双氯酚酸钠贴片配合肌力训练对老年膝关节骨性关节炎患者的疗效研究.docVIP

精品论文 参考文献 双氯酚酸钠贴片配合肌力训练对老年膝关节骨性关节炎患者的疗效研究 卢　毅 　　云南瑞奇德医院康复医学科　云南　昆明　６５０２２４ 　　【摘要】　目的　观察双氯酚酸钠贴片配合肌力训练对老年膝骨性关节炎(KOA)患者的视觉类比量表(VAS)、Lysholm 膝关节运动功能、关节活动度(ROM)的影响.方法　选择６０例老年膝骨性关节炎患者,随机分为治疗组与对照组,治疗组接受双氯酚酸钠贴片治疗配合肌力训练,双氯酚酸钠贴片外贴治疗每日１贴外贴１６小时、连续使用２周,肌力训练每周５次,８周后结束１个疗程;对照组接受肌力训练,１天１次,每周训练５次,共训练４０次.结果　经过治疗与训练,治疗组与对照组Lysholm 评分与治疗前比较均有明显增加(P＜０．０５),但是２组治疗后的评分相比较无明显差异(P＞０．０５);治疗组与对照组治疗前后VAS评分均有明显下降(P＜０．０５),并且治疗组的下降更为明显(P＜０．０５);２组的ROM 与治疗前相比较均有显著的改善,治疗组ROM 在治疗后的改善程度明显好于对照组治疗后的情况(P＜０．０５),治疗后２组ROM 没有明显差异(P＞０．０５).结论　双氯酚酸钠贴片配合肌力训练对老年KOA 患者的疼痛及关节活动度的改善更为有效. 【关键词】　老年人;　膝骨性关节炎;　双氯酚酸钠贴片;　肌力训练Doublephenolicacidsodiumchloridepatchwithstrengthtrainingtostudythecurativeeffectofelderlypatientswithkneeosteoarthritis　LUYIDepartmentofRehabilitationMedicine,Richland Hospital,Yunan６５０２２４,China【Abstract】ObjectiveToinvestigatetheeffectofcombinationtherapyofDoublephenolicacidsodiumchloridepatchandmuscularstrengthexerciseforelderlypatientswithosteoarthritisofkneeinvisualanaloguescale(VAS),rangeofmotion(ROM)andjointfunction．MethodsSixtyelderlypatientswithosteoarthritisofkneewererandomlydividedintotreatmentgroup(n＝３０)andcontrolgroup(n＝３０)．ThetreatmentgroupwastreatedwithDoublephenolicacidsodiumchloＧridepatchstick１６hoursaday,２weeksofcontinuoususe,andwithmuscularstrengthexercisefivedaysaweekforacourseofeightweeks．Thecontrolgroupwastreatedwithmuscularstrengthexercisefivetimesaweekforacourseofeightweeks．ResultsAfteracourseoftreatmentandtraining,LysholmscoreandROMandpeaktorqueofbothgroupsincreasedobviously,whileVASscoredecreasedobviously．ThetreatmentgrouphadabettereffectonincreasingROManddecreasingVAS．ConclusionsCombinationtherapyofDoublephenolicacidsodiumchloridepatchandmuscularstrengthexercisehasabettereffectonreducingkneejointpainandincreasingROMinelderlypatientswithosteoarthritisofknee．【Keywords】aged;osteoarthritisofknee;Doublephenolicacidsodiumchloridepatch;muscularstrengthexercise 【中图分类号】R４１５ 【文献标识码】B 　　【文章编号】１００８－６３１５(２０１５)１２－０８８９－０２　　 　　膝骨性关节炎(osteoarthritisofknee,KOA)是一种常见的慢性退行性骨关节疾病.好发于中老年人,临床上多见膝关节疼痛和