八段锦联合自我管理的社区干预模式对膝骨关节炎临床疗效评价

Evaluation of the Clinical Efficacy of Baduanjin Combined with Self-Management Community Intervention Model on Knee Osteoarthritis

摘要: 目的：评价八段锦联合自我管理的社区干预模式对膝骨性关节炎的临床疗效。方法：135例符合诊断标准的患者随机分为治疗组(66例)、对照组(69例)，对照组予基础治疗联合自我管理，治疗组在对照组的基础上指导患者进行八段锦锻炼。观察两组临床疗效、WOMAC评分以及自我管理评分，评价治疗前后患者膝骨关节炎症状改善情况。结果：两组治疗前后疼痛、日常活动及WOMAC总分均有显著差异(P < 0.05)。两组组间比较中，日常活动及WOMAC总分比较有明显差异(P < 0.05)，能显著改善患者下肢功能评定(Lysholm评分) (P < 0.05)。结论：本研究表明八段锦联合自我管理的社区干预模式对于改善膝关节炎患者的生理功能有显著作用，可提高下肢的日常活动功能，结合中医传统养生理念的KOA自我管理模式的探索已经成为KOA社区干预的重要防治模式，也是改善KOA患者生活质量的必然趋势。

Abstract: Objective: To evaluate the clinical efficacy of Baduanjin combined with self-management commu-nity intervention model on knee osteoarthritis. Methods: 135 patients meeting the diagnostic cri-teria were randomly divided into treatment group (66 cases) and control group (69 cases). The control group received basic treatment combined with self-management, the treatment group in-structed patients to perform Baduanjin exercise on the basis of the control group to observe the clinical efficacy, WOMAC score and self-management score of the two groups, and evaluate the improvement of knee osteoarthritis symptoms before and after treatment. Results: There are sig-nificant differences in pain, daily activities and WOMAC total scores between the two groups before and after treatment. In the comparison between the two groups, there are significant differences in daily activities and total WOMAC scores. Conclusion: This study shows that the community intervention model of Baduanjin combined with self-management has a significant effect on improving the pain, swelling and physiological function of patients with knee arthritis, further improving the daily activity function of the lower limbs, and with satisfactory and stable effect can be obtained.