玻璃酸钠注射联合TENS治疗膝骨关节炎的临床观察(1)
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[摘要] 目的：观察膝关节腔注射玻璃酸钠联合经皮神经电刺激(transcutaneous electrical nerve stimulation，TENS)疗法治疗膝骨关节炎的临床疗效。方法：选择80例膝骨关节炎患者，将其随机分为两组：研究组(关节腔注射玻璃酸钠联合TENS，n=40)和对照组(关节腔注射玻璃酸钠配合复方倍他米松痛点注射，n=40)，记录治疗前及治疗后1、2、4周、3个月的VAS值、疗效评定及有无副作用。结果：治疗后两组患者治疗后VAS评分与治疗前相比均有明显降低，差异有高度统计学意义(P<0.01)。全部患者未见明显的不良反应和副作用。结论：膝关节腔注射玻璃酸钠联合TENS治疗膝骨关节炎安全有效。
[关键词] 经皮神经电刺激；膝骨关节炎；玻璃酸钠
[中图分类号] R684.3 [文献标识码] A [文章编号] 1673-7210(2011)12(a)-080-02
Clinical observation of Sodium Hyaluronate Injection combined with transcutaneous electrical nerve stimulation in the treatment of knee osteoarthritis
ZHAO Xiao, YU Shengyuan, WU Mei, CHENG Lisha
Department of Rehabilitation Medicine, the Worker's Hospital of China 19th Metallurgical Corporation, Sichuan Province, Panzhihua 617000, China
[Abstract] Objective: To observe the clinical curative effect of intra-articular Sodium Hyaluronate Injection combined with transcutaneous electrical nerve stimulation (TENS) in the treatment of knee osteoarthritis. Methods: A total of 80 patients with knee osteoarthritis were randomly divided into two groups: study group (intra-articular Sodium Hyaluronate combined with TENS, n=40) and control group (intra-articular Sodium Hyaluronate and Compound Betamethasone with tender spot injection, n=40). The VAS value, curative effect evaluation and presence of side effects before and after treatment of 1, 2, 4 weeks and 3 months were recorded. Results: The VAS scores of the two groups after treatment were significantly lower than those before treatment, the differences were highly significant (P<0.01). There were no significant adverse effects and side effects of all patients. Conclusion: The treatment of intra-articular Sodium Hyaluronate combined with TENS for knees arthritis is safe and effective.
[Key words] Transcutaneous electrical nerve stimulation; Knee osteoarthritis; Sodium Hyaluronate
膝骨关节炎是一种中老年的常见、多发疾病，因其病程长、症状反复、不易痊愈，严重影响患者的生活质量，主要表现为膝关节疼痛，肿胀，活动受限，其患病率随年龄的增长而增加。玻璃酸钠膝关节注射联合复方倍他米松痛点注射已被临床证实能有效缓解患者症状[1]，但糖皮质激素的副作用限制了该方法在临床中的应用。经皮神经电刺激(transcutaneous electrical nerve stimulation，TENS)疗法在临床中应用广泛，镇痛作用确切 ......
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