辨证施护干预辅以活血通络凝胶外敷对镜下关节清理术治疗膝关节骨性关节炎的效果

目的：探讨辨证施护干预联合活血通络凝胶以及镜下清理术在骨性关节炎中的应用效果。方法选取2008年7月至2010年2月我院收治的KOA患者96例，随机分为干预组和对照组。对照组患者采用镜下关节清理术联合扶他林乳膏外敷疗法，术后给予常规护理；干预组患者采用镜下关节清理术辅以活血通络凝胶进行外敷治疗，术后采取中医辨证施护。疗程结束后观察两组临床疗效及其对血液与关节液中IL-1水平，并评价护理服务满意率。结果干预组患者治疗总有效率明显高于对照组（P＜0.05），患者血清与关节液中IL-1水平均明显低于对照组（均P＜0.05），患者护理服务满意率明显高于对照组（P＜0.05）。结论在膝关节骨性关节治疗中采用辨证施护干预辅以活血通络凝胶外敷及镜下关节清理术能明显减低KOA病患血液及关节液中IL-1水平，对患者减轻疼痛及尽快恢复关节活动功能有利，临床疗效满意。

Effect observation of syndrome nursing with blood circulation network gel external application and arthroscopic debridement in knee osteoarthritis

Objective To investigate the effect of syndrome nursing with blood circulation network gel external application and ar -throscopic debridement in knee osteoarthritis and the influence on IL -1.Methods A total of 96 cases of knee osteoarthritis patients were randomly divided into intervention group （47cases） and control group （49 cases） , intervention group were treated with arthroscopic debride-ment and blood circulation network gel external application , syndrome nursing was given after operation , control group was treated with ar-throscopic debridement and voltaren cream external application , conventional care was given after operation .Clinical effect and the influence on IL-1 were observed , and the nursing satisfaction rate was assessed .Results The total treatment efficiency and nursing satisfaction rate in intervention group were better than that in control group （P〈0.05）, there was significant difference , and IL-1in serum and synovial fluid was less than that in control group .Conclusions In the treatment of KOA , Syndrome nursing with blood circulation network gel exter-nal application and arthroscopic debridement can reduce IL -1 in serum and synovial fluid , and is good for joint function recovery , clinical results is satisfied.