The effect of rehabilitation in the department of orthopedics and traumatology of traditional Chinese medicine on senile osteoarthritis
中医骨伤科康复治疗老年骨性关节炎的效果

摘要

目的 分析中医骨科康复治疗在老年骨性关节炎治疗中发挥的临床效能。方法 将2021年全年覆盖范围纳为研究时间，将老年骨性关节炎患者纳入研究对象，随机遴选80例患者作为试验样本（n=80），以其用康复治疗方案为依据同时经双盲法令患者为对照组（n=40，应用基础对症支持治疗方案）与研究组（n=40，在前组的前提下应用中医康复治疗），观察条目包括患者疼痛视觉模拟量表临床评估、患者Lequesne-Mery量表（汉化）临床评估、关节积液中血清炎性因子表达、患者治疗结局。结果 研究组患者疼痛视觉模拟量表临床评估分数更低；患者Lequesne-Mery量表（汉化）临床评估分数更高；患者关节积液中血清炎性因子中IL-1β、TNF-α、IL-6表达更低，与对照组患者相较组间数据存在统计性（P<0.05）；研究组患者治疗有效率更高，与对照组患者相较组间数据存在统计性（P<0.05）。结论 中医骨科康复治疗在老年骨性关节炎治疗中发具备协助患者获得更加理想治疗结局与康复效果的能力，相较于常规康复路径存在更高的临床使用价值。

Abstract

Objective: To analyze the clinical efficacy of TCM orthopedic rehabilitation therapy in the treatment of senile osteoarthritis.
Methods: The whole year coverage in 2021 was included as the study time, and the elderly patients with osteoarthritis were included in the study. 80 patients were randomly selected as the test sample (n=80). Based on the rehabilitation treatment scheme, the patients who received a double-blind decree were taken as the control group (n=40, basic symptomatic support treatment scheme was applied) and the study group (n=40, traditional Chinese medicine rehabilitation treatment was applied under the premise of the former group), The observation items included the clinical evaluation of the patient's pain visual simulation scale, the clinical evaluation of the patient's Lequesne Mery scale (Chinese version), the expression of serum inflammatory factors in joint effusion, and the patient's treatment outcome.
Results: The patients in the study group had lower scores in the clinical evaluation of the pain visual simulation scale; The clinical evaluation score of patients with Lequesne Mery scale (Chinese version) was higher; IL-1 in serum inflammatory factors in patients with joint effusion β, TNF- α, The expression of IL-6 was lower than that of the control group, and there was statistical difference between the two groups (P<0.05); The treatment effectiveness rate of patients in the study group was higher than that of patients in the control group, and the data between groups were statistically significant (P<0.05).
Conclusion  : Traditional Chinese orthopedic rehabilitation treatment in the treatment of elderly osteoarthritis has the ability to help patients obtain more ideal treatment outcome and rehabilitation effect, and has higher clinical value compared with conventional rehabilitation path.