首页|复方倍他米松辅助玻璃酸钠关节腔内注射治疗膝关节滑膜炎的效果

复方倍他米松辅助玻璃酸钠关节腔内注射治疗膝关节滑膜炎的效果

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目的:探讨复方倍他米松辅助玻璃酸钠关节腔内注射治疗膝关节滑膜炎(KS)的效果。方法:选取 2022 年 2月—2023 年 2 月莆田九十五医院接收的 87 例KS患者作为研究对象,根据随机数表法分为对照组(n=44)和研究组(n=43)。对照组予以玻璃酸钠关节腔内注射治疗,研究组予以复方倍他米松辅助治疗,比较两组疗效、滑膜厚度与关节腔内积液量、炎症反应指标及关节功能情况。结果:研究组总有效率(90。70%)高于对照组(70。45%),差异有统计学意义(P<0。05);两组治疗 4 周后白细胞介素 1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、白细胞介素 6(IL-6)水平、滑膜厚度、关节腔内积液量较治疗前低,Lysholm膝关节功能评分较治疗前高,且研究组上述指标优于对照组,差异有统计学意义(P<0。05)。结论:KS患者采用复方倍他米松辅助玻璃酸钠关节腔内注射治疗效果较好,可减少滑膜厚度与关节腔内积液量,减轻炎症反应,提高关节功能。
Effect of Compound Betamethasone Assisted Intra-articular Injection of Sodium Hyaluronate in the Treatment of Knee Synovitis
Objective:To explore the effect of compound betamethasone assisted intra-articular injection of sodium hyaluronate in the treatment of knee synovitis(KS).Method:According to the random number table method,87 KS patients admitted to Putian 95 Hospital from February 2022 to February 2023 were divided into a control group(n=44)and a study group(n=43).The control group received intra-articular injection of sodium hyaluronate,while the study group received adjuvant treatment with compound betamethasone.The efficacy,synovial thickness,joint cavity fluid accumulation,inflammatory response indicators and joint function were compared between two groups.Result:The total effective rate of the study group was 90.70%,which was higher than 70.45%of the control group,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the levels of interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),synovial thickness and intra-articular fluid accumulation were lower than before treatment.The Lysholm knee joint function score was higher than before treatment,and the above indicators in the study group were better than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The treatment of KS patients using compound betamethasone assisted sodium hyaluronate intra-articular injection has a good effect,reducing synovial thickness and joint effusion,alleviating inflammatory reactions,and improving joint function.

Knee joint synovitisCompound betamethasoneSodium hyaluronateIntraarticular injectionInflammatory responseKnee joint function

刘立航、彭青强、谢阳阳、李智

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莆田九十五医院 福建 莆田 351100

膝关节滑膜炎 复方倍他米松 玻璃酸钠 关节腔内注射 炎症反应 膝关节功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(24)