摘要
目的:探讨中医序贯护理对膝骨关节炎的疗效及其影响因素分析。方法:选取本院骨科2017年1月-2020年6月收治的膝骨关节炎患者70例,采用随机数字表法分为中医序贯护理组(观察组)和常规护理组(对照组),每组各35例。对照组给予常规护理方案,观察组给予中医序贯护理方案,比较2组干预前后WOMAC量表评分、膝关节肿胀程度、Lysholm量表、优良率及不良事件发生率,并探索影响疗效的相关影响因素。结果:中医序贯护理对比常规护理,可显著改善患者膝关节功能及症状,优良率显著,不良反应发生率较低。且多因素Logistic回归分析结果显示,选择中医序贯护理治疗疗效优良的概率是常规护理的3.20倍,更加验证了中医序贯护理的显效性。此外,干预前WOMAC评分及干预前Lysholm评分也与患者总体疗效密切相关。结论:中医序贯护理对膝骨关节炎患者疗效显著,值得临床推广。
Objective:To explore the effect of sequential nursing of traditional Chinese medicine on knee osteoarthritis and analysis of its influencing factors.Methods:A total of 70 patients with knee osteoarthritis admitted to the orthopedics department of our hospital from January 2017 to June 2020 were selected and divided into sequential and routine groups by random number table,with 35 cases in each group.The routine group was given a routine nursing plan,and the sequential group was given a traditional Chinese medicine sequential nursing plan.The two groups were compared before and after the intervention WOMAC scale score,knee swelling degree,Lysholm scale,excellent and good rate and adverse event rate,and explored the related effects that affect the curative effect Influencing factors.Results:Compared with conventional nursing,TCM sequential nursing can significantly improve the knee joint function and symptoms of patients,with a significant good and good rate and a low incidence of adverse reactions.And the multi-factor Logistic regression analysis results show that the probability of choosing TCM sequential nursing treatment with excellent curative effect is 3.200 times that of conventional nursing,which further verifies the remarkable effect of TCM sequential nursing.In addition,the pre-intervention WOMAC score and the pre-intervention Lysholm score are also closely related to the overall efficacy of the patient.Conclusion:TCM sequential nursing has a significant effect on patients with knee osteoarthritis,and it is worthy of clinical promotion.
作者
陈特
何杏玲
黄嘉文
周艺珊
CHEN Te;HE Xing-ling;HUANG Jia-wen(Panyu TCM hospital of Guangzhou,Guangzhou,Guangdong 511400)
出处
《中国伤残医学》
2023年第3期21-24,29,共5页
Chinese Journal of Trauma and Disability Medicine
关键词
中医序贯护理
膝骨关节炎
影响因素分析
TCM sequential nursing
Knee osteoarthritis
Analysis of influencing factors
