摘要
目的:对膝骨关节炎(KOA)的治疗总的分为保守和手术两种方法,保守疗法有理疗、口服消炎镇痛药物等。手术疗法有关节镜术和关节置换术等。本研究拟通过病例对照研究观察关节腔注射施沛特(玻璃酸钠)与运动疗法治疗膝关节炎的临床疗效,探索一种确切有效的保守治疗方法。方法:KOA患者50例,分为治疗组(试验组)30例,和对照组20例。试验组用施沛特(玻璃酸钠)关节腔注射和运动疗法,对照组用超短波治疗,对治疗前后临床症状和功能活动进行统计学处理(t检验)。结果:两组疗效综合评估,治疗后治疗组显著进步6例,进步13例,总有效率87％;对照组分别为3例,8例,5例,4例,总有效率83%。两组膝关节的活动痛和关节痛都有显著改善(P<0.001),但在关节功能改善方面,试验组远远优于对照组(P<O.001)。结论:关节腔注射施沛特和运动疗法不仅能缓解KOA患者的疼痛,而且能显著改善其功能活动,因而是一种防治KOA的有效疗法,建议推广应用。
Objective: To observe the clinical effects of injection therapy and kinesiotherapy on knee osteoarthritis( KOA) by means of contrast study,so as to seek a new effective therapy for KOA.Methods:50 KOA patients were randomly divided into experiment group( n = 30) and control group( n = 20) ;The experiment group was treated with sodium hyaluronate injection and received the kinesiotherapy including muscle isometric and isotonic training, once a day, for five weeks. The control group was treated with ultrashort wave of gentle heat, 20min/per time, one time a day, for five weeks. Before and after the treatment, the clinical effects and limb functional activities were assessed and analysed statistically.Results:The knee arthralgia patients in two groups all significantly relieved( P < 0.001). The effects of two groups were comprehensively assessed. After treatment, the effective rate of experiment group and control group were 87% and 83% , respectively. But the limb functional activity of experiment group was markedly superior to the control group( P < 0.001) .Conclusion:It is demonstrated that the sodium hyaluronate injection and kinesiotherapy can obviously relieve the arthralgia and improve the functional activity.
出处
《医学理论与实践》
2003年第4期397-398,共2页
The Journal of Medical Theory and Practice
关键词
膝骨关节炎
运动疗法
关节腔注射
治疗
KOA
Knee osteoarthritis, Kenesiotherapy, Joint cavity injection, Curative effect
