中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
10期
1530-1533
,共4页
骨关节炎,膝%半月板,胫骨%治疗学
骨關節炎,膝%半月闆,脛骨%治療學
골관절염,슬%반월판,경골%치료학
Osteoarthritis,Knee%Menisci,Tibial%Therapeutics
目的：探讨对膝关节骨性关节炎（KOA）合并半月板损伤（MI）患者综合性保守治疗方案及其疗效。方法选取120例膝关节骨性关节炎伴半月板损伤患者作为研究对象，按随机数字表法分为对照组 A （A 组）、B（B 组）和综合治疗组（C 组），每组40例。A 组采用臭氧和玻璃酸钠注射；B 组采用臭氧、曲安奈德和玻璃酸钠注射；C 组采用臭氧、曲安奈德和玻璃酸钠注射，超激光局部照射，口服氨基葡萄糖片，静脉给予氯诺昔康治疗。治疗后2周、6个月进行膝关节功能评分进行疗效观察对比。在 C 组中将1年后给予与 A 组相同治疗方案和口服氨基葡萄糖片1个疗程者作为 C1组（n ＝20），未治疗者为 C2组（n ＝20），随访2年。结果治疗后2周，C 组优良率分别与较 A 组和 B 组比较，差异均有统计学意义（70．0％、22．5％、42．5％，χ2＝18．152、6．146，P ＜0．01或 P ＜0．05）；治疗后6个月，C 组优良率分别与 A 组和 B 组比较，差异均有统计学意义（87．5％、42．5％、60．0％，χ2＝17．802、7．813，均 P ＜0．01）；在1年时，C1与 C2组比较差异无统计学意义（t1＝2．014，P ＞0．05）；在2年时，C1与 C2组比较差异有统计学意义（t2＝16．152，P ＜0．01）。结论KOA伴 MI 时保守疗法综合治疗效果优于单纯膝关节注射疗法，膝关节保守治疗的效果明显优于不保守，该方案值得在临床上进一步推广。
目的：探討對膝關節骨性關節炎（KOA）閤併半月闆損傷（MI）患者綜閤性保守治療方案及其療效。方法選取120例膝關節骨性關節炎伴半月闆損傷患者作為研究對象，按隨機數字錶法分為對照組 A （A 組）、B（B 組）和綜閤治療組（C 組），每組40例。A 組採用臭氧和玻璃痠鈉註射；B 組採用臭氧、麯安奈德和玻璃痠鈉註射；C 組採用臭氧、麯安奈德和玻璃痠鈉註射，超激光跼部照射，口服氨基葡萄糖片，靜脈給予氯諾昔康治療。治療後2週、6箇月進行膝關節功能評分進行療效觀察對比。在 C 組中將1年後給予與 A 組相同治療方案和口服氨基葡萄糖片1箇療程者作為 C1組（n ＝20），未治療者為 C2組（n ＝20），隨訪2年。結果治療後2週，C 組優良率分彆與較 A 組和 B 組比較，差異均有統計學意義（70．0％、22．5％、42．5％，χ2＝18．152、6．146，P ＜0．01或 P ＜0．05）；治療後6箇月，C 組優良率分彆與 A 組和 B 組比較，差異均有統計學意義（87．5％、42．5％、60．0％，χ2＝17．802、7．813，均 P ＜0．01）；在1年時，C1與 C2組比較差異無統計學意義（t1＝2．014，P ＞0．05）；在2年時，C1與 C2組比較差異有統計學意義（t2＝16．152，P ＜0．01）。結論KOA伴 MI 時保守療法綜閤治療效果優于單純膝關節註射療法，膝關節保守治療的效果明顯優于不保守，該方案值得在臨床上進一步推廣。
목적：탐토대슬관절골성관절염（KOA）합병반월판손상（MI）환자종합성보수치료방안급기료효。방법선취120례슬관절골성관절염반반월판손상환자작위연구대상，안수궤수자표법분위대조조 A （A 조）、B（B 조）화종합치료조（C 조），매조40례。A 조채용취양화파리산납주사；B 조채용취양、곡안내덕화파리산납주사；C 조채용취양、곡안내덕화파리산납주사，초격광국부조사，구복안기포도당편，정맥급여록낙석강치료。치료후2주、6개월진행슬관절공능평분진행료효관찰대비。재 C 조중장1년후급여여 A 조상동치료방안화구복안기포도당편1개료정자작위 C1조（n ＝20），미치료자위 C2조（n ＝20），수방2년。결과치료후2주，C 조우량솔분별여교 A 조화 B 조비교，차이균유통계학의의（70．0％、22．5％、42．5％，χ2＝18．152、6．146，P ＜0．01혹 P ＜0．05）；치료후6개월，C 조우량솔분별여 A 조화 B 조비교，차이균유통계학의의（87．5％、42．5％、60．0％，χ2＝17．802、7．813，균 P ＜0．01）；재1년시，C1여 C2조비교차이무통계학의의（t1＝2．014，P ＞0．05）；재2년시，C1여 C2조비교차이유통계학의의（t2＝16．152，P ＜0．01）。결론KOA반 MI 시보수요법종합치료효과우우단순슬관절주사요법，슬관절보수치료적효과명현우우불보수，해방안치득재림상상진일보추엄。
Objective To investigate the projects and effects of the comprehensive and conservative treatment of patients with keen osteoarthritis and meniscus injury.Methods 120 patients with keen osteoarthritis and meniscus injury were randomly divided into the control group A(n =40),B(n =40)and comprehensive treatment group C(n =40).Patients in group A were treated with ozone and glass sodium injection;Patients in group B were treated with ozone,glass sodium and Triamcinolone Acetonide injection;Patients in group C were treated with ozone, glass sodium and Triamcinolone Acetonide injection,superlaser local irradiation,glucosamine tablet oral,Lornoxicam intravenous injection.The effects of the treatment according to keen joints function scores were compared after two weeks and six months.Patients in group C were randomly divided into group C1(n =20)and group C2(n =20)after one year,patients in group C1 with the same treatment as patients in group A and oral glucosamine tablet for one course of treatment,patients in group C2 without any further treatment.The follow up was completed for two years. Results The excellent and good rate in group C was better than that of group B and group C after two weeks (70.0%,22.5%,42.5%,χ2 =18.152,6.146,P <0.01 or P <0.05).After six month,the excellent and good rate in group C was better than that of group A and group B (87.5%,42.5%,60.0%,χ2 =17.802,7.813,all P <0.01).There was no significant difference between group C1 and group C2 after one years(t1 =2.014,P <0.01). There was significant difference between group C1 and group C2 after two years(t2 =16.152,P <0.01).Conclusion The effects of comprehensive conservative treatment are better than simple keen joint injection in patients with keen osteoarthritis and meniscus injury.The function of keen joint with maintenance care treatment is better than without maintenance care.Comprehensive conservative and maintenance care treatment is a good clinical treatment project.
