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隐神经阻滞结合玻璃酸钠关节腔注射治疗膝关节骨关节炎的临床效果

Clinical Efficacy of Saphenous Nerve Block Combined with Sodium Hyaluronate Intra-articular Injection in the Treatment of Knee Osteoarthritis
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摘要 目的:分析隐神经阻滞结合玻璃酸钠关节腔注射对膝关节骨关节炎(KOA)患者的临床疗效。方法:选取2022年1月—2024年1月北京积水潭医院贵州医院收治的96例KOA患者,随机分成两组,均48例。对照组行玻璃酸钠关节腔注射,观察组加以隐神经阻滞。比较两组治疗效果。结果:观察组治疗总有效率高于对照组;且治疗后1个月的视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学关节炎指数(WOMAC)评分低于对照组,Lysholm评分、生活质量综合评定问卷(GQOLI-74)内各维度评分高于对照组,差异有统计学意义(P<0.05)。结论:隐神经阻滞结合玻璃酸钠关节腔注射可缓解KOA患者关节疼痛,减轻关节病损程度,有助于尽快恢复膝关节功能,最终改善生活质量。 Objective:To analyze the clinical efficacy of saphenous nerve block combined with Sodium Hyaluronate intraarticular injection in patients with knee osteoarthritis(KOA).Method:A total of 96 KOA patients admitted to Beijing Jishuitan Hospital Guizhou Hospital from January 2022 to January 2024 were selected and randomly divided into two groups with 48 patients.The control group received Sodium Hyaluronate intra-articular injection,and the observation group received saphenous nerve block on this basis.The treatment effects between the two groups were compared.Result:The total effective rate of treatment in the observation group was higher than that in the control group,after one month of treatment,the visual analog scale(VAS)score,Western Ontario and McMaster University Arthritis Index(WOMAC)score were lower than those in the control group,while the Lysholm score and comprehensive quality of life questionnaire scores(GQOLI-74)in all dimensions were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Saphenous nerve block combined with Sodium Hyaluronate intra-articular injection can relieve joint pain,reduce the degree of joint disease,help to restore knee function as soon as possible,and finally improve the quality of life.
作者 邰诗来 彭瀚元 付珺 陈楷 雷鸣 TAI Shilai;PENG Hanyuan;FU Jun;CHEN Kai;LEI Ming(Beijing Jishuitan Hospital Guizhou Hospital,Guiyang 550002,China;不详)
出处 《中外医学研究》 2024年第25期73-76,共4页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 膝关节骨关节炎 隐神经阻滞 玻璃酸钠 生活质量 Knee osteoarthritis Saphenous nerve block Sodium Hyaluronate Quality of life
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