首页|隐神经射频热凝术联合关节腔注射臭氧治疗膝骨关节炎患者的效果

隐神经射频热凝术联合关节腔注射臭氧治疗膝骨关节炎患者的效果

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目的:探讨隐神经射频热凝术联合关节腔注射臭氧治疗膝骨关节炎患者的效果.方法:选取 2022 年 1 月至 2023 年 2 月该院收治的 110 例膝骨关节炎患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各 55 例.对照组采用关节腔注射臭氧治疗,研究组在对照组基础上联合隐神经射频热凝术治疗.比较两组临床疗效,治疗前后膝关节功能指标[视觉模拟评分法(VAS)评分、Lysholm膝关节功能量表(LKS)评分、膝关节活动度]、血清炎性因子[基质金属蛋白酶-3(MMP-3)、肿瘤坏死因子-α(TNF-α)和白细胞介素-1β(IL-1β)]水平,以及并发症发生率.结果:研究组治疗总有效率为94.55%(52/55),高于对照组的81.82%(45/55),差异有统计学意义(P<0.05);治疗后,研究组LKS评分和膝关节活动度均高于对照组,VAS评分及血清IL-1β、MMP-3 和TNF-α水平均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05).结论:隐神经射频热凝术联合关节腔注射臭氧治疗膝骨关节炎患者效果显著,可有效减轻关节疼痛,降低炎性因子水平,提高关节功能和关节活动度,效果优于单用关节腔注射臭氧治疗.
Effects of saphenous nerve radiofrequency thermocoagulation combined with intra-articular ozone injection in treatment of patients with knee osteoarthritis
Objective:To investigate effects of saphenous nerve radiofrequency thermocoagulation combined with intra-articular ozone injection in treatment of patients with knee osteoarthritis.Methods:A prospective study was conducted on 110 patients with knee osteoarthritis admitted to this hospital from January 2022 to February 2023.They were divided into study group and control group according to the random number table method,55 cases in each.The control group was treated with intra-articular injection of ozone,while the study group was treated with saphenous nerve radiofrequency thermocoagulation on the basis of that of the control group.The clinical efficacy,the knee function indexes[visual analogue scale(VAS)score,Lysholm knee function scale(LKS)score,knee joint range of motion],the serum inflammatory factors[matrix metalloproteinase-3(MMP-3),tumor necrosis factor-α(TNF-α)and interleukin-1β(IL-1β)]levels before and after the treatment,and the incidence of complications were compared between the two groups.Results:The total effective rate of the study group was 94.55%(52/55),which was higher than 81.82%(45/55)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the LKS score and the knee joint range of motion of the study group were higher than those of the control group,the VAS score and serum IL-1β,MMP-3 and TNF-α levels were lower than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Saphenous nerve radiofrequency thermocoagulation combined with intra-articular ozone injection is effective in the treatment of the patients with knee osteoarthritis,which can effectively reduce the joint pain,reduce the levels of inflammatory factors,and improve the joint function and the joint range of motion.Moreover,it is superior to single intra-articular ozone injection alone.

Saphenous nerveRadiofrequency thermocoagulationIntra-articular injectionOzoneKnee osteoarthritisInflammatory factor

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洛阳伊洛医院疼痛科,河南 洛阳 471000

隐神经 射频热凝术 关节腔注射 臭氧 膝骨关节炎 炎性因子

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
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