CAJ | 학술논문

　　目的探讨膝骨关节炎（KOA）患者在关节清理术后配合玻璃酸钠关节内注射及早期进行功能锻炼对膝关节功能的影响。方法109例患者共146膝，分为A、B、C三组，A组仅进行关节镜下关节清理术、B组在关节清理术后配合关节腔玻璃酸钠注射治疗，C组关节清理术后除进行玻璃酸钠注射外，配合膝关节功能锻炼。三组患者在治疗前、治疗后2个月及6个月分别采用Lysholm评分对患者进行膝关节功能评分。结果三组患者关节疼痛程度及膝关节功能较治疗前明显改善，治疗后2个月，B、C两组Lysholm评分优于A组，B、C两组均显著优于A组，C组又优于B组，差异均有统计学意义（P <0.05）；治疗后6个月，C组疗效优于A、B两组，差异具有统计学意义（P <0.05）。结论膝关节清理术后配合玻璃酸钠关节内注射及早期开展功能锻炼可以明显提高老年骨关节炎的治疗效果。
　　목적탐토슬골관절염（KOA）환자재관절청리술후배합파리산납관절내주사급조기진행공능단련대슬관절공능적영향。방법109례환자공146슬，분위A、B、C삼조，A조부진행관절경하관절청리술、B조재관절청리술후배합관절강파리산납주사치료，C조관절청리술후제진행파리산납주사외，배합슬관절공능단련。삼조환자재치료전、치료후2개월급6개월분별채용Lysholm평분대환자진행슬관절공능평분。결과삼조환자관절동통정도급슬관절공능교치료전명현개선，치료후2개월，B、C량조Lysholm평분우우A조，B、C량조균현저우우A조，C조우우우B조，차이균유통계학의의（P <0.05）；치료후6개월，C조료효우우A、B량조，차이구유통계학의의（P <0.05）。결론슬관절청리술후배합파리산납관절내주사급조기개전공능단련가이명현제고노년골관절염적치료효과。
Objective To explore the effect of arthroscopic joint debridement combined with intra-articular injection of sodium hyal-uronate and functional training on patients with knee osteoarthritis (KOA). Methods 146 knees of 109 patients were divided into 3 groups: group A, group B and group C; arthroscopic joint debridement was made to all the knees in the 3 groups while intra-articular in-jection of sodium hyaluronate was given to the knees in group B and C, and functional training was provided to the knees in group C;Lysholm score was applied in the evaluation of knee joint function of all the knees in the 3 groups before treatment, 2 months and 6 months after treatment. Results The severity of knee joint pain and knee joint function of the patients in the 3 groups were obviously im-proved after treatment ; Lysholm scores of group B and C 2 months after treatment were superior to that of group A, and the scores of group C superior to that of group B, both with statistical difference (P<0.05); 6 months after treatment, the effect in group C was superi-or to those in group A and B with statistical difference (P<0.05). Conclusions Arthroscopic joint debridement plus intra-articular injec-tion of sodium hyaluronate and functional training can obviously produce a better curative effect in the treatment of senile osteoarthritis.