【摘要】 目的:探讨变速变负荷(VVR)运动训练联合玻璃酸钠(SH)治疗膝关节骨性关节炎(OA)患者的成本-效果。方法:90例OA患者随机分为3组各30例,观察组膝关节SH注射和变速变负荷(VVR)下肢肌力测定训练系统进行膝关节运动训练;理疗组膝关节给予石蜡疗法、脉冲磁场、药物离子导入及高频电微波治疗;对照组仅行膝关节SH注射治疗。治疗前后分别采集3组患者康复介入时至康复治疗5周后的直接医疗费用,以及各费用的详细构成。结果:治疗5周后,疼痛目测类比评分法(VAS)评分,3组与治疗前比较均下降;Lysholm膝关节功能量表(LKSS)和VVR下肢肌力评定均有提高,与理疗组和对照组比较,观察组表现更突出(P<0.05),理疗组与对照组比较差异无统计学意义。观察组治疗后各项指标每改善1分所耗费的相关成本费用明显低于理疗组和对照组(P<0.05)。结论:应用VVR运动训练联合SH局部注射治疗OA是经济、有效的治疗方案。更多还原

【Abstract】 Objective:To analyze the cost-effectiveness of variable velocity and resistance muscle strength training exercise with sodium hyaluronate in patients with knee osteoarthritis. Methods: Ninety patients with knee osteoarthritis were equally divided into three groups: treatment group, physiotherapy group and control group. The patients in treatment group were treated with variable velocity and resistance muscle strength training exercise plus sodium hyaluronate injection into knee joint. The patients in physiotherapy group were subjected to comprehensive rehabilitation therapies such as paraffinotherapy, magnetotherapy and high frequency electrotherapy. The patients in control group were treated only with sodium hyaluronate injection into knee joint. Direct medical costs of each patient, and detailed buildups of every cost during the 5-week rehabilitation therapy were collected. Results: The pain of the knee joint was alleviated, the function of knee joint was improved, and peak torque on quadriceps femoris and biceps femoris and Lysholm were obviously increased in three groups after treatment (P<0.05), more significantly in treatment group than other two groups (P<0.05). There was no significant difference between physiotherapy group and control group. Conclusion: The rehabilitation treatment of variable velocity and resistance muscle strength training exercise with sodium hyaluronate in patients with knee osteoarthritis is economical and effective.更多还原