玻璃酸钠和气压弹道式体外冲击波联合治疗膝关节骨性关节炎的效果分析

Effect of sodium hyaluronate combined with pneumatic ballistic extracorporeal shock wave therapy on knee osteoarthritis

目的探讨膝关节骨性关节炎患者采用玻璃酸钠和气压弹道式体外冲击波进行联合治疗的临床疗效。方法选取98例膝关节骨性关节炎患者，随机分为单用组和联合组，每组49例，前者单纯采用玻璃酸钠进行治疗，后者采用玻璃酸钠和气压弹道式体外冲击波进行联合治疗，观察比较两组患者的临床疗效。结果治疗后，联合组治疗总有效率（97．96％）显著高于单用组（85．71％），组间比较差异有统计学意义（P〈0．05）；联合组各个时间点VAS评分及Lysholm评分改善程度显著优于单用组，组间比较差异有统计学意义（P〈0．01）。结论与单纯采用玻璃酸钠治疗相比较，联合气压弹道式体外冲击波治疗膝关节骨关节炎患者的疗效更为显著，能够有效改善患者的疼痛状况及膝关节功能，值得临床推广应用。

Objective To investigate the clinical effect of combined treatment of sodium hyalur- onate and air pressure ballistic extracorporeal shock wave on patients with osteoarthritis of knee joint. Methods A total of 98 cases of knee osteoarthritis were randomly divided into single group and com- bined group, with 49 cases in each group. The former merely received sodium hyaluronate treatment, and the latter received the glass acid sodium combined with air pressure ballistic extracorporeal shock wave therapy. The clinical efficacy of the two groups were compared. Results After treatment, the total effec- tive rate （97.96%） in the combined group was significantly higher than that of the single group （85.71%） , the difference between the two groups was significant （P 〈0.05 ） ; the VAS scores and Ly- sholm scores in combined group at each time point improved significantly better than the single group, the differences between the two groups were significant （P 〈 0. 01 ）. Conclusions Compared with simple use of sodium hyaluronate, the effect of sodium hyaluronate combined with pneumatic ballistic extracorpo- real shock wave on patients with knee osteoarthritis is more significant, it can effectively alleviate the pain and improve the knee function, so it is worthy of clinical application.