系统性康复干预在关节腔内药物注射治疗膝关节骨性关节炎中的应用.docVIP

報节腔内關捞3^1^节骨岐 节側的JSffl 2018-04-08 09:50:18中国现代医生2018年4期 季红辉蒋聿瑛补灿灿 ［ ］戸的探讨系统性康复干预在关节腔内药物注射治疗膝关节骨性关节炎(OA)中的应用。 方法 选取2015年7月?2016年10月膝关节OA患者86例，将其分为康复组44例和对照组42 例。两组均予以膝关节腔内注射25 mg玻璃酸钠，1次/周，连用6周。对照组予以常规康复干预， 康复组加以系统性康复干预，两组均干预6周。观察两组干预治疗前后疼痛评分和膝关节功能变化， 并比较近期及远期临床效果。结果 干预6周后，两组VAS评分下降，HSS评分上升(PvO.05或 P0.01),且治疗后康复组VAS评分低于对照组，HSS评分高于对照组(P0.05 )；同时康复组近 期临床总有效率优于对照组(x2=5.49, P0.05)。随访半年，康复组远期临床总有效率优于对照组 (X2=4.67, PvO.05)。结论系统性康复干预在关节腔内药物注射治疗膝关节OA中的应用效果较 肯定，能更有效缓解其临床症状，降低疼痛程度，提高膝关节功能，且远期效果亦较佳。 ［关键词］骨性关节炎；膝关节；系统性康复干预；腔内药物注射 ［中图分类号］R684.3 ［文献标识码］B ［文章编1673-9701 (2018) 04-0108-03 ［Abstract］ Objective To investigate the application of systemic rehabilitation intervention in the treatment of knee osteoarthritis (OA) by intra-articular injection of drugs? Methods Totally 86 patients with knee OA from July 2015 to October 2016 were divided into rehabilitation group (n=44) and control group (n=42 )? Both groups were given intra-articular injection of 25 mg sodium hyalur on ate, 1 time/week, for 6 weeks. The control group was give n routi ne rehabilitation in tervention, and the rehabilitatio n group was treated with systemic rehabilitatio n interve ntion. Two groups were intervened for 6 weeks. The changes of pain scores and knee joint function before and after intervention were observed in both groups, and the clinical effects of short-term and long-term were compared. Results After 6 weeks of intervention, the VAS score in two groups decreased and the HSS score increased (P0.05 or P0.01) . After treatment, the VAS score of the rehabilitation group was lower than that of the control group and the HSS score of the rehabilitation group was higher than that of the control group (P0.05)? The short-term total clinical effective rate of the rehabilitation group was better than that of the control group(x2=5.49, P0.05). The patients were followed up for 6 months, and the Iong-term total clinical effective rate of the rehabilitation group was better than that of the control group (\2=4.67