欢迎来到天天文库
浏览记录
ID:46542460
大小:55.50 KB
页数:9页
时间:2019-11-25
《神经阻滞与超短波、低频脉冲电综合治疗》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、草乌甲素联合玻璃酸钠治疗老年膝关节炎的疗效观察潘国兴I张昕2杜冬萍肚I上海市浦东新区老年医院疼痛科,上海201314:彳上海市交通大学附属第六人民医院疼痛科,上海200233)摘要冃的:观察草乌「卩索联介玻璃酸钠与玻璃酸钠注射治疗老年膝关节炎的临床疗效的差异。方法:老年膝关节炎患者90例,随机分为观察组和对照组,每组45例。观察组玻璃酸钠关节腔注射的基础上服用草乌甲索片;对照组仅玻璃酸钠关节腔注射治疗。采用视觉模拟疼痛评分(visualanaloguescale,VAS)作为疼痛水平评价指标,Lenquesne膝关节评分评佔治疗效果⑴。观察两组患者治疗前及治疗后1、2、4
2、、8周的临床效果。结果:与治疗前比较,治疗后两组评分均显著降低(P<0.05),两组评分均值比较,观察组较对照组下降更显著,差异有显著性(PvO.05)。结论:草乌甲素联合玻璃酸钠与单一的玻璃酸钠注射治疗老年膝关节炎相比,疗效持续时间长,副反应少,复发率少,值得在临床上推广应用。关键词草乌甲索;玻璃酸钠;关节腔注射PANGuo-Xing,ZHANGXin,DUDong3、oobservetheclinicaleffectsbctwcccnBullcyaconitincAcombinationsodiumhyaluronateandsodiumhyaluronateinjectionaloneinthetreatmentofsenilekneeosteoarthritis.Methods:90easesofelderlypatientswithkneearthritis,wererandomlyassignedtoobservergroupandthecontrolgroup,eachgroupof45eases・Observationgr4、oupreceivedsodiumhyaluronateintra-articularinjectionandtakingBullcyaconitincAtablets;controlgrouponlyreceivedintra-articularinjectionofsodiumhyaluronate.UsingVisualanaloguepainscores(Visualanaloguescale,VAS)asthepainlevelassessmentindex,LenquesnekneescorestoassesstreatmenteffectNl.Observi5、ngthetherapeuticeffectonbeforetreatmentandaftertreatment1,2,4,8weeksintwogroupspatients.Results:Comparedwithpriortreatment,twosetsofscoresweresignificantlyreducedonposttreatment(Pv0・05),asfarastwosetsofscoresareconcerned,observergroupdeclinedmoresignificantly,differencessignificant(Pv0・056、)・Conclusion:BullcyaconitincAcombinationsodiumhyaluronateinjectioncantreatsenilekneeosteoarthritisbetter,withlongercurativeeffect,fewersideeffects,andlessrecurrencerate.Itsworthtobeusedinclinical・Keywords:BulleyaconitineA,sodiumhyaluronate,intra-articularinjection骨关节炎(osteoarthritis,OA)是一7、种以关节软骨的变性、破坏及骨质增生为特征的疾病。其发病率在老年人中益增高,其中膝关节的骨关节炎(kneeosteoarthritis,KOA)能导致关节疼痛和功能障碍严重影响了患者的生活质S[2]o冃前临床上对轻中度患者多以服用非斜体类消炎镇痛药及肾上腺皮质激索类药物为主,但副作用较多R只能缓解疼痛症状,停药后多复发。重度患者多采取手术治疗,手术疗效肯定,但手术适应证范围较窄,创伤大,费用高,并发症多,患者心理及经济承受力较差,术后功能锻炼不便等因索决定了大多数患者仍需保守治疗。随着人口老龄化程度的加深,这一问题将会更加突出。
3、oobservetheclinicaleffectsbctwcccnBullcyaconitincAcombinationsodiumhyaluronateandsodiumhyaluronateinjectionaloneinthetreatmentofsenilekneeosteoarthritis.Methods:90easesofelderlypatientswithkneearthritis,wererandomlyassignedtoobservergroupandthecontrolgroup,eachgroupof45eases・Observationgr
4、oupreceivedsodiumhyaluronateintra-articularinjectionandtakingBullcyaconitincAtablets;controlgrouponlyreceivedintra-articularinjectionofsodiumhyaluronate.UsingVisualanaloguepainscores(Visualanaloguescale,VAS)asthepainlevelassessmentindex,LenquesnekneescorestoassesstreatmenteffectNl.Observi
5、ngthetherapeuticeffectonbeforetreatmentandaftertreatment1,2,4,8weeksintwogroupspatients.Results:Comparedwithpriortreatment,twosetsofscoresweresignificantlyreducedonposttreatment(Pv0・05),asfarastwosetsofscoresareconcerned,observergroupdeclinedmoresignificantly,differencessignificant(Pv0・05
6、)・Conclusion:BullcyaconitincAcombinationsodiumhyaluronateinjectioncantreatsenilekneeosteoarthritisbetter,withlongercurativeeffect,fewersideeffects,andlessrecurrencerate.Itsworthtobeusedinclinical・Keywords:BulleyaconitineA,sodiumhyaluronate,intra-articularinjection骨关节炎(osteoarthritis,OA)是一
7、种以关节软骨的变性、破坏及骨质增生为特征的疾病。其发病率在老年人中益增高,其中膝关节的骨关节炎(kneeosteoarthritis,KOA)能导致关节疼痛和功能障碍严重影响了患者的生活质S[2]o冃前临床上对轻中度患者多以服用非斜体类消炎镇痛药及肾上腺皮质激索类药物为主,但副作用较多R只能缓解疼痛症状,停药后多复发。重度患者多采取手术治疗,手术疗效肯定,但手术适应证范围较窄,创伤大,费用高,并发症多,患者心理及经济承受力较差,术后功能锻炼不便等因索决定了大多数患者仍需保守治疗。随着人口老龄化程度的加深,这一问题将会更加突出。
此文档下载收益归作者所有