腿浴疗法治疗膝关节骨性关节炎滑膜病变

Treating knee osteoarthritis by using color Doppler ultrasound in treatment of knee osteoarthritis

目的用超声评价腿浴疗法治疗膝关节骨性关节炎(KOA)前后患者的滑膜厚度等指标,进而评价腿浴疗法治疗KOA滑膜病变的效果。方法 33例诊断为膝关节骨性关节炎患者给予腿浴疗法,并在治疗前后行超声检查,观察治疗前后超声下滑膜厚度的变化,并用WOMAC量表评价临床疗效。结果 33例中治疗前后均存在滑膜厚度的变化(P<0.05),并与预后呈正相关,且发现腿浴疗法治疗后WOMAC量表疼痛、功能活动及僵硬积分明显优于治疗前,有统计学意义。结论腿浴疗法对治疗膝关节骨性关节炎滑膜病变疗效显著。超声可为膝关节骨性关节炎患者提供细化诊断及客观影像分析。

Objective To evaluate the synovial thickness of patients with knee osteoarthritis treated by color Doppler ultrasound,and to evaluate the effect of traditional Chinese medicine treatment on KOA synovial lesions. ： Methods The 33 cases of knee osteoarthritis patients were treated with traditional Chinese medicine leg bath therapy,and before and after the treatment of ultrasonic examination,observation of the changes in the thickness of synovial membrane,and analysis of the relationship between the clinical efficacies. ： Results The changes of synovial thickness in 33cases（ P〈0. 05）,and were positively correlated with the prognosis,and found that the pain,functional activity and stiffness of the WOMAC after treatment with TCM leg bath therapy was significantly better than that in the treatment. Conclusion Traditional Chinese medicine＇s leg bath therapy,have effect on the treatment of knee osteoarthritis of the knee joint disease. Ultrasound can provide a detailed diagnosis and objective imaging analysis of knee osteoarthritis patients.