康复治疗联合玻璃酸钠关节腔注射对运动性膝关节损伤患者疼痛程度的影响
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摘要
目的探讨在康复治疗的基础上给予玻璃酸钠关节腔注射治疗运动性膝关节损伤患者对其疼痛程度的影响,并评价临床疗效。方法 120例运动性膝关节损伤患者,按照入组先后顺序分为对照组和干预组,每组60例。对照组患者给予常规康复治疗,干预组患者在对照组的基础上给予玻璃酸钠关节腔注射。比较两组患者临床疗效、治疗前后视觉模拟评分法(VAS)评分。结果干预组患者治疗总有效率为98.33%,高于对照组的95.00%,但差异无统计学意义(P>0.05)。治疗前,两组患者VAS评分比较差异无统计学意义(P>0.05);治疗后,两组患者VAS评分均低于本组治疗前,且干预组患者VAS评分(1.04±0.26)分低于对照组的(1.21±0.17)分,差异具有统计学意义(P<0.05)。结论在康复治疗基础上给予玻璃酸钠关节腔注射能缓解患者疼痛。
Objective To discuss the effect of intra-articular injection of sodium hyaluronate on the degree of pain in patients with exercise-induced knee injury on the basis of rehabilitation therapy, and evaluate the clinical efficacy. Methods A total of 120 patients with exercise-induced knee injury were divided by admission order into control group and intervention group, with 60 cases in each group. The control group received conventional rehabilitation therapy, and the intervention group received intra-articular injection of sodium hyaluronate on the basis of the control group. The clinical efficacy, visual analogue scale(VAS) score before and after treatment were compared between the two groups. Results The total treatment effective rate in intervention group was 98.33%, which was higher than 95.00% in the control group, but the difference was not statistically significant(P>0.05). Before treatment, there was no statistically significant difference in pain VAS score(P>0.05). After treatment, the VAS score in two groups were lower than those before treatment. The pain VAS score in intervention group was(1.04±0.26) points, which was lower than(1.21±0.17) points in the control group. Their difference was statistically significant(P<0.05). Conclusion Intra-articular injection of sodium hyaluronate on the basis of rehabilitation can alleviate pain in patients.
Objective To discuss the effect of intra-articular injection of sodium hyaluronate on the degree of pain in patients with exercise-induced knee injury on the basis of rehabilitation therapy, and evaluate the clinical efficacy. Methods A total of 120 patients with exercise-induced knee injury were divided by admission order into control group and intervention group, with 60 cases in each group. The control group received conventional rehabilitation therapy, and the intervention group received intra-articular injection of sodium hyaluronate on the basis of the control group. The clinical efficacy, visual analogue scale(VAS) score before and after treatment were compared between the two groups. Results The total treatment effective rate in intervention group was 98.33%, which was higher than 95.00% in the control group, but the difference was not statistically significant(P>0.05). Before treatment, there was no statistically significant difference in pain VAS score(P>0.05). After treatment, the VAS score in two groups were lower than those before treatment. The pain VAS score in intervention group was(1.04±0.26) points, which was lower than(1.21±0.17) points in the control group. Their difference was statistically significant(P<0.05). Conclusion Intra-articular injection of sodium hyaluronate on the basis of rehabilitation can alleviate pain in patients.
引文
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[6]江水华,郭开今,项洁,等.玻璃酸钠关节腔注射治疗对膝骨关节炎患者膝关节功能、日常活动能力以及生活质量的影响.现代生物医学进展, 2017, 17(35):6860-6864.
[7]成国华,蔡华,王星娜,等.青藤碱注射液电致孑L透皮给药治疗老年继发膝关节创伤性关节炎疗效及对关节液中炎性因子水平的影响.现代中西医结合杂志, 2017, 26(22):2401-2404.
[8]Feng L, Ma WZ. Impacts on the curative effbct of peripheral facial pamlysis treated with acupuncture and moxibustion at difkrent times.Chinese Acupuncture&Moxibustion, 2013, 33(12):1085-1087.
[9]Ha CW, Park YB, Choi CH, et al. Efficacy and safety of single injection of cross-linked sodium hyaluronate vs. three injections of high molecular weight sodium hyaluronate for osteoarthritis of the knee:a double-blind, randomized, multi-center, non-inferiority study. BMC Musculoskelet Disord, 2017, 18(1):223-226.
[10]中华医学会风湿病学分会.原发性痛风诊断和治疗指南.中华风湿病学杂志, 2011, 15(6):410-413.
[2]宁凯,郭瑞.针刺联合康复训练对运动性膝关节损伤周围肌肉的组织构建和生物力学的治疗研究.世界中医药, 2017, 12(8):1890-1894.
[3]Baunuru RR, Brodie CR, Sullivan MC, et al. Safety of Repeated Injections of Sodium Hyaluronate(SUPARTZ)for Knee Osteoarthritis:A Systematic Review and Meta-Analysis. Cartilage, 2016, 7(4):322-332.
[4]洪志群.运动性膝关节损伤的运动疗法探讨.中国卫生标准管理, 2016, 7(36):73-75.
[5]孔令超,陈兴智,张浩.冰冻疗法在大学生运动性软组织损伤处理中的运用分析.梧州学院学报, 2016, 26(3):22-26.
[6]江水华,郭开今,项洁,等.玻璃酸钠关节腔注射治疗对膝骨关节炎患者膝关节功能、日常活动能力以及生活质量的影响.现代生物医学进展, 2017, 17(35):6860-6864.
[7]成国华,蔡华,王星娜,等.青藤碱注射液电致孑L透皮给药治疗老年继发膝关节创伤性关节炎疗效及对关节液中炎性因子水平的影响.现代中西医结合杂志, 2017, 26(22):2401-2404.
[8]Feng L, Ma WZ. Impacts on the curative effbct of peripheral facial pamlysis treated with acupuncture and moxibustion at difkrent times.Chinese Acupuncture&Moxibustion, 2013, 33(12):1085-1087.
[9]Ha CW, Park YB, Choi CH, et al. Efficacy and safety of single injection of cross-linked sodium hyaluronate vs. three injections of high molecular weight sodium hyaluronate for osteoarthritis of the knee:a double-blind, randomized, multi-center, non-inferiority study. BMC Musculoskelet Disord, 2017, 18(1):223-226.
[10]中华医学会风湿病学分会.原发性痛风诊断和治疗指南.中华风湿病学杂志, 2011, 15(6):410-413.