玻璃酸钠注射针刀松解治疗膝骨关节炎疗效观察

THE TREATMENT OF KNEE OSTEOARTHRITIS BY INJECTING SODIUM HYALURONATE AND SCALPEL RELEASING:A Therapeutic-effect Observation

为观察关节腔内注射玻璃酸钠配合针刀松解治疗膝关节骨关节炎的疗效 ,将 2 4 0例膝骨关节炎患者随机均分为三组 ,观察组采用关节腔内注射玻璃酸钠配合针刀松解膝关节周围病变的软组织 ,对照组分别采用非甾体抗炎药和氨基葡萄糖类药的治疗 ,观察其近期和远期疗效。根据评分标准 ,观察组的近期显效率为 85 .0 % ,有效率为 10 0 % ,远期有效率为 94 .5 % ,与两对照组相比均有显著的差异性 (P <0 .0 1)。认为玻璃酸钠腔内注射配合针刀松解治疗膝骨关节炎解决了软骨和周围软组织病变两个很重要的病理因素 ,体现了中医骨伤科筋骨并重的治疗思路。

The objective of the paper is to observe the therapeutic effect of injecting Sodium Hyaluronate (ISH) into the joint cavity and scalpel releasing (SR) the diseased peripheral soft tissues on knee osteoarthritis (KOA). Two hundred and forty cases of KOA were divided into three groups: the observed (O) and the two controls,which were treated by ISH and SR,by non-steroid anti-inflammatory drugs and by aminoglucose agents,respectively; the long- and short-term therapeutic effects of all groups were observed. According to the scoring standards, the effective,short-term marked effective,and long-term effective rates of the observed were 100%,85.0% and 94.5%,respectively with a significant difference from the two controls (P<0.01),suggesting that ISH and SR could remove the two pathological factors of the cartilage and peripheral soft tissues in the treatment of KOA,which gives expression to the orthopedic-traumatological therapeutic thinking of attaching importance to both soft tissues and bone.