首页|隐神经阻滞结合玻璃酸钠关节腔注射治疗膝关节骨关节炎的临床效果

隐神经阻滞结合玻璃酸钠关节腔注射治疗膝关节骨关节炎的临床效果

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目的:分析隐神经阻滞结合玻璃酸钠关节腔注射对膝关节骨关节炎(KOA)患者的临床疗效.方法:选取2022 年 1 月—2024 年 1 月北京积水潭医院贵州医院收治的 96 例KOA患者,随机分成两组,均 48 例.对照组行玻璃酸钠关节腔注射,观察组加以隐神经阻滞.比较两组治疗效果.结果:观察组治疗总有效率高于对照组;且治疗后 1 个月的视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学关节炎指数(WOMAC)评分低于对照组,Lysholm评分、生活质量综合评定问卷(GQOLI-74)内各维度评分高于对照组,差异有统计学意义(P<0.05).结论:隐神经阻滞结合玻璃酸钠关节腔注射可缓解KOA患者关节疼痛,减轻关节病损程度,有助于尽快恢复膝关节功能,最终改善生活质量.
Clinical Efficacy of Saphenous Nerve Block Combined with Sodium Hyaluronate Intra-articular Injection in the Treatment of Knee Osteoarthritis
Objective:To analyze the clinical efficacy of saphenous nerve block combined with Sodium Hyaluronate intra-articular injection in patients with knee osteoarthritis(KOA).Method:A total of 96 KOA patients admitted to Beijing Jishuitan Hospital Guizhou Hospital from January 2022 to January 2024 were selected and randomly divided into two groups with 48 patients.The control group received Sodium Hyaluronate intra-articular injection,and the observation group received saphenous nerve block on this basis.The treatment effects between the two groups were compared.Result:The total effective rate of treatment in the observation group was higher than that in the control group,after one month of treatment,the visual analog scale(VAS)score,Western Ontario and McMaster University Arthritis Index(WOMAC)score were lower than those in the control group,while the Lysholm score and comprehensive quality of life questionnaire scores(GQOLI-74)in all dimensions were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Saphenous nerve block combined with Sodium Hyaluronate intra-articular injection can relieve joint pain,reduce the degree of joint disease,help to restore knee function as soon as possible,and finally improve the quality of life.

Knee osteoarthritisSaphenous nerve blockSodium HyaluronateQuality of life

邰诗来、彭瀚元、付珺、陈楷、雷鸣

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北京积水潭医院贵州医院 贵州 贵阳 550002

膝关节骨关节炎 隐神经阻滞 玻璃酸钠 生活质量

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(25)