CAJ | 학술논문

目的探讨关节腔灌洗、医用三氧注射联合针刀局部松解治疗膝关节骨性关节炎的安全性和治疗效果.方法膝关节骨性关节炎患者57例,行关节腔灌洗后,向关节腔注入30 μg/ml医用三氧,联合针刀膝关节局部松解,连续治疗1个疗程.观察患者在治疗前,治疗后1、3、6个月的VAS评分,并计算VAS评分缓解率及不良反应的发生率.结果与治疗前比较,治疗后各时点VAS评分均下降,差异有统计学意义.治疗后6个月时优良率75.4％(44/57例),各时点之间比较差异无统计学意义(P＞0.05).治疗后各时点间优良率比较差异无统计学意义(P＞0.05).治疗期间及随访期间未见严重不良反应.结论膝关节灌洗、医用三氧注射联合针刀局部松解治疗膝骨性膝关节炎是一种安全有效的治疗方法.
목적 탐토관절강관세、의용삼양주사연합침도국부송해치료슬관절골성관절염적안전성화치료효과.방법 슬관절골성관절염환자57례,행관절강관세후,향관절강주입30 μg/ml의용삼양,연합침도슬관절국부송해,련속치료1개료정.관찰환자재치료전,치료후1、3、6개월적VAS평분,병계산VAS평분완해솔급불량반응적발생솔.결과 여치료전비교,치료후각시점VAS평분균하강,차이유통계학의의.치료후6개월시우량솔75.4％(44/57례),각시점지간비교차이무통계학의의(P＞0.05).치료후각시점간우량솔비교차이무통계학의의(P＞0.05).치료기간급수방기간미견엄중불량반응.결론 슬관절관세、의용삼양주사연합침도국부송해치료슬골성슬관절염시일충안전유효적치료방법.
Objective To investigate the safety and efficacy of articular cavity irrigation, medical ozone injection combined with acupotomy lysis in the treatment of patients with knee osteoarthritis.Methods There were 57 patients with knee osteoarthritis, who were treated by intra-articular cavity irrigation, medical ozone injection (30 μg/ml) combined with acupotomy lysis.The treatment was administrated once a week, totally 5 weeks.VAS was recorded before and 1,3,6 months after the treatment, then VAS improvement rate and the incidence rate of complications were calculated during the treatment and following-up period.Results Compared with pretreatment, VAS was significantly decreased in all patients at each time point after the treatment (P＜ 0.05).The excellent and good rate was 75.4％ (44/57 cases) after six months and there was no significant difference in VAS among each time point after the treatment (P ＞ 0.05).No severe complications were found during the treatment and following-up period.Conclusion Intra-articular cavity irrigation, medical ozone injection combined with acupotomy lysis is a safe and effective therapy for knee osteoarthritis.