摘要
目的:探讨运动疗法结合阻滞疗法对于缓解膝关节骨性关节炎(OA)的疼痛症状及改善其运动功能的效果。方法:40例膝关节OA患者,给予系统功能锻炼,同时进行关节腔内注射透明质酸钠2 ml,配合1%利多卡因、强的松龙25 mg及VitB120.5 mg的混合液进行关节周围的痛点阻滞,每周1次。治疗前后采用视觉类比测试法(VAS)及关节活动功能评分。结果:治疗4周后,与治疗前比较,40例患者膝关节VAS和膝关节功能评分均显著下降(P<0.01),治疗有效率达96.8%,且无不良反应发生。结论:应用运动疗法结合阻滞疗法治疗膝关节OA疗效显著,能有效改善患者膝关节运动功能,提高生存质量。
Objective： To assess the curative effectiveness of exercise therapy combined with block therapy for knee osteoartbritis. Metbods： Forty cases of knee osteoartbritis were subjected to systematic function training and the injection of sodium byaluronate （HA, 2 ml） into articular cavity （once a week, 5 weeks as a treatment course）. The pain spots around the knee joint were injected with 1% lidocaine, prednisolone 25 mg and vitamin B12 0.5 mg at the same time. The score of visual analogue scale （VAS） was recorded and joint motion function assessed before and after treatment. Results： After one treatment course, VAS score and function score of the knee joint were significantly reduced in 40 patients as compared with those before treatment （P〈0.01）. The total effectiveness rate was 96.8%. No side effect occurred. Conclusion： The exercise therapy in combination with block therapy for knee osteoartbritis has striking effectiveness, and can effectively improve the motion function of the knee joint and quality of life.
出处
《中国康复》
2006年第6期384-385,共2页
Chinese Journal of Rehabilitation
