首页|彩超引导下隐神经脉冲射频联合针刀治疗膝骨关节炎的临床研究

彩超引导下隐神经脉冲射频联合针刀治疗膝骨关节炎的临床研究

扫码查看
目的:观察彩超引导下隐神经脉冲射频联合针刀治疗膝骨关节炎(KOA)的临床疗效.方法:选择医院收治的75例KOA患者为研究对象,按照随机数字表法将其分为3组,即A组、B组、C组,各25例.A组实施彩超引导下隐神经脉冲射频手术治疗,B组实施针刀治疗,C组实施彩超引导下隐神经脉冲射频联合针刀治疗.比较两组疼痛、膝关节功能、膝关节活动度、不良反应、临床疗效.结果:治疗后,三组VAS评分、WOMAC评分降低,且C组VAS评分、WOMAC评分低于A组、B组(P<0.05);治疗后A组、B组VAS评分及 WOMAC评分比较,差异无统计学意义(P>0.05);术后7 d、14 d、30 d,C组关节活动度高于A组、B组(P<0.05);术后7 d、14 d、30 d,A组、B组关节活动度比较,未见显著差异(P>0.05);三组不良反应发生率比较,差异无统计学意义(P>0.05);C组治疗总有效率较A组、B组高(P<0.05);A组、B组治疗总有效率比较,差异无统计学意义(P>0.05).结论:彩超引导下隐神经脉冲射频联合针刀治疗KOA效果较佳,可缓解膝关节疼痛,提高膝关节活动度,促进膝关节功能的提升,且联合治疗安全性较高.
Clinical Study on the Treatment of Knee Osteoarthritis with Ultrasound Guided Hidden Nerve Pulse Radiofrequency Combined with Needle Knife
Objective:To observe the clinical efficacy of ultrasound-guided pulsed radiofrequency combined with needle knife therapy for knee osteoarthritis(KOA).Methods:75 KOA patients admitted to the hospital were se-lected as the research subjects and randomly divided into three groups according to the random number table meth-od,namely Group A,Group B,and Group C,with 25 patients in each group.Group A underwent ultrasound-guided pulsed radiofrequency surgery for the hidden nerve,Group B underwent needle knife treatment,and Group C underwent ultrasound-guided pulsed radiofrequency combined with needle knife treatment for the hidden nerve.Compare the pain,knee joint function,knee joint range of motion,adverse reactions,and clinical efficacy between two groups.Results:After treatment,the VAS and WOMAC scores of the three groups decreased,and the VAS and WOMAC scores of Group C were lower than those of Group A and Group B(P<0.05).There was no statistically significant difference in VAS scores and WOMAC scores between group A and group B after treat-ment(P>0.05).On postoperative days 7,14,and 30,the joint range of motion in group C was higher than that in groups A and B(P<0.05).On postoperative days 7,14,and 30,there was no significant difference in joint range of motion between group A and group B(P>0.05).There was no statistically significant difference in the incidence of adverse reactions among the three groups(P>0.05).The overall effective rate of treatment in Group C was higher than that in Group A and Group B(P<0.05).There was no statistically significant differ-ence in the total effective rate between group A and group B(P>0.05).Conclusion:The combination of ultra-sound-guided pulsed radiofrequency and needle knife therapy for knee osteoarthritis is more effective in relieving knee joint pain,improving knee joint mobility,promoting knee joint function improvement,and has a higher safety profile.

pulse RFneedle knife treatmentknee osteoarthritisknee joint function

李矛、毛文丽、徐贤亮、文武、肖永焕

展开 >

江西中医药大学附属医院 疼痛科

江西中医药大学附属医院 中医外科

江西中医药大学附属医院 麻醉科,江西 南昌 330006

脉冲射频 针刀治疗 膝骨关节炎 膝关节功能

2024

宜春学院学报
宜春学院

宜春学院学报

影响因子:0.271
ISSN:1671-380X
年,卷(期):2024.46(9)