关节镜下清理与康复治疗不同分期老年膝关节骨性关节炎的对比观察

Comparative Study on Arthroscopic Debridement and Rehabilitation Therapy for Elderly Knee Osteoarthritis in Different Stages

目的观察且对比对不同时期的老年膝关节骨性关节炎在关节镜之下行清理以及康复治疗的临床效果。方法选取2016年2月—2017年2月所收治的老年膝关节骨性关节炎患者共240例作为对比观察的对象,将随机数字表法作为分组方式,分为对照组(120例)、观察组(120例)。两组在关节镜下实施治疗,对照组只行康复治疗,观察组予以清理术。两组依照Kellgren—Lawrence X线分级标准进行分期,Ⅰ期、Ⅱ期、Ⅲ期、Ⅳ期,每期60例,对比与观察两组的疗效。结果观察组的Ⅰ期、Ⅱ期Lysholm评分、VAS评分相较于对照组,明显更优;差异有统计学意义(P<0.05),但Ⅲ期、Ⅳ期在组间差异无统计学意义(P>0.05)。结论对于老年膝关节骨性关节炎临床患者,在关节镜下予以清理术的临床效果优于康复治疗,减轻患者痛苦,显著改善关节功能。

Objective To observe and compare the clinical effect of arthroscopie debridement and rehabilitation therapy for elderly knee osteoarthritis in different stages. Methods From February 2016 to February 20i7, a total of 240 patients with knee osteoarthritis treated in our hospital were selected as the objects of comparative observation. According to random number table method, they were divided into the control group （120 eases） and the observation group （120 eases）. The two group received arthroscoplc treatment, while the control group only received rehabilitation treatment. The observation group was treated with debridement. The two groups were divided into stages according to the Kellgren - Lawrence X ray classification standard, stage I, stage II, stage III, stage IV, 60 cases in each, and the efficacy of the two groups was compared and observed. Results The stage Ⅰ, Ⅱ Lysholm score and VAS score of the observation group were significantly better than that of the control group, the difference was statistically significant （P〈0.05）. But there was no significant difference between stage Ⅲ and Ⅳ （P〉0.05）. Conclusion For elderly patients with knee osteoarthritis, the clinical effect of arthroscopic debridement is better than rehabilitation treatment, which can relieve pain and improve joint function.