Objective To explore the effect of exercise intervention for arthralgia in patients with knee osteoarthritis. Methods Totally 80 patients with knee osteoarthritis recruited were selected as the research objects. Patients were divided into observation group (n=29) and control group(n=51). The control group was given oral administration of Glucosamine Sulfate, Jintiage Capsules and external application of diclofenac diethylamine emulsion. In the observation group, on the basis of the control group, the bone arthritis exercise was used for intervention. The disease awareness, Body Mass Index (BMI), Visual Analogue Scale (VAS) score, WOMAC score and clinical syndrome quantitative score of the two groups were observed and recorded. Results After 12 weeks of treatment, the cognitive function scores of 2 groups were significantly increased, and cognitive function score in observation group were higher than that in the control group (P<0. 05). The VAS score, WOMAC score and clinical syndrome quantification score in two groups were significantly decreased, and lower outcomes of VAS, WOMAC and clinical syndrome quantification were found in the observation group compared with those in the control group(P<0. 01). The overall effective rate in the observation group was higher than that in the control group (P<0. 01). Conclusion The application of exercise intervention for arthralgia is potentially effective to increase patient's awareness, relieve the knee pain, improve the function of the knee joint and relieve the clinical symptoms of patients.
This paper summarized the nursing measures for a case of gout treated by auricular acupoints sticking-pressing therapy. Key issues of nursing included living care, dietary instruction, psychological intervention, procedure and cautions of auricular acupoints sticking-pressing therapy. Based on the scientific evaluation and acupoints selection by syndrome differentiation, targeted nursing interventions are effective to reduce the pain and improve the quality of life in patients with gout.
T his paper summarized the Traditional Chinese Medicine (TCM) nursing management for a rheumatoid arthritis patient with knee joint pain. Nursing interventions included TCM characteristic nursing techniques such as TCM wax therapy, auricular point sticking therapy; Health education such as TCM diet treatment, functional exercise, TCM emotional care and other nursing interventions. The TCM characteristic nursing can effectively relieve the knee joint pain of patients with rheumatoid arthritis. The TCM characteristic nursing has advantages of easy-to-use, easy-to-achieve, high cost-effectiveness and high degree of patients' acceptance and tolerance.
Objective: The objective of this study is to assess the application effect of five elements music therapy introduced in the pain coping skills training of knee osteoarthritis (KOA).Materials and Methods: Totally, 80 patients with KOA were selected and randomly divided into the experimental group (39 cases) and the control group (41 cases). The control group was only given routine nursing measures, and the experimental group was additionally treated with five-element music therapy on the basis of the control group, twice a day, 28 days in total. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to evaluate the functional status of the knee joint of the two groups. The clinical efficacy of the two groups was evaluated by Guiding Principles for Clinical Research of New Chinese Medicine in the Treatment of Osteoarthritis.Results: WOMAC score statistically significantly decreased in the experimental group (35.92 ± 9.48 vs. 16.17 ± 5.43, P < 0.01) and the control group (36.73 ± 6.42 vs. 22.53 ± 7.51, P < 0.01) after 28 days of intervention when compared with that before intervention; WOMAC score in the experimental group was lower than that of the control group after 28 days of intervention (16.17 ± 5.43 vs. 22.53 ± 7.51, P < 0.01). The total effective rate of the experimental group was statistically higher than that of the control group (82.0% vs. 51.2%, χ2 = 11.97, P= 0.003).Conclusion: The combination of five-element music therapy and routine nursing measures has better effect in relieving pain and bad emotions of patients with KOA when compared with routine nursing measures alone.
目的:比较不同持续时间中药蜡疗缓解膝骨关节炎症状的效果.方法:将62例膝骨关节炎患者随机分为A组(n=32)和B组(n=30).A组患者实施40 min中药蜡疗,B组患者实施20 min中药蜡疗,疗程均为4周.采用膝关节疼痛视觉模拟评分(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC评分)评价患者膝关节的结构和功能,并评价临床疗效.结果:干预4周后,两组患者VAS评分、WOMAC评分均较治疗前降低(P<0.05),A组患者评分均低于B组(P<0.05).A组总有效率为78.13%,B组总有效率为60.00%,A组优于B组,差异有统计学意义(P<0.05).结论:40min中药蜡疗对于缓解膝骨关节炎症状的疗效优于20 min中药蜡疗.
子午流注理论认为,脏腑经络的气血循行有着时间特异性,人体气血在十二经脉中按一定的时辰顺序循环往复地运行,并且在十二经脉上出现气血盛与衰的变化规律.目前,子午流注理论逐步应用于膝骨关节炎的各种中医治疗方法中,如穴位贴敷、穴位按压、针灸、低频治疗仪等,并取得了一定的效果.