CAJ | 학술논문

目的：比较两种不同方法治疗膝关节骨性关节炎患者的临床效果。方法：选取80例膝关节骨性关节炎患者，将其分成观察组（40例）和对照组（40例），给予观察组患者采用保守治疗（股四头肌功能锻炼+理疗+玻璃酸钠及曲安奈德膝关节腔注射），给予对照组关节镜下膝关节有限清理术。对比两组患者临床效果及3个月、12个月治疗前后膝关节功能评分。结果：观察组效果明显优于对照组，两组比较，差异具有统计学意义（P﹤0.05）。观察组3个月、12个月治疗前后膝关节功能评分明显高于对照组，两组比较，差异具有统计学意义（P﹤0.05）。结论：保守治疗股四头肌功能锻炼+理疗+玻璃酸钠及曲安奈德膝关节腔注射治疗效果明显，能有效缓解患者关节疼痛，经济、简单，值得临床推广和应用。
목적：비교량충불동방법치료슬관절골성관절염환자적림상효과。방법：선취80례슬관절골성관절염환자，장기분성관찰조（40례）화대조조（40례），급여관찰조환자채용보수치료（고사두기공능단련+리료+파리산납급곡안내덕슬관절강주사），급여대조조관절경하슬관절유한청리술。대비량조환자림상효과급3개월、12개월치료전후슬관절공능평분。결과：관찰조효과명현우우대조조，량조비교，차이구유통계학의의（P﹤0.05）。관찰조3개월、12개월치료전후슬관절공능평분명현고우대조조，량조비교，차이구유통계학의의（P﹤0.05）。결론：보수치료고사두기공능단련+리료+파리산납급곡안내덕슬관절강주사치료효과명현，능유효완해환자관절동통，경제、간단，치득림상추엄화응용。
Objective Analysis and comparison of the clinical effect of knee osteoarthritis patients treated with two different meth-ods. Method 80 cases of knee osteoarthritis patients were seleceted and divided into the observation group(40 cases)and control group(40 cases),the observation group were treated by conservative treatment( unit four quadriceps exercise and physiotherapy plus sodium hyalur-onate and knee joint cavity injection of triamcinolone acetonide). The control group received arthroscopic knee limited debridement. Knee function score before and after 3 month,12 months and the two groups of patients with clinical effect was compared. Results The clinical effect of the observation group was better than control group,with statistical significance between the two groups( P﹤0. 05). The observation group score of knee joint function after 3 months,12 months of treatment was significantly higher than the control group,with statistical significance between the two groups(P﹤0. 05). Conclusion The conservative treatment of femoral head four muscle function exercise and physiotherapy plus sodium hyaluronate and triamcinolone acetonide injection in articular cavity treatment effect is obvious,can effectively alleviate the patient with joint pain,economic,simple,is worth the clinical promotion and application.