玻璃酸钠联合康复训练治疗膝骨关节炎的效果观察

An Observation of the Effect of Sodium Hyaluronate Together with Rehabilitation Training in Treatment of Knee Osteoarthritis

目的观察玻璃酸钠膝关节腔内注射,联合超短波理疗和康复训练对膝关节骨性关节炎(KOA)的临床疗效。方法选取2012年10月-2013年10月重庆市綦江区人民医院收治的KOA患者50例,随机分为观察组和对照组,每组25例。2组患者均采用玻璃酸钠膝关节腔内注射和超短波治疗,观察组在此基础上联合康复训练,治疗后1月及1年时评价2组患者的临床疗效。结果治疗后1月时,观察组患者的治疗总有效率为96.00%,对照组患者的治疗总有效率为92.00%,2组比较差异无统计学意义;治疗后1年时,观察组患者的治疗总有效率为88.00%,对照组患者的治疗总有效率为64.00%,2组比较差异有统计学意义(P<0.05)。治疗前,2组患者的VAS评分差异无统计学意义;治疗后1月时,2组患者的VAS评分均明显低于治疗前,与治疗前比较,差异均有统计学意义(P<0.01),但组间的VAS评分比较,差异无统计学意义。治疗后1年时,2组患者的VAS评分比较,差异有统计学意义(P<0.01)。结论玻璃酸钠膝关节腔内注射联合超短波理疗及康复训练治疗KOA的远期疗效较好。

Objective To observe the clinical effect of the injection of sodium hyaluronate into knee articular cavity together with ultrashort wave physiotherapy and rehabilitation training in treatment of Knee Osteoar- thritis （KOA）. Method To select 50 cases of KOA patients having been hospitalized and treated at the Peo- ple＇s Hospital of Qijiang District, Chongqing from October 2012 to October 2013, and divide them at random into the observation group and the comparison group, each containing 25 patients. The patients of the both groups are given the treatment of the injection of sodium hyaluronate into knee articular cavity together with ultrashort wave therapy, while the observation group also receives rehabilitation training. Evaluations on the clinical effects of the treatment of the two groups are conducted one month and one year in the aftermath of the treatment respectively. Results One month after the treatment, the overall effective rate of the observation group reached 96.00%, while the same rate of the comparison group was 92.00%. The differences between the two were not statistically significant. One year after the treatment, the overall effective rate of the observation group was 88.00%, and the same rate of the comparison group was 64.00%. The comparative differences of the two had statistical significance （P〈0.05）. Before treatment, the differences between the two groups in terms of VAS scores were not statistically significant. One month after the treatment, the VAS scores of both groups were markedly lower than their scores before treatment, and the comparative differences for both groups were statistically significant （P 〈0.01）, while the differences between the two groups were statistically insignificant. One year after the treatment, the differences in VAS scores between the two groups became to have statistical significance （P〈0.01）. Conclusion Treating KOA by the injection of sodium hyaluronate into knee articular cavity together with ultrashort wave physiotherapy and rehabilitation training has a fairly good long term curative effect.