CAJ | 학술논문

目的：观察仰卧位关节腔注射治疗膝骨性关节炎（osteoarthritis,以下简称膝OA）的临床疗效并探讨护理方案.方法：选取116例符合诊断标准的膝OA患者,所有患者采用仰卧位髌骨外缘入路关节腔注射玻璃酸钠注射液,1次/周,连续5周为一个疗程,并于注射前后给予护理及康复指导.治疗前及治疗后应用视觉模拟评分（visual ana-log scale,VAS）、WOMAC骨关节炎指数、肿胀、压痛积分进行评分,以评价疗效.结果：治疗前后VAS疼痛评分、WOMAC骨性关节炎指数、肿胀、压痛指数均有显著性意义（P〈0.05）.经治疗后,临床控制2例（1.72%）,显效26例（22.41%）,有效76例（65.52%）,无效12例（10.35%）.结论：仰卧位关节腔注射治疗并配合护理康复能明显改善膝OA临床症状,且临床操作安全、方便.
목적：관찰앙와위관절강주사치료슬골성관절염（osteoarthritis,이하간칭슬OA）적림상료효병탐토호리방안.방법：선취116례부합진단표준적슬OA환자,소유환자채용앙와위빈골외연입로관절강주사파리산납주사액,1차/주,련속5주위일개료정,병우주사전후급여호리급강복지도.치료전급치료후응용시각모의평분（visual ana-log scale,VAS）、WOMAC골관절염지수、종창、압통적분진행평분,이평개료효.결과：치료전후VAS동통평분、WOMAC골성관절염지수、종창、압통지수균유현저성의의（P〈0.05）.경치료후,림상공제2례（1.72%）,현효26례（22.41%）,유효76례（65.52%）,무효12례（10.35%）.결론：앙와위관절강주사치료병배합호리강복능명현개선슬OA림상증상,차림상조작안전、방편.
Objective:Observe clinical effect and explore nursing programs of supine joint cavity injecting treat knee osteoarthritis(knee OA).Methods:116 patients with knee OA which met the diagnostic criteria were injected with Sodium Hyaluronatc Injection through supine patella outer edge into joint cavity.One time per week,consecutive five weeks as a course of treatment,nursing and rehabilitation guidance were given before and after injection.And visual analogue scale(VAS) scores、WOMAC osteoarthritis index,swelling and tenderness index were used to valuate the curative effect.Result:There were significant pre-/post-treatment differences in the VAS pain scores and WOMAC osteoarthritis index,swelling,tenderness index(P0.05).After treatment,2 cases in clinical control(1.72%),26 cases excellent(22.41%),76 cases effective(65.52%),12 cases none-effective(10.35%).Conclusion:Supine joint cavity injection with nursing and rehabilitation can improve the clinical symptoms of knee OA significantly,and the clinical operations are safe and convenient.