- 期刊
退化性膝關節炎溫泉浴療之成效
Effect of Balneotherapy on Degenerative Osteoarthritis of the Knee
摘要
目的：本研究為探討溫泉浴療應用於退化性膝關節炎個案之醫療照護成效。方法：於93年至94年，針對市立醫院某院區骨科門診，進行便利抽樣，篩選年齡大於45歲以上，並依X-光片診斷為退化性膝關節炎，症狀分級在ASI第二級至第三級，且有疼痛症狀之患者為對象，並分派至實驗組兩組與對照組。實驗兩組共16名，除軟骨保護劑類的葡萄醣胺(glucosamine)和軟骨膠硫酸鹽(Chondroitin sulfate)外，未使用傳統Acetaminophen和NSAID止痛藥藥物，利用40℃~42℃中進行溫泉浴療或熱水浴療。每週浸泡六次，每次二十分鐘，連續施測二週共12次。對照組10名規範同上，但未受任何介入。三組皆於措施介入前均以主觀式之「膝部骨性關節炎醫療照護成效量表」自我評量，並於進行溫泉浴療二週後及結束一個月後均接受「膝部骨性關節炎醫療照護成效量表」評估研究成效。結果：收案共49人，全程參與研究之個案共為26名（對照組10名；實驗組A8名；實驗組B8名）。資料以卡方，Mann-Whitney U test, Wilcoxon signed-rank test及Friedman analysis of variance by ranks等統計方法進行分析及檢定。結論：顯示（一）戶外遊憩有助心理健康，（二）溫泉浴療有益於OA Knee個案之膝關節酸痛緩解及行動功能困難程度的趨勢。但是溫泉浴療對OA Knee個案的醫療照護成效效益仍需進一步探討。
並列摘要
Background and Purpose: The purpose of this study was to evaluate the effect of balneotherapy in patients with Osteoarthritis of knees. Methods: Series of subjects managed at orthopedic clinic of Taipei City Hospital were included. The inclusion criteria were elder than 45 of age, with mild and moderate OA knee by ASI criteria. Sixteen subjects included in this experimental group received balneotherapy (6 times per week for two weeks without any medication). The other ten control subjects received same management but without balneotherapy. All subjects received X-ray of knee and Outcome Measure Instrument for Medical Care of the Knee Osteoarthritis questionnaire prior to the intervention (pre-test), 2 weeks later (post-test) and 1 month later (post post-test). The experimental group received third measurement at the end of balneotherapy for 4weeks (post post-test). The statistical analysis methods used included chisquare, Kruskal-Wallis test, Wilcoxon signed-rank test, Friedman analysis of variance by ranks, and Mann-Whitney U test. Results: The results showed that arthralgia in subjects of the experimental group improved significantly after 2 weeks’ balneotherapy when compared wi th the cont rol subjec t s . Conclusion: We suggested that balneotherapy were effective to alleviate athralgia and improve life quality of mild and moderate osteoarthritis. (post-test) and 1 month later (post post-test). The experimental group received third measurement at the end of balneotherapy for 4weeks (post post-test). The statistical analysis methods used included chisquare, Kruskal-Wallis test, Wilcoxon signed-rank test, Friedman analysis of variance by ranks, and Mann-Whitney U test. Results: The results showed that arthralgia in subjects of the experimental group improved significantly after 2 weeks' balneotherapy when compared with the control subjects. Conclusion: We suggested that balneotherapy were effective to alleviate athralgia and improve life quality of mild and moderate osteoarthritis.