05);观察组的2项评分均比对照组升高更明显(P<0.05)。治疗后,2组运动锻炼、认知性症状管理及医患沟通能力评分均较治疗前提高(P<0.05);观察组运动锻炼、认知性症状管理及医患沟通能力评分均高于对照组(P<0.05)。结论:中医特色健康管理与治疗能促进KOA患者术后关节功能的恢复,提高生活质量。

    Abstract:

    Objective:To observe the effect of health management and treatment of Chinese medicine characteristics on postoperative joint function and quality of life in patients with knee osteoarthritis(KOA).MethodsSelected 158 cases of patients with KOA,and divided them into the control group and the observation group according to the random number table method,79 cases in each group.The control group was given routine therapy,while the observation group additionally receivedhealth management and treatment of Chinese medicine characteristics based on treatment of the control group.Compared clinical effect of both groups,and observed scores of knee joint,quality of life,and self-management behavior before and after treatment.ResultsThe total effective rate was 93.67%in the observation group and 83.54%in the control group,the difference being significant(P < 0.05).After treatment,scores of the MOS item short from health survey(SF-36)and American knee society score(AKSS)in both groups were all increased when compared to those before treatment(P<0.05);the two scores in the observation group were increased more obviously than those in the control group(P < 0.05).After treatment,scores of exercise training,cognitive symptom management and capability of physician-patient communication in both groups were all increased when compared to those before treatment(P < 0.05);the three scores in the observation group were higher than those in the control group(P<0.05).ConclusionThe health management and treatment of Chinese medicine characteristics can promote recovery of postoperative joint function and improve the quality of life in patients with KOA.

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张嘉良.中医特色健康管理与治疗对膝骨关节炎术后关节功能及生活质量的影响[J].新中医,2018,50(2):62-65

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  • 在线发布日期: 2018-02-08
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