标题：家庭康复训练配合药物治疗膝骨性关节炎伴骨质疏松症的疗效观察

      作者：张 敬 1，钟良宝 1，郑颜萍 1，刘 楠 1，苏丽莉 2，陈 默 2
    (1.海南医学院附属医院康复医学科，海南 海口 570102；
2.中山大学附属第五医院，广东 珠海 519000)

      卷次： 2013年24卷16期

      【摘要】 目的 探讨家庭康复训练配合药物治疗对膝关节骨性关节炎伴骨质疏松症患者临床疗效的影
响。方法 采用病例对照研究方法，对46例膝关节骨性关节炎(Osteoarthritis, KOA)并骨质疏松症患者进行为期
4个月的观察，A组(23例)采用常规药物治疗，B组(23例)在A组基础上配合家庭康复训练。入选时及治疗4个月
后采用VAS评分、AIMS评分、Lysholm评分对患者疗效进行康复评定。结果 两组患者治疗前疼痛、生存质量、
Lysholm评分差异均无统计学意义(P>0.05)，治疗4个月后两组患者的疼痛和生存质量评分比较差异有统计学意
义(P<0.05)，但A组Lysholm评分治疗前后差异无统计学意义(P>0.05)；B组配合康复治疗后疗效显著(P<0.05)。
结论 药物治疗或药物联合康复治疗均能减轻膝骨性关节炎伴骨质疏松症患者的疼痛，提高生存质量，但在膝关节
功能改善方面，单纯药物治疗效果不佳；家庭康复训练配合药物治疗膝骨性关节炎伴骨质疏松症疗效显著。

      【关键词】 家庭康复训练；膝关节骨性关节炎(KOA)；骨质疏松症(OP)；疗效

      【中图分类号】 R684.3 【文献标识码】 A 【文章编号】 1003—6350（2013）16—2371—04


Clinical efficacy of medicine plus family rehabilitation training in the treatment of knee osteoarthritis and
osteoporosis.
ZHANG Jing 1, ZHONG Liang-bao 1, ZHENG Yan-ping 1, LIU Nan1, SU Li-li 2, CHEN Mo 2. 1. Department
of Rehabilitation Medicine, the Affiliated Hospital of Hainan Medical University, Haikou 570102, Hainan, CHINA; 2. The
Fifth Affiliated Hospital of Sun Yat-sen university, Zhuhai 519000, Guangdong, CHINA

【Abstract】 Objective To explore the clinical efficacy of medicine plus family rehabilitation training for
knee osteoarthritis and osteoporosis. Methods In a case-control study, forty-six patients with knee osteoarthritis and
osteoporosis were divided into two group A and group B，and followed up for four months. Patients in group A were
treated with general medicine therapy, while those in group B were treated with general medicine therapy plus family
rehabilitation training. The visual analogue scale (VAS), arthritis impact measurement scale (AIMS) and Lysholm
knee score (LKSS) were used to appraise the therapeutic effect of two groups on admission and four months after treat-
ment. Results There was no significant difference in two groups on pain, quality of life (QOL) and Lysholm knee
score (LKSS), P>0.05 before treatment. Four months after treatment, the pain, QOL showed statistically significant
difference between group A and group B (P<0.05). For Lysholm knee score (LKSS), there was no significant differ-
ence in group A before and after treatment (P>0.05). The clinical efficacy was significantly improved in group B after
family rehabilitation training (P<0.05). Conclusion For patients with knee osteoarthritis with osteoporosis, both
medicine therapy and medicine therapy combined with rehabilitation training can reduce the pain and improve the
quality of life, but the latter has significantly better effect on the function of knee joint than the former.

      【Key words】 Family rehabilitation training; Knee osteoarthritis (KOA); Osteoporosis (OP); Clinical efficacy