中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
4期
423-426
,共4页
骨关节炎,膝%中医护理%消炎膏%骨刺颗粒
骨關節炎,膝%中醫護理%消炎膏%骨刺顆粒
골관절염,슬%중의호리%소염고%골자과립
Osteoarthritis,knee%Traditional Chinese medical nursing%Antiphlogistin%Osteophyte particles
目的 探讨中医综合护理在膝骨关节炎(KOA)治疗中的效果.方法 将133例骨科住院KOA患者按照简单随机原则分为观察组和对照组,其中观察组75例,对照组58例.观察组接受中医综合护理(包括内服中药护理、外用中药护理、情志调节、康复指导、饮食护理),对照组接受常规护理措施.治疗前后采用“健康调查简易量表”对两组患者进行评估,治疗后采用《中医病证诊断疗效标准》中“骨痹”的评价标准对患者进行疗效评估.结果 观察组治疗后的体能、精神影响、社会活动、心理健康、体能影响、精力、身体疼痛、一般健康等指标的评分均明显高于对照组[(76.22±11.35)比(67.62±11.53)分,(54.22±11.38)比(48.73 ±9.40)分,(77.49±12.50)比(65.22±10.62)分,(68.33±10.72)比(60.31 ±11.55)分,(42.53 ±6.21)比(37.41 ±8.05)分,(61.61 ±9.54)比(50.27±5.62)分,(70.22±10.08)比(63.72 ±8.58)分,(66.95±9.31)比(59.27 ±8.47)分],差异有统计学意义(T值分别为4.303 5,2.972 0,5.987 8,4.1363,4.141 8,8.0345,3.9309,4.905 2；P＜0.05).两组治疗结束后,根据《中医病证诊断疗效标准》中之“骨痹”疗效标准,观察组的显效率高于对照组(98.67％比93.10％),但两者间差异无统计学意义(P＞0.05).结论 中医综合护理及治疗可明显提高KOA患者的治疗效果,改善患者的生活质量.
目的 探討中醫綜閤護理在膝骨關節炎(KOA)治療中的效果.方法 將133例骨科住院KOA患者按照簡單隨機原則分為觀察組和對照組,其中觀察組75例,對照組58例.觀察組接受中醫綜閤護理(包括內服中藥護理、外用中藥護理、情誌調節、康複指導、飲食護理),對照組接受常規護理措施.治療前後採用“健康調查簡易量錶”對兩組患者進行評估,治療後採用《中醫病證診斷療效標準》中“骨痺”的評價標準對患者進行療效評估.結果 觀察組治療後的體能、精神影響、社會活動、心理健康、體能影響、精力、身體疼痛、一般健康等指標的評分均明顯高于對照組[(76.22±11.35)比(67.62±11.53)分,(54.22±11.38)比(48.73 ±9.40)分,(77.49±12.50)比(65.22±10.62)分,(68.33±10.72)比(60.31 ±11.55)分,(42.53 ±6.21)比(37.41 ±8.05)分,(61.61 ±9.54)比(50.27±5.62)分,(70.22±10.08)比(63.72 ±8.58)分,(66.95±9.31)比(59.27 ±8.47)分],差異有統計學意義(T值分彆為4.303 5,2.972 0,5.987 8,4.1363,4.141 8,8.0345,3.9309,4.905 2；P＜0.05).兩組治療結束後,根據《中醫病證診斷療效標準》中之“骨痺”療效標準,觀察組的顯效率高于對照組(98.67％比93.10％),但兩者間差異無統計學意義(P＞0.05).結論 中醫綜閤護理及治療可明顯提高KOA患者的治療效果,改善患者的生活質量.
목적 탐토중의종합호리재슬골관절염(KOA)치료중적효과.방법 장133례골과주원KOA환자안조간단수궤원칙분위관찰조화대조조,기중관찰조75례,대조조58례.관찰조접수중의종합호리(포괄내복중약호리、외용중약호리、정지조절、강복지도、음식호리),대조조접수상규호리조시.치료전후채용“건강조사간역량표”대량조환자진행평고,치료후채용《중의병증진단료효표준》중“골비”적평개표준대환자진행료효평고.결과 관찰조치료후적체능、정신영향、사회활동、심리건강、체능영향、정력、신체동통、일반건강등지표적평분균명현고우대조조[(76.22±11.35)비(67.62±11.53)분,(54.22±11.38)비(48.73 ±9.40)분,(77.49±12.50)비(65.22±10.62)분,(68.33±10.72)비(60.31 ±11.55)분,(42.53 ±6.21)비(37.41 ±8.05)분,(61.61 ±9.54)비(50.27±5.62)분,(70.22±10.08)비(63.72 ±8.58)분,(66.95±9.31)비(59.27 ±8.47)분],차이유통계학의의(T치분별위4.303 5,2.972 0,5.987 8,4.1363,4.141 8,8.0345,3.9309,4.905 2；P＜0.05).량조치료결속후,근거《중의병증진단료효표준》중지“골비”료효표준,관찰조적현효솔고우대조조(98.67％비93.10％),단량자간차이무통계학의의(P＞0.05).결론 중의종합호리급치료가명현제고KOA환자적치료효과,개선환자적생활질량.
Objective To discuss the application effect of comprehensive traditional Chinese medical (TCM) nursing during knee osteoarthritis treatment.Methods One hundred and thirty-three hospitalized patients with knee osteoarthritis were randomly divided into observation group (75 cases) and control group (58 cases).The observation group received comprehensive TCM nursing including oral Chinese medicine,external-applied Chinese medicine,emotional adjustment,rehabilitation guidance and diet nursing,while the control group received conventional nursing methods.Health survey scales and bone rheumatism in “TCM diagnostic efficacy standards" were respectively used to evaluate the curative effect before and after the treatment.Results The scores in physical agility,metal influence,social activities,psychological health,physical influence,energy,pain and general health were obviously higher in the observation group than those in the control group after treatment [(76.22 ± 11.35) vs (67.62 ± 11.53),(54.22 ± 11.38) vs (48.73 ± 9.40),(77.49 ± 12.50) vs (65.22 ± 10.62),(68.33 ± 10.72) vs (60.31 ± 11.55),(42.53 ± 6.21) vs (37.41 ±8.05),(61.61 ±9.54) vs (50.27 ±5.62),(70.22 ± 10.08)vs (63.72 ±8.58),(66.95 ±9.31)vs (59.27 ±8.47)],and the differences were statistically significant (t =4.303 5,2.972 0,5.987 8,4.136 3,4.141 8,8.034 5,3.930 9,4.905 2 ;P ＜0.05).The successful rate according to the bone rheumatism in “TCM diagnostic efficacy standards" after treatment was higher in the observation group than in the control group (98.67％ vs 93.10％),but the difference was not statistically significant (P ＞ 0.05).Conclusions Comprehensive TCM nursing can evidently increase the curative effect of patients with knee osteoarthritis,and improve their quality of life.
