摘要
目的 探讨中药药熨结合康复训练在膝关节炎护理中的协同作用研究。方法 选择我院于2024年6月-2025年6月期间内接收的膝关节炎患者90例，将其按随机分组方法分为对照组和观察组，对照组和观察组各45例，其中对照组采取康复训练，观察组在对照组的基础上加用中药药熨。对两组患者的临床护理效果进行对比和评估。结果 护理干预前，两组在膝关节功能评分、疼痛评分及生活质量评分方面无统计学意义的显著性差异（P＞0.05）。经护理干预后对比观察组与对照组数据发现，观察组膝关节功能评分高于对照组（P＜0.05），疼痛程度评分低于对照组（P＜0.05），生活质量评分高于对照组（P＜0.05）。结论 在对膝关节炎患者实施中药药熨结合康复训练取得明显的效果，可有效提高患者膝关节功能和生活质量，减轻疼痛程度，有较高应用价值。
关键词： 膝关节炎；中药药熨；康复训练；护理
Abstract
Objective Study on the synergistic effect of traditional Chinese medicine herbal compress combined with rehabilitation training in knee arthritis nursing. Methods Ninety patients with knee arthritis admitted to our hospital from June 2024 to June 2025 were randomly divided into a control group and an observation group, with 45 cases in each group. The control group received rehabilitation training, while the observation group received traditional Chinese medicine herbal compress in addition to the control group. The clinical nursing outcomes of the two groups were compared and evaluated. Results Before nursing intervention, there was no statistically significant difference between the two groups in terms of knee joint function score, pain score, and quality of life score (P>0.05). After nursing intervention, it was found that the knee joint function score of the observation group was higher than that of the control group (P<0.05), the pain level score was lower than that of the control group (P<0.05), and the quality of life score was higher than that of the control group (P<0.05). Conclusion The implementation of traditional Chinese medicine herbal compress combined with rehabilitation training for patients with knee arthritis has achieved significant results, effectively improving knee joint function and quality of life, reducing pain levels, and has high application value.
Key words： Knee arthritis; Chinese herbal medicine herbal compress; Rehabilitation training; Nursing
参考文献 References
[1] 阳佳良,秦莉花. 中医特色护理技术对膝骨关节炎疼痛影响的研究进展[J]. 中医药导报,2025,31(5):142-147, 151.
[2] 刘凤龙.中医定向透药疗法联合康复训练对膝关节骨性关节炎患者膝关节功能及疼痛程度的影响[J].反射疗法与康复医学,2022,3(09):22-24+32.
[3] 肖丽. 中医外治护理联合康复训练对老年膝骨性关节炎疼痛评分、膝关节功能及生活质量的影响[J]. 反射疗法与康复医学,2021,2(17):62-65.
[4] 郑毅鸿,施美爱,王文钧,等. 程序化疼痛护理联合康复训练在老年膝骨关节炎患者围手术期的应用效果[J]. 中西医结合护理（中英文）,2023,9(5):1-4.
[5] 刘秀锦,韦艳珍,史明,等.基础药物合壮药药熨与护理干预对风寒湿型膝关节骨性关节炎的临床影响[J].中国民族医药杂志,2023,29(01):13-16.
[6] 中华中医药学会骨伤科分会膝痹病（膝骨关节炎）临床诊疗指南制定工作组. 中医骨伤科临床诊疗指南•膝痹病(膝骨关节炎)[J]. 康复学报,2019,29(3):1-7.
[7] 张孝云,陆静波,戴金花,等. 穴位敷贴联合中药热熨对缓解膝关节炎患者疼痛的效果评价[J]. 国际护理学杂志, 2020,39(11):1996-1999.
[8] 严永凤,谢彩贤,梁敏琼,等. 中医特色通痹护理联合康复训练指导在膝关节骨性关节炎患者中的应用效果[J]. 当代医药论丛,2020,18(13):233-234.