摘要
目的探讨关节镜下清理术联合不同药物治疗膝骨关节炎的疗效。方法选取2015年11日至2018年12月就诊的膝骨关节炎患者共93例,均分为三组,每组31例。关节镜下清理术患者为A组,玻璃酸钠联合关节镜下清理术患者为B组,玻璃酸钠、复方倍他米松(得宝松)和罗哌卡因联合关节镜下清理术患者为C组。于术前及术后1个月、3个月、6个月比较三组患者VAS评分、Lysholm评分,及治疗6个月后的疗效。结果 C组有效率(96.77%)优于A组(61.29%)、B组(74.19%)(P<0.05),A、B组比较差异无统计学意义(P>0.05)。C组术后VAS评分和Lysholm评分优于A、B组,差异有统计学意义(P<0.05)。结论玻璃酸钠、得宝松和罗哌卡因联合关节镜下清理术对治疗膝骨关节炎有较好的疗效,可明显减轻疼痛,恢复膝关节功能。
Objective To investigate the clinical effect of different treatment combined with rthroscopic debridement for knee osteoarthritis.Methods A total of 93 patients with knee osteoarthritis who received treatment from November 2015 to December 2018 were selected and divided into group A,B and C(n=31,each).Group A was treated with rthroscopic debridement,group B was treated with sodium hyluronate combined with rthroscopic debridement,and group C was treated with sodium hyaluronate with compound betamethasone(Diprospan) and ropivacaine combined with rthroscopic debridement.The Visual analogue scale(VAS) and Lysholm knee score were compared among the three groups before and 1 month,3 months and 6 months after operation.The curative effect after 6 months of treatment were also compared between three groups.Result The effective rate in group C(96.77%) was significantly higher than that in group A(61.29%) and group B(74.19%)(P<0.05),but there was no significant difference between group A and group B in effective rate(P<0.05).Postoperative VAS and Lysholm scores in group C were better than those in group A and B(all P<0.05).Conclusion Sodium hyaluronate,Diprospan and ropivacaine combined with arthroscopic debridement has a good effect on knee osteoarthritis,which could relieve pain and restore knee function.
作者
胡小辉
李军
唐佶颖
陶忠亮
HU Xiao-hui;LI Jun;TANG Ji-ying;TAO Zhong-liang(Department of Orthopedics,The People′s Hospital of Xuancheng City,Xuancheng,Anhui 242000,China)
出处
《中国临床研究》
CAS
2019年第9期1224-1226,共3页
Chinese Journal of Clinical Research
基金
安徽省自然科学基金面上项目(1708085MH185)~~
