摘要
目的探究关节腔注射联合超短波在骨关节炎患者中的应用效果。方法选取2017年8月~2019年1月于西安交通大学医学院附属红会医院关节外科就诊的骨关节炎患者86例,按照随机数字表法将其分为两组。单数为LI组(玻璃酸钠腔内注射治疗),双数为LU组(超短波联合关节腔注射治疗),每组43例。比较两组临床疗效、不良反应情况,分析两组治疗前后西安大略和麦克马斯大学骨关节指数(WOMAC)、视觉模拟评分(VAS)、生存质量评分及血清炎性因子水平。结果LU组总有效高于LI组(P>0.05)。治疗后,LU组WOMA、VAS评分低于LI组(P<0.05),生存质量各项评分高于LI组(P<0.05),炎性因子相对表达量低于LI组(P<0.05),LU组不良反应发生率低于LI组(P<0.05)。结论临床上关节腔注射联合超短波治疗骨关节炎效果显著,能显著降低疼痛感,修复能力强,治疗效果佳。
Objective To explore the effect of intra-articular injection combined with ultrashort wave in patients with osteoarthritis.Methods Eighty-six patients with osteoarthritis were enrolled in the Department of Joint Surgery in the Honghui Hospital Affiliated to Xi′an Jiaotong University Medical College from August 2017 to September 2019.They were divided into two groups according to the random number table method.The singular group was the LI group(intraluminal injection of sodium hyaluronate for the treatment),and the double number was the LU group(ultrashort wave combined with intra-articular injection for the treatment),with 43 cases in each group.The clinical efficacy and adverse reactions of the two groups were compared.The Western Ontario-Mcmasst University Osteoarthritis Scale(WOMAC),visual analogue scale(VAS),scores of life quality and serum inflammatory factors were analyzed before and after treatment.Results The total effectiveness of LU group was higher than that of LI group(P>0.05).After treatment,WOMA and VAS scores in the LU group were lower than those in the LI group(P<0.05),scores of life quality were higher than those in the LI group(P<0.05),the relative expression of inflammatory factors was lower than that in the LI group(P<0.05),and the incidence of adverse reactions in the LU group was lower than that in the LI group(P<0.05).Conclusion Clinically,intra-articular injection combined with ultrashort wave in the treatment of osteoarthritis has a significant effect,which can significantly reduce pain,strong repair ability and the therapeutic effect is good.
作者
刘瑞
陈娟
张艳宁
华荣丽
郭建斌
张育民
LIU Rui;CHEN Juan;ZHANG Yanning;HUA Rongli;GUO Jianbin;ZHANG Yumin(Department of Joint Surgery,Honghui Hospital Affiliated to Xi′an Jiaotong University Medical College,Shaanxi Province,Xi′an710054,China)
出处
《中国医药导报》
CAS
2019年第33期74-77,共4页
China Medical Herald
基金
陕西省科学技术研究发展计划项目(2019JM-493)
关键词
关节腔注射
超短波
骨关节炎
应用效果
Intraluminal injection
Ultrashort wave
Osteoarthritis
Application effect
