摘要
目的:比较物理治疗和预防并用与单纯的物理治疗对退行性膝关节炎患者生活质量影响的差异。方法:选择2001-06/2004-12在中山大学附属第三医院康复科病房进行住院康复治疗的退行性膝关节炎患者35例,均自愿参加观察。随机分为2组,观察组18例,对照组17例。①观察组在物理疗法的基础上进行预防宣教。物理治疗方法根据发炎的不同阶段确定。在发炎初期:休息;冰敷15min/次,每天两三次;运动每日两三次。在发炎后期:中药薰洗或热敷15min/次,每天两三次;电疗;水疗;运动。预防宣教方法:与物理治疗同时进行,目的在于减轻膝关节负重作用,内容包括坐代替蹲、坐高椅代替坐低椅、避免长时间行路或站立等。②对照组只采用与观察组相同的物理治疗,而不加预防宣教。两组患者均治疗1个月。两组患者治疗前及治疗1个月后应用关节炎影响评定量表(分为活动度、体力活动、灵巧度、家务活动、社会活动、日常生活能力、疼痛及焦虑8大项,总分最高分46分,最低分0分。总分越高,表明患者的生活质量越差)来评价生活质量。结果:退行性膝关节炎患者35例全部进入结果分析,无脱落。两组患者治疗前及治疗1个月后关节炎影响量表评分比较:观察组及对照组治疗1个月后评分均显著低于治疗前[24.42±4.36,41.28±4.82;30.66±4.53,41.84±5.04(t=6.24,4.18,P<0.01)]。治疗1个月后观察组评分显著低于对照组(t=2.16,P<0.05)。结论:物理治疗与预防并用的方法可以明显改善退行性膝关节炎患者的生活质量,较单纯的物理治疗更有效。
AIM： To compare the differences between effects of physiotherapy and combination of physiotherapy and preventive education on quality of life in patients with degenerative gonarthritis.
METHODS： Thirty-five inpatients with degenerative gonarthritis in the Department of Rehabilitation, Third Affilicated Hospital, Sun Yat-Sen University from June 2001 to December 2004 were randomly selected. All participants took part in the experiment voluntarily and randomly divided into 2 groups： Observation group （n=18） and control group （n=17）.① Patients in the observation group received preventive education at the base of physiotherapy according to the stage of inflammation. In early period of inflammation： Rest; Ice compress for 15 mins each time and 2-3 times each day; Exercises for 2-3 times each day. In later period of inflammation： Hot compress and washed with traditional Chinese medicine 2-3 times each day for 15 mins each time; Electrotherapy; Water therapy; Exercise. Preventive method： Performed at the same time of physiotherapy, aimed at relieving weight loading of knee joint including sitting instead of squatting, sitting high chair instead of sitting low chair, refrained from long time walking or standing. ②Patients in the control group received physiotherapy without preventive education. Patients in beth groups were treated for one month. Before the treatment and one month after the treatment, patients＇ quality of life were evaluated with arthritis impact measurement scale （including 8 items such as activity, physical work, dexterity degree, house work activity, social activities, normal living ability, pain and anxiety, the highest total score was 46 points and the lowest score was zero. The higher the total score, the poorer the quality of life）.
RESULTS： Thirty-five patients with degenerative gonarthritis were all involved in the analysis of results, no subject withdrew from the experiment. Comparison of scores in arthritis impact measurement scale in both groups, before treatment and one month ＇after the treatment： They were significantly lower in both group than those before the treatment[24.42±4.36,41.28±4.82 ; 30.66±4.53,41.84±5.04 （t =6.24, 4.18,P 〈 0.01）].
CONCLUSION： Combination of physiotherapy and preventive education can significantly ameliorate the quality of life in patients with degenerative gonarthritis, which is more effective than only using physiotherapy.
出处
《中国临床康复》
CSCD
北大核心
2006年第4期32-33,共2页
Chinese Journal of Clinical Rehabilitation
