摘要
目的探讨膝骨性关节炎(KOA)关节镜术后服用氨基葡萄糖对患者关节功能的恢复效果.方法选取2019年3月—2021年3月鱼台县人民医院收治的60例KOA关节镜术后患者作为研究对象,按随机数表法分为对照组与观察组,各30例.对照组采用玻璃酸钠治疗,观察组在对照组基础上使用氨基葡萄糖治疗,均持续治疗60 d.比较两组的临床疗效,治疗前后Lysholm膝关节功能、关节肿胀度、VAS评分及膝关节活动范围.结果观察组临床总有效率为96.67%,高于对照组60.00%,差异有统计学意义(P<0.05).治疗后,两组患者Lysholm膝关节功能评分均高于治疗前,且观察组高于对照组;关节肿胀度及VAS评分均低于治疗前,且观察组低于对照组,组间差异有统计学意义(P<0.05).治疗后,两组患者膝关节屈曲角度均大于治疗前,且观察组大于对照组,组间差异有统计学意义(P<0.05).结论氨基葡萄糖能有效提高KOA关节镜术后患者的关节功能,扩大关节活动范围,减轻疼痛及肿胀度,提高临床疗效.
Objective To investigate the recovery effect of glucosamine on the joint function of patients with knee osteoarthritis(KOA)after arthroscopy.Methods 60 patients after KOA arthroscopy who were admitted to Yutai County People's Hospital from March 2019 to March 2021 were selected as the research objects,and divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The control group was treated with sodium hyaluronate,and the observation group was treated with glucosamine on the basis of the control group,and the treatment was continued for 60 d.The clinical efficacy,Lysholm knee joint function,joint swelling degree,VAS score and knee joint range of motion before and after treatment were compared between the two groups.Results The total clinical effective rate of the observation group was 96.67%,which was higher than that of the control group 60.00%,and the difference was statistically significant(P<0.05).After treatment,the Lysholm knee function scores of the two groups were higher than those before treatment,and the observation group was higher than the control group;the degree of joint swelling and VAS score were lower than those before treatment,and the observation group was lower than the control group,and there were statistical differences between the groups(P<0.05).After treatment,the flexion angles of knee jont of the two groups were greater than those before treatment,and the observation group was greater than the control group,and the difference was statistically significant(P<0.05).Conclusion Glucosamine can effectively improve the joint function of patients after KOA arthroscopy,expand the range of joint motion,reduce pain and swelling,and improve clinical efficacy.
作者
丁建军
刘瑞
柴瑞宝
DING Jianjun;LIU Rui;CHAI Ruibao(Department of Orthopedics,Yutai County People's Hospital,Jining Shandong,272300,China;Department of Nursing,Yutai County People's Hospital,Jining Shandong,272300,China)
出处
《反射疗法与康复医学》
2021年第22期105-108,共4页
Reflexology And Rehabilitation Medicine
