股神经脉冲射频联合富血小板血浆治疗膝关节骨性关节炎疼痛的临床效果
Clinical Effect of Femoral Nerve Pulse Radiofrequency Combined with Platelet Rich Plasma in the Treatment of Knee Osteoarthritis Pain
史海军 1俞春霞 1刘真 1何丽1
作者信息
- 1. 阿克苏市人民医院疼痛科,新疆 阿克苏 843000
- 折叠
摘要
目的:探讨股神经脉冲射频联合富血小板血浆治疗膝关节骨性关节炎疼痛的临床效果.方法:选取我院2020年1月—2021 年3 月收治的 80例膝关节骨性关节炎疼痛患者作为研究对象,随机分为观察组与对照组,每组 40 例.对照组患者采用单纯股神经脉冲射频治疗,观察组患者给予股神经脉冲射频后进行富血小板血浆治疗.比较 2 组患者的近远期疼痛缓解总有效率,治疗前后的视觉模拟评分法(VAS)评分,健康状况调查简表(SF-36)、美国特种外科医院(HSS)膝关节评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分及不良反应发生情况.结果:观察组治疗后 3、6 个月、治疗后 1、2 年的治疗总有效率高于对照组,组间差异有统计学意义(P<0.05).2 组患者治疗前的VAS评分比较,组间差异无统计学意义(P>0.05);对照组治疗后 6个月、治疗后 1、2 年的VAS评分逐渐升高,观察组的VAS评分较稳定,且观察组明显低于对照组,组间差异有统计学意义(P<0.05).2 组患者治疗前的SF-36、HSS、WOMAC评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组患者的SF-36 评分、HSS评分高于对照组,WOMAC评分低于对照组,组间差异有统计学意义(P<0.05);观察组患者的不良反应发生率为 12.50%,与对照组患者的 10.00%比较,差异无统计学意义(P>0.05).结论:股神经脉冲射频联合富血小板血浆治疗膝关节骨性关节炎疼痛患者的效果显著,在提升治疗效果、缓解患者疼痛的同时,远期效果更加稳定,能够提升患者的关节功能和生活质量,安全性好.
Abstract
Objective:To investigate the clinical effect of femoral nerve pulsed radiofrequency combined with platelet rich plasma in the treatment of knee osteoarthritis pain.Methods:A total of 80 patients with knee osteoarthritis pain admitted in our hospital from January 2020 to March 2021 were selected as the research objects.All patients were randomly divided into the observation group and the control group,with 40 cases in each group.Patients in the control group were given femoral nerve pulsed radiofrequency therapy alone,and patients in the control group were given platelet rich plasma therapy after femoral nerve pulsed radiofrequency.The total effective rate of pain relief in the near and long term,Visual Analogue scale(VAS)score before and after treatment,Brief Form of Health Survey(SF-36),knee joint score of Hospital for Special Surgery(HSS),Osteoarthritis index(WOMAC)score of Western Ontario and McMaster University,and adverse reactions were compared between the two groups.Results:The total effective rate of the observation group at 3,6 months,1 and 2 years after treatment were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups before treatment(P>0.05).The VAS scores of the control group increased gradually at 6 months,1 and 2 years after treatment,and the VAS scores of the observation group were stable,and which in the observation group were significantly lower than those in the control group,with statistical significance(P<0.05).There were no significant difference in the scores of SF-36,HSS and WOMAC between the two groups before treatment(P>0.05).After treatment,the SF-36 score and HSS score of the observation group were higher than that of the control group,and the WOMAC score of the observation group was lower than that of the control group,with statistical significance(P<0.05).The incidence of adverse reactions in the observation group was 12.50%,compared with 10.00% in the control group,there was no statistical significance between the two groups(P>0.05).Conclusion:Femoral nerve pulsed radiofrequency combined with platelet rich plasma has a significant effect in the treatment of knee osteoarthritis pain patients.While improving the treatment effect and relieving the pain of patients,the long-term effect is more stable,which can improve the joint function and quality of life of patients,and is safe and worthy of clinical application and promotion.
关键词
膝关节骨性关节炎/疼痛/股神经脉冲射频/富血小板血浆/生活质量Key words
Knee osteoarthritis/Pain/Femoral nerve pulse radiofrequency/Platelet rich plasma/Quality of life引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据