膝骨性关节炎关节疼痛的临床诊治探析

To Investigate the Clinical Diagnosis and Treatment of Osteoarthritis of Knee Joint Pain

目的:探讨对膝骨性关节炎关节疼痛的有效治疗方法。方法:选取我院在2011年6月—2012年8月收治的90例膝骨性关节炎患者,通过随机分配的原则分为实验组和对照组各45例,实验组采用透明质酸钠加小剂量吗啡关节腔注射的治疗方法,对照组采用透明质酸钠关节腔注射,观察两组患者的治疗效果。结果:实验组患者镇痛效果明显,其中显效36例,有效8例,无效1例;对照组显效20例,有效13例,无效12例,两组患者治疗效果有显著性差异(P<0.01)。结论:采用透明质酸钠加吗啡关节腔注射的治疗方法,能够更有效缓解膝骨性关节炎患者的关节疼痛。

Objective： To explore the effective method for the treatment of osteoarthritis of the knee joint pain. Meth- ods：The hospital in 90 cases of knee osteoarthritis patients from June 2011 to August 2012, by randomly assigning prin- ciples were divided into experimental group 45 cases, 45 cases in the control group, experimental group were treated with method of sodium hyaluronate plus small dose morphine intra-articular injection, the control group using sodium hyaluronate injected into articular cavity, observed two groups of patients therapeutic effect. Results：Patients in the ex- perimental group were obvious analgesic effect, which markedly effective in 36 cases, effective treatment in 8 cases, un- certain efficacy 1 case; control effect in the treatment group 20 cases, effective in the treatment of 13 cases, 12 cases were ineffective in the treatment of patients with treatment, there was significant difference between two groups （P〈 0. 01）. Conclusion： The treatment of sodium hyaluronate intra-articular injection of morphine, can ease joint pain in pa- tients with knee osteoarthritis effectively.