摘要
目的观察中药离子导入个体化护理方案在膝关节骨性关节炎治疗中的应用效果。方法采用随机化平行对照试验的方法,选择2015年1月~2016年6月在中国中医科学院眼科医院骨科住院治疗的100例膝关节骨性关节炎患者,采用随机数字表法分为观察组和对照组,每组各50例。两组患者均接受包括中药离子导入在内的中医特色综合治疗,每天1次,共3周。在中药离子导入方面,观察组采用个体化的护理方案,根据患者感觉和表现调节的电流强度和药液温度,对照组采用常规护理方案,采用患者满意的固定电流和药液温度,不再进行调整。记录患者的不良反应,WOMAC评分以评价治疗效果。结果 WOMAC评分方面,两组治疗后与治疗前相比,疼痛、僵硬以及进行日常生活的难度得分均有显著改善(P<0.05)。治疗后组间对比显示,观察组疼痛和僵硬得分改善情况明显优于对照组(P<0.05),两组进行日常生活的难度得分改善情况比较,差异无统计学意义(P>0.05)。不良反应:两组水泡发生率比较,差异无统计学意义(P>0.05),观察组红斑以及皮肤感觉异常发生率均显著低于对照组(P<0.05)。结论与常规导入护理相比,个体化护理方案能够提高膝关节骨性关节炎的短期治疗效果,且能够减少不良反应的发生。
Objective To observe the effect of individualized iontophoresis nursing scheme in application on knee osteoarthritis. Methods It was a randomized parallel control study. One hundred patents with osteoarthritis hospitalized in Orthopedics Ward of Eye Hospital China Academy of Chinese Medical Sciences from January 2015 to June 2016 were selected and divided into control group and observation group by random number table, with 50 cases in each group.All patients were treated by combined therapeutic plan including iontophoresis with herbal decoction. Patients in observation group were treated by individualized nursing scheme which used dynamically adjusted electric current and temperature of decoction in therapy. While participants in control group were managed by conventional nursing scheme with settled current and temperature. Adverse events were recorded to evaluate the safety of two nursing plans. The WOMAC score was collected after therapy as parameter for effect. Results For comparison of WOMAC score within group, patients in both groups were improved in all three subitems（P〈0.05）. For comparison of WOMAC between groups,variation of pain and stiffness in observation group were more significant than control group（P〈0.05）, while change of physical function was similar in two groups（P〈0.05）. For adverse events, incidence rate of blister was not statistically different between two groups（P〈0.05）. While incidence rates of erythema and abnormal sensation in observation group were significantly lower than that in control group（P〈0.05）. Conclusion In contrast to conventional nursing scheme, the individualized iontophoresis nursing scheme improved the short-term effects on patients with knee osteoarthritis and decrease the adverse events.
作者
王海燕
杨剑英
付海英
WANG Haiyan YANG Jianying FU Haiying(Nursing Department, Eye Hospital, China Academy of Chinese Medical Science, Beijing 100040, China Ocular Outpatient Department, Eye Hospital, China Academy of Chinese Medical Science, Beijing 100040, China)
出处
《中国医药导报》
CAS
2017年第22期173-176,共4页
China Medical Herald
基金
中国中医科学院院级基金项目(ZZ0808042)
