摘要
目的:观察透明质酸钠关节腔内注射联合电针、理疗治疗膝骨关节炎的临床疗效。方法:将120例膝骨关节炎患者随机分为治疗组和对照组,每组60例。对照组行电针、理疗,治疗组在对照组治疗基础上加用关节腔内注射透明质酸钠。2组均以5周为1个疗程。观察2组临床疗效,运用膝骨关节炎评分量表(WOMAC)于治疗前、治疗后、治疗后3个月进行随访评估。结果:治疗后,治疗组总有效率为91.67%,对照组总有效率为90.00%,2组比较,差异无统计学意义(P>0.05)。治疗后3个月随访,治疗组总有效率为83.33%,对照组总有效率为61.67%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组WOMAC评分较治疗前均有改善(P<0.01或P<0.05),但2组间比较,差异无统计学意义(P>0.05);治疗后3个月随访,治疗组优于对照组(P<0.05)。结论:透明质酸钠关节腔内注射联合电针、理疗与单纯电针理疗治疗膝骨关节炎,均具有显著疗效,但联合治疗具有更好的远期疗效。
Objective:To observe the clinical efficacy of intra-articular injection of sodium hyaluronate combined with electroacupuncture in the treatment of knee osteoarthritis.Methods:One hundred and twenty patients with knee osteoarthritis were randomly divided into a treatment group and a control group,with 60 cases in each group.The control group was treated with electroacupuncture,and the treatment group was treated with intra-articular injection of sodium hyaluronate on the basis of the treatment for the control group.The two groups were treated for 5 weeks.The clinical efficacy of the two groups was observed,and WOMAC was used for follow-up evaluation respectively before,after treatment,and 3 months after the treatment.Results:After treatment,the total effective rate of the treatment group was 91.67%,the total effective rate of the control group was 90.00%,and the difference between them was not statistically significant(P>0.05).According to the followup after 3 months of treatment,the total effective rate of the treatment group was 83.33%,the total effective rate of the control group was 61.67%,and the difference between the two groups was statistically significant(P<0.05).After treatment,the WOMAC scores of the two groups were improved compared with those before treatment(P<0.01 or P<0.05),but there was no significant difference between the two groups(P>0.05).According to the follow-up after 3 months of treatment,the treatment group was better than the control group(P<0.05).Conclusion:Intra-articular injection of sodium hyaluronate combined with electroacupuncture has a long-term curative effect in the treatment of knee osteoarthritis compared with the treatment with electroacupuncture only.
出处
《风湿病与关节炎》
2018年第4期32-34,43,共4页
Rheumatism and Arthritis
关键词
骨关节炎
膝
透明质酸钠
电针疗法
理疗
临床疗效
osteoarthritis,knee
sodium hyaluronate
electroacupuncture therapy
physiotherapy
clinical efficacy
