【摘要】 目的:探讨综合治疗在膝关节骨性关节炎治疗中的临床疗效。方法:选取本院2009年3月~2011年3月收治的膝骨性关节炎患者120例,随机分为对照组和治疗组,每组60例,对照组:关节镜术后第3天和第6天各进行关节腔注射医用透明质酸钠1次,后每周注射1次,共5次;治疗组:关节镜术后,每次关节腔除注射医用透明质酸钠外,还注射利多卡因、醋酸曲安奈德注射液和氯诺昔康混合溶液,以及口服硫酸氨基葡萄糖片,功能锻炼等综合治疗。观察并比较其治疗后第3、6、12个月的疗效。结果:2组治疗后第3、6、12个月Lysholm评分[1]均较治疗前提高,差异有统计学意义(P<0.05)。同时治疗组疗效优于对照组,差异有统计学意义(P<0.05)。结论:关节镜结合医用透明质酸钠和综合治疗在膝关节骨性关节炎中均有疗效,但综合治疗疗效更显著。更多还原

【Abstract】 Objective:To explore the clinical curative effect of comprehensive treatment in the treatment of osteoarthritis of knee. Methods:From the March of 2009 to the March of 2011, totally 120 patients with osteoarthritis of knee were randomly divided into 2 groups: Control group and treatment group. Control group:sodium hyaluronate was injected at the third day and the sixth day after arthroscopic debridement of knee.Then, sodium hyaluronate was injected once a week totally 5 times. Treatment Group: besides taking orally Glucosamine Sulfate Tablet and taking function exercise, sodium hyaluronate and a mixture solution of lidocaine, lornoxicam and triamcinolone acetonide injection were injected together after arthroscopic debridement of knee. The injection time and frequency are the same. After three, six and 12 mouths curative effects of two methods were compared. Results:The soccers standard for evaluation by Lysholm raise comparing to before treatment in each group. There is significant difference (P<0.05).And the effect of Treatment Group is better than Control Group. There is significant difference between two groups (P<0.05). Conclusion: The effect of both application is effective in the treatment of osteoarthritis of knee.But comprehensive treatment is better.更多还原