CAJ | 학술논문

目的：探讨踝关节腔注射治疗联合踝关节康复治疗对踝关节功能恢复疗效的影响。方法选择踝关节疼痛伴功能障碍的病人32例，随机分为两组，单纯关节腔注射组（Ⅰ组，n=16）和关节腔注射加踝关节康复治疗组（ IR组，n=16）。按照试验设计和操作常规，两组均于病变踝关节腔内注入治疗药物及臭氧（40μg/ml），每周1次，共4次。IR组注射后进行踝关节康复运动项目治疗，1次/天。观察指标：①X线K-L分级评分；②VAS疼痛评分；③Mazur踝关节功能评分。结果两组组内比较结果显示，治疗后较治疗前VAS疼痛评分值明显降低，踝关节Mazur功能评分值升高（ P <0.05）。根据踝关节X线K-L分级，组间对比疗效结果显示，Ⅰ-Ⅱ级中，两组治疗后VAS疼痛评分值降低程度和Mazur踝关节功能评分值升高程度无统计学差异（ P >0.05）；Ⅲ级和Ⅳ级中，IR组治疗后VAS疼痛评分分值的降低明显低于Ⅰ组（ P <0.05），Mazur踝关节功能评分值明显高于Ⅰ组（ P <0.05）。结论应用关节腔注射治疗联合踝关节康复项目治疗踝关节骨关节病可以更有效地恢复踝关节功能。
목적：탐토과관절강주사치료연합과관절강복치료대과관절공능회복료효적영향。방법선택과관절동통반공능장애적병인32례，수궤분위량조，단순관절강주사조（Ⅰ조，n=16）화관절강주사가과관절강복치료조（ IR조，n=16）。안조시험설계화조작상규，량조균우병변과관절강내주입치료약물급취양（40μg/ml），매주1차，공4차。IR조주사후진행과관절강복운동항목치료，1차/천。관찰지표：①X선K-L분급평분；②VAS동통평분；③Mazur과관절공능평분。결과량조조내비교결과현시，치료후교치료전VAS동통평분치명현강저，과관절Mazur공능평분치승고（ P <0.05）。근거과관절X선K-L분급，조간대비료효결과현시，Ⅰ-Ⅱ급중，량조치료후VAS동통평분치강저정도화Mazur과관절공능평분치승고정도무통계학차이（ P >0.05）；Ⅲ급화Ⅳ급중，IR조치료후VAS동통평분분치적강저명현저우Ⅰ조（ P <0.05），Mazur과관절공능평분치명현고우Ⅰ조（ P <0.05）。결론응용관절강주사치료연합과관절강복항목치료과관절골관절병가이경유효지회복과관절공능。
Objective Toexploretheeffectofthecombinationofintra-articularinjection(IAI)andrehabilitationtherapy(RT)onthe functionalrecoveryofankleosteoarthrosis(OA).Methods Thirty-twopatientswithpainandfunctionaldisturbanceinankleswererandomly divided into group I(n=16)in which patients received IAI and group IR(n=16)in which patients received the combination of IAI and RT. All patients in two groups received the injection of ten milliliters ozone(40 μg/ml)into the damaged cavity of ankle joint one time a week and the Lawrence classification under X - ray(KLC),the visual analogue scale(VAS),and the Mazur ankle joint scoring system(MS)on the function of ankle were used to evaluate the effect of the treatment. Results After the treatment,the VAS was significantly lower than that before the treatment, and MS on the function of ankle was significantly higher than that before the treatment( P <0. 05). The decrease in the VAS had significant correlation with the increase in the MS on the function of ankle joint in patients with KLC I and II. The decrease in the VAS in patients with KLC Ⅲ and Ⅳ in group IR was significantly larger than that in group I( P <0. 05). The increase in the MS on the function of ankle joint in patients in group IR was significantly larger than that in patients in group I( P <0. 05). Conclusion The combination of IAI and RT can effectively restore the function of ankle OA.