关节腔注射玻璃酸钠及罗哌卡因联合关节镜清理术治疗膝关节骨性关节炎的临床效果

Clinical effect of intra-articular injection of sodium hyaluronate and ropivacaine combined with arthroscopic debridement for knee osteoarthritis

目的观察分析关节镜清理术联合玻璃酸钠及罗哌卡因药物注射治疗膝关节骨性关节炎的临床疗效。方法选取我院膝关节骨性关节炎患者114例,采用随机数字表法分为观察组与对照组,各57例。对照组患者仅给予关节镜清理术治疗,观察组患者在此基础上给予玻璃酸钠及罗哌卡因药物注射治疗,比较两组患者的治疗效果。结果观察组患者的治疗优良率显著高于对照组(P<0.05)。治疗后,两组患者的VAS评分均较治疗前明显降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组患者的HSS评分均较治疗前明显增高(P<0.05),且观察组高于对照组(P<0.05)。结论玻璃酸钠及罗哌卡因药物注射辅助关节镜清理术治疗膝关节骨性关节炎效果良好。

Objective To observe the clinical effect of arthroscopic debridement combined with sodium hyaluronale and ropivacaine injection in the treatment of knee osleoarlhrilis. Methods One hundred and fourteen cases of knee osleoarlhrilis patients in our hospital were randomly divided into observation group and control group according to random number table melhool, with 57 cases in each group. The control group was only given arthroscopic debridement, while lhe observation group added inlra-arlicular injection of sodium hyaluronale and ropivacaine on this basis, lhe therapeutic effects of lhe lwo groups were compared. Results The excellent rale of treatment in lhe observation group was higher than lhal in lhe control group （ P〈0.05）. After treatment, lhe VAS scores lhe lwo groups were lower than those before treatment （ P〈0.05） and lhe observation group were lower than lhe control group （ P〈0.05）. After treatment, lhe HSS scores of lhe lwo groups were higher than those before treatment （ P〈0.05） and lhe observation group were higher than lhe control group （ P〈0.05）. Conclusion Sodium hyaluronale and ropivacaine injection assisted arthroscopic debridement for knee osleoarlhrilis has good therapeutic effect.