摘要
目的研究透明质酸钠(SH)对踝关节创伤性滑膜炎(TSAJ)患者Baird-Jackson评分的影响。方法选择我院骨科2012年8月至2015年8月收治的90例TSAJ患者作为研究对象,共计108踝。以随机数表法随机分为观察组(48例,56踝)和对照组(42例,52踝)。对照组患者单纯采用超短波理疗(UWT)方案治疗,观察组患者则在其基础上另注射SH治疗5周,于治疗前和治疗后3个月对两组患者分别实施Baird-Jackson评分和VAS评分,利用CT等影像学手段评价患者的症状,比较两组患者治疗前后的Baird-Jackson评分和VAS评分以及疗效。结果观察组患者治疗后3个月的Baird-Jackson评分显著上升,且幅度从(68.2±7.3)分上升到(80.3±7.3)分,高于对照组[(67.9±6.7)分上升到(71.4±6.8)分],两组比较差异有统计学意义(P<0.05)。两组患者治疗后的VAS评分均显著下降,但观察组下降幅度从(7.47±2.03)分至(3.04±0.85)分,高于对照组[(7.50±2.55)分至(4.29±1.17)分],两组比较差异有统计学意义(P<0.05);观察组患者的治疗总有效率为97.92%(47/48),明显高于对照组的83.33%(35/42),差异有统计学意义(P<0.05)。结论 SH联合UWT治疗TSAJ可有效改善患者的Baird-Jackson评分,提高疗效,值得临床推荐应用。
Objective To study impact of sodium hyaluronate（SH） combined with ultrashort wave therapy（UWT） on the Baird-Jackson score of patients with traumatic synovitis of the ankle joint（TSAJ）. Methods From August 2012 to August 2015, 90 TSAJ patients（a total of 108 ankles） in Department of Orthopedics in our hospital were selected for the study, which were randomly divided into observation group（48 cases, 56 ankles） and control group（42 cases, 52 ankles） according to random number table. Patients in the control group were treated with UWT, while those in the observation group were treated with SH for 5 weeks based on UWT. Before treatment and three months after treatment,the Baird-Jackson score and Visual Analogue Scale（VAS） score were recorded, and the symptoms were evaluated by CT.Baird-Jackson score, VAS score, and the curative effect were compared between the two groups. Results Three months after treatment, Baird-Jackson score in the observation group increased significantly compared with those before treatment,（80.3±7.3） vs（68.2±7.3）, while the score in control group were increased significantly from（67.9±6.7） to（71.4±6.8）, with statistically significant difference between the two groups（P0.05）. After treatment, the VAS score decreased significantly, from（7.47±2.03） to（3.04±0.85） in the observation group and from（7.50±2.55） to（4.29±1.17） in the control group, with statistically significant difference between the two groups（P0.05）. The total effective rate of the observation group was 97.92%（47/48）, significantly higher than that in the control group of 83.33%（35/42）, and the difference was statistically significant（P0.05）. Conclusion SH combined with UWT in the treatment of TSAJ patients can effectively improve patients＇ Baird-Jackson score, and increase the efficacy, which is worthy of recommendation.
作者
杜耿
张晶
刘烈东
高光明
马江卫
杜成高
DU Geng ZHANG Jing LIU Lie-along GAO Guang-ming MA Jiang-wei DU Cheng-gao.(Department of Orthopedics, the First Hospital of Yulin, Yulin 719000, Shaanxi, CHINA)
出处
《海南医学》
CAS
2017年第1期67-69,共3页
Hainan Medical Journal
基金
陕西省榆林市科技资助基金项目(编号:201223658)
