摘要
目的:探讨可穿戴低能量激光治疗(LLLT)设备对社区膝关节炎患者关节疼痛和膝关节功能的影响。方法:采用便利抽样法,于2021年9月—2022年2月选取石家庄市8个社区符合入选标准的57例中老年膝关节炎患者为研究对象。以社区为单位进行随机分组,将患者分为干预组(n=27)和安慰剂组(n=30),干预组使用可穿戴LLLT设备对双侧膝关节进行治疗,安慰剂组佩戴同样的光疗设备,采用和干预组一样的穿戴频率、时长,但是不打开光源。采用图示化膝关节炎患者自我评估问卷和膝关节功能测试对患者进行调查,比较两组患者在研究期间的膝关节疼痛程度和膝关节功能状况。结果:共45例社区膝关节炎患者完成研究,其中干预组21例、安慰剂组24例。图示化膝关节炎患者自我评估问卷结果显示,第3周和第8周干预组患者疼痛总分均低于安慰剂组,差异有统计学意义(P<0.01);第8周干预组患者的膝关节静息痛、启动痛和关节畏寒得分均低于安慰剂组,差异有统计学意义(P<0.01);第3周和第8周运动痛得分均体现出低于安慰剂组的趋势(0.01<P<0.05)。但干预开始和第3周时两组膝关节功能测试结果比较差异均无统计学意义(P>0.05)。结论:可穿戴LLLT设备能够改善社区膝关节炎患者的关节疼痛程度,但在膝关节功能方面未发现显著改善作用,因此仍需多中心、大样本、更长时间的随访研究对可穿戴LLLT设备的效果进行深入验证。
Objective To explore the effect of the wearable low-level light therapy(LLLT)device on joint pain and knee function in community patients with knee osteoarthritis.Methods From September 2021 to February 2022,the convenience sampling was used to select 57 middle-aged and elderly patients with knee osteoarthritis who met the inclusion criteria from 8 communities in Shijiazhuang as the study subject.The patients were randomly divided into intervention group(n=27)and placebo group(n=30)based on the community.The intervention group used wearable LLLT device to treat bilateral knee joints,while the placebo group wore the same phototherapy device,with the same frequency and duration as the intervention group,but did not turn on the light source.The patients were investigated with the Graphical Knee Osteoarthritis Patient Self-assessment Questionnaire and knee function test,and the joint pain and knee function of the two groups of patients during the study period were compared.Results A total of 45 patients with knee osteoarthritis in the community completed the study,including 21 in the intervention group and 24 in the placebo group.The results of the Graphical Knee Osteoarthritis Patient Self-assessment Questionnaire showed that the total pain score of the intervention group were lower than that of the placebo group at the third and eighth weeks,with statistically significant differences(P<0.01).At the eighth week,the scores of knee rest pain,starting pain and joint chills in the intervention group were significantly lower than those in the placebo group,and the differences were statistically significant(P<0.01).The score of exercise pain in the third and eighth weeks showed a lower trend than that in the placebo group(0.01<P<0.05).There was no statistical difference in knee function test results between the two groups at the beginning of intervention and at the third week(P>0.05).Conclusions Wearable LLLT devices can relieve the joint pain in patients with knee osteoarthritis in the community,but no significant improv
作者
陈泓伯
王梦琪
吴俊慧
鲁寒
尚少梅
Chen Hongbo;Wang Mengqi;Wu Junhui;Lu Han;Shang Shaomei(School of Public Health,Peking University,Beijing 100191,China;School of Nursing,Peking University,Beijing 100191,China)
出处
《中华现代护理杂志》
2023年第9期1198-1203,共6页
Chinese Journal of Modern Nursing
基金
国家自然科学基金(81972158,82102661)
国家重点研发计划(2020YFC2008800,2020YFC2008801)。
关键词
骨性关节炎
疼痛
低能量激光疗法
社区
可穿戴设备
Osteoarthritis
Pain
Low-level light therapy
Community
Wearable electronic devices
