臭氧治疗膝关节创伤性滑膜炎的临床研究(1)

http://www.100md.com 2011年10月1日 李文忠 李溥 赵苏萍 褚茜 杨丽

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     【摘要】 目的 观察臭氧治疗膝关节创伤性滑膜炎的临床疗效。

    方法 308例患者随机分成臭氧治疗组(n=156)和玻璃酸钠组(n=152)，分别观察两组临床疗效、症状改善情况。结果 ①临床近期疗效比较：臭氧治疗组总有效率为91.67%，玻璃酸钠组总有效率为85.52%，两组总有效率比较，差异有统计学意义(χ²=9.984，P<0.01)；两组临床治愈率及显效率比较，差异也有统计学意义(χ²值分别为12.496和42.122，P<0.01)。②两组症状改善比较：治疗2个疗程后，臭氧治疗组局部肿胀、局部疼痛及膝部活动受限积分比较，差异有统计学意义(P<0.01)。③两组患者止痛时间及肿胀消退时间比较，差异有统计学意义(P<0.01)。④远期疗效：两组不良反应及后遗症发生率比较，差异有统计学意义(P<0.01)。结论 臭氧治疗膝关节创伤性滑膜炎具有较好的临床疗效，是一种安全有效的新技术。

    【关键词】 膝滑膜炎；关节腔；创伤性；臭氧；玻璃酸钠注射液

    文章编号：1003-1383(2011)05-0556-04 中图分类号：R 684 文献标识码：A

    doi:10.3969/j.issn.1003-1383.2011.05.004

    Clinical research of ozone therapy on traumatic synovitis of knee joints

    LI Wenzhong1，LI Pu2，ZHAO Suping1，CHU Qian1，YANG Li2

    (1.Department of Orthopedics，Hospital of TCM of Qiannan Buyi and

    Miao AutonomousPrefecture，Duyun 558000，Guizhou，China;2.Qiannan Medical

    College for Nationalities，Dunyun 558001，Guizhou，China)

    【Abstract】 Objective To observe the clinical therapeutic effect of ozone on traumatic synovitis of knee joints.

    Methods 308 patients were divided into two groups randomly: the ozone treatment group(n=156) and the sodium hyaluronate treatment group(n=152). The clinical therapeutic effect and improvement of symptoms of the patients in both groups were observed respectively.

    Results ①Comparison of recent clinical therapeutic efficacy: the total effective rate of ozone treatment group was 91.67%; the total effective rate of the sodium hyaluronate treatment group was 85.52%. There was significant statistical difference between both groups in total effective rate(χ²=9.984，P<0.01).There was significant statistical difference between both groups in clinical cure rate and markedly effective rate(χ²=12.49 and 42.12，P<0.01).②Comparison of improvement of symptoms of both groups: after two courses of treatment，there was significant statistical difference between the scores of local swelling，local pain and limited knee mobility in the ozone treatment group(P<0.01).③There was significant statistical difference between both groups in therapeutic efficacy on pain and swelling(P<0.01).④Long-term therapeutic efficacy: there was significant statistical difference between both groups in terms of adverse reactions and occurrence rate of sequela(P<0 ......

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