摘要
目的观察体外冲击波(ESW)联合臭氧对轻中度膝关节骨性关节炎的临床疗效。方法将纳入研究的80例患者随机分成治疗组和对照组,每组各40例。治疗组采用ESW联合臭氧治疗,对照组采用关节腔注射玻璃酸钠治疗。用M-tone软组织张力仪及测试分析系统(MT-JZL-H型)测量两组局部软组织治疗前后的位移值(mm)、香蕉面积(%);采集患者治疗前、治疗后(治疗1个疗程后)、治疗后1个月、治疗后2个月的视觉模拟量表(VAS)评分及膝关节功能(HSS)评分。结果治疗组总有效率(90.00%)高于对照组(65.00%),差异有统计学意义(P<0.05)。治疗前,两组患者VAS评分、HSS评分、软组织位移和香蕉面积比较,差异均无统计学意义(P>0.05)。在治疗后(治疗1个疗程后)、治疗后1个月、治疗后2个月,两组患者VAS评分显著低于同组治疗前,且治疗组低于对照组,差异均有统计学意义(P<0.05);两组患者HSS评分显著高于同组治疗前,且治疗组高于对照组,差异均有统计学意义(P<0.05)。治疗组患者组织位移与香蕉面积在治疗前后比较,差异均有统计学意义(P<0.05);对照组患者的组织位移与香蕉面积在治疗前后比较,差异无统计学意义(P>0.05);两组患者在治疗后比较,差异均有统计学意义(P<0.05)。结论ESW联合臭氧治疗轻中度膝关节骨性关节炎疗效显著。
Objective To observe the clinical efficacy of extracorporeal shock wave(ESW)combined with ozone on mild to moderate knee osteoarthritis.Methods A total of 80 patients included in the study were randomly divided into the treatment group(n=40)and the control group(n=40).The treatment group was treated with ESW combined with ozone,while the control group was treated with sodium hyaluronate injected into articular cavity.The displacement(mm)and banana area(%)of topical soft tissue before and after treatment were measured by M-tone soft tissue tensiometer and test analysis system(MT-JZL-H type).The visual analogue VAS scores and knee HSS scores of patients before and after treatment(after one course of treatment),one month after treatment and two months after treatment were collected.Results The total efficacy rate of the treatment group(90.00%)was higher than that of the control group(65.00%),and the comparison between the two groups was statistically significant(P<0.05).Before treatment,there were no significant differences in VAS score,HSS score,soft tissue displacement and banana area between the two groups(P>0.05).After treatment(after one course of treatment),one month after treatment and two months after treatment,the VAS score of the two groups was significantly lower than that before treatment,and the treatment group was lower than that of the control group,with statistically significant differences(P<0.05).The HSS score of the two groups after treatment was significantly higher than that before treatment,and that of the treatment group was higher than that of the control group,and the differences were statistically significant(P<0.05).The differences of tissue displacement and banana area in the treatment group before and after treatment were statistically significant(P<0.05).While there were no statistically significant differences in tissue displacement and banana area in the control group before and after treatment(P>0.05).The difference between the two groups after treatment was statistically significant
作者
李炳奇
张超
苏瑾
LI Bingqi;ZHANG Chao;SU Jin(Jilin Traditional Chinese and Western Medicine Hospital,Jilin 132012,China;The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)
出处
《中国医药科学》
2020年第19期16-19,68,共5页
China Medicine And Pharmacy
基金
天津市卫生健康委员会、天津市中医药管理局中医中西医结合科研课题(2019066)
天津中医药大学第一附属医院“拓新工程”基金科研课题(201908)。
关键词
体外冲击波
臭氧
轻中度膝关节骨性关节炎
软组织张力
Extracorporeal shock wave
Ozone
Mild to moderate osteoarthritis of knee joint
Soft tissue tension
