菱形阻滞联合腔内臭氧注射和运动康复治疗膝关节骨性关节炎的疗效分析

Therapeutic efficacy of rhomboid block combined with intraarticular ozone injection and exercise rehabilitation on knee osteoarthritis

目的分析菱形阻滞联合腔内臭氧注射和运动康复治疗膝关节骨性关节炎的疗效。方法选取2018年1月—2018年7月于四川省骨科医院收治的膝关节骨性关节炎患者100例作为研究对象。根据随机数字表法将患者分为对照组和观察组,各50例。对照组患者给予腔内臭氧注射和运动康复治疗,观察组患者在此基础上采用菱形阻滞治疗。分别于治疗前及治疗6周后用数字评价量表(NRS)评价患者疼痛程度,西安大略省和麦克马斯特大学骨关节炎指数(WOMAC)评价患者骨关节炎严重程度。分别于治疗前及治疗12个月后,利用奎森功能演算指数(Lequesne)和国际膝部文件委员会(IKDC)膝部功能主观评估表评价患者远期疗效。结果观察组治疗后NRS评分、WOMAC评分较对照组低(P<0.05)。两组治疗后NRS评分、WOMAC评分较治疗前低(P<0.05)。观察组治疗后IKDC膝部功能主观评估表评分较对照组高,Lequesne评分较对照组低(P<0.05)。两组治疗后IKDC膝部功能主观评估表评分较治疗前高,Lequesne评分较治疗前低(P<0.05)。结论菱形阻滞联合腔内臭氧注射和运动康复治疗膝关节骨性关节炎疗效显著,可在近期减轻患者疼痛,降低患者骨关节炎严重程度,且在远期改善患者膝关节功能方面也具有一定的优势。

Objective To analyze the effect of rhomboid block combined with intraarticular ozone injection and exercise rehabilitation on knee osteoarthritis.Methods From January 2018 to July 2018,one hundred patients with knee osteoarthritis admitted to our hospital were selected as subjects.According to the random number table,patients were divided into control group and observation group,with 50 cases in each group.Patients in the control group were given intraarticular ozone injection and exercise rehabilitation.The patients in the observation group were additionally treated with rhomboid block.Patients were assessed for pain by the Numerical Rating Scale(NRS)before and 6 weeks after treatment,and the severity of knee osteoarthritis was assessed with the Western Ontario and McMaster Universities Arthritis Index(WOMAC).Long-term outcomes were assessed using the Lequesne Algofunctional Indexes(LAI)and the International Knee Documentation Committee(IKDC)before and 12 months after treatment.Results After 6 weeks of treatment,the NRS score and WOMAC score of the two groups were lower than those before treatment,and the NRS score and WOMAC score of the observation group were lower than those of the control group(P<0.05).After 12 months of follow-up,the LAI score was lower than that before treatment,and the IKDC score was higher than that before treatment(P<0.05).The LAI score was lower in the observation group than that in the control group,and the IKDC score in the observation group was higher than that in the control group after treatment(P<0.05).Conclusion Rhomboid block combined with intraarticular ozone injection and exercise rehabilitation shows great efficacy in the treatment of knee osteoarthritis,which can relieve the pain of patients and reduce the severity of knee osteoarthritis.Besides,it also has certain advantages in improving the knee function of patients in the long term.