透明质酸钠关节腔内注射治疗髋关节骨性关节炎的临床观察

Clinical study on sodium hyaluronate intra-articular injection in treatment of osteoarthritis of HIP

目的观察透明质酸钠关节腔内注射对髋关节骨性关节炎的治疗作用.方法对20例髋关节骨性关节炎患者行透明质酸钠关节腔内注射,每周1次,连续5次.观察治疗前后关节疼痛、肿胀以及关节活动度等改善情况.结果20例患者获得2～6月随访,临床缓解7例,显效8例,有效2例,无效3例.总有效率为85%.未见明显不良反应和感染发生.结论透明质酸钠关节腔内注射是一种安全、有效的髋关节骨性关节炎治疗方法.

OBJECTIVE To evaluate the clinical effect of sodium hyaluronate intra-articular injection in treatment of osteoarthrits of hip, METHODS Twenty patients with osteoarthrifis of hip were treated by sodium hyaluronate injection intra-articularly once a week for five times, Clinical signs such as pain, swelling, and range of movement were assessed before and after treatment. RESULTS All the patients were followed up for 2 to 6 months. There were clinical relief in 7 patients, obvious improvements in 8, only some improvements in 2, no improvements in 3. Total effectiveness rate was 85%. No toxicity or infection was observed. CONCLUSION Intra-articular injection of sodium hyaluronate is an effective and safe method for the treatment of osteoarthritis of hip.