平乐推按法联合医用臭氧关节腔内注射治疗膝关节骨性关节炎的临床效果

Clinical Effect of Pingle Pushing Method Combined with Medical Ozone Intra-Articular Injection in the Treatment of Knee Osteoarthritis

目的分析平乐推按法联合医用臭氧关节腔内注射治疗膝关节骨性关节炎(KOA)患者的临床效果。方法选取2021年10月—2023年9月平乐骨伤科医院收治的60例KOA患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组采用医用臭氧关节腔内注射治疗,观察组在对照组基础上加用平乐推按法治疗。比较两组的临床疗效、疼痛程度、膝关节功能、炎症因子水平。结果观察组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗后,观察组的视觉模拟评分为(1.39±0.28)分、C反应蛋白水平为(8.54±1.28)mg/L、肿瘤坏死因子-α水平为(30.39±2.78)ng/mL、白介素-6水平为(45.22±4.76)ng/L,均低于对照组的(2.18±0.53)分、(12.29±1.63)mg/L、(37.83±4.15)ng/mL、(58.46±6.31)ng/L,Lysholm评分为(81.25±4.67)分,高于对照组的(70.53±3.49)分,组间差异有统计学意义(P<0.05)。结论平乐推按法联合医用臭氧关节腔内注射可减轻KOA患者的疼痛,提高膝关节功能,减轻其炎症反应。

Objective To analyze the clinical effect of Pingle pushing method combined with medical ozone in tra-articular injection in the treatment of knee osteoarthritis(KOA).Methods Sixty KOA patients admitted to Pingle Orthopedic Hospital from October 2021 to September 2023 were selected and randomly divided into a control group and an observation group,each with 30 cases,using a random number table method.The control group received medical ozone intra-articular injection therapy,while the observation group received Pingle pushing method therapy.Compare the clinical efficacy,degree of pain,knee joint function,and levels of inflammatory factors between two groups.Results The total effective rate of the observation group was 93.33%,higher than 73.33%of the control group,and the difference was statistically significant(P<0.05).After treatment,the Visual Analog Score of the observation group was(1.39±0.28)points,C-reactive protein level was(8.54±1.28)mg/L,tumor necrosis factor-αlevel was(30.39±2.78)ng/mL,and interleukin-6 level was(45.22±4.76)ng/L,all lower than the control group's(2.18±0.53)points,(12.29±1.63)mg/L,(37.83±4.15)ng/L,(58.46±6.31)ng/L,Lysholm score was(81.25±4.67)points in the observation group,higher than the control group's(70.53±3.49)points,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of Pingle pushing method and medical ozone intra-articular injection can alleviate pain,improve knee joint function,and alleviate inflammatory reactions in patients with knee osteoarthritis.