玻璃酸钠与超声导入Fastum凝胶联合治疗膝骨性关节炎合并滑膜炎  

Combined Use of Sodium Hyaluronate and LIUS-phoresised Fastum Gel Treating Knee Osteoarthritis Complicated with Synovitis

作　　者：潘晓华 何爽 谢小青[3] 陆永红 甘达强 

机构地区：[1]暨南大学第二临床医学院深圳市人民医院骨科,深圳518020 [2]暨南大学第二临床医学院深圳市人民医院理疗科,深圳518020 [3]深圳市龙岗区人民医院骨科,深圳518172 [4]深圳市布吉人民医院理疗科,深圳518170 [5]深圳市福田人民医院香蜜湖分院骨科,深圳518022

出　　处：《中国康复》2007年第2期110-111,共2页Chinese Journal of Rehabilitation

基　　金：深圳市科技计划项目课题基金〔NO.200404036〕

摘　　要：目的:比较多种方法治疗膝骨关节炎(KOA)合并滑膜炎(SY)的临床疗效。方法:126例KOA合并SY患者分成3组,分别采用玻璃酸钠(SH)关节腔内注射(A组)40例,SH注射联合低强度脉冲超声(LIUS)导入(B组)43例和SH注射联合LIUS导入酮基布洛芬(fastum)(C组)43例。以HSS评分标准在治疗1、3、5周末和治疗结束后24周时评定临床疗效。结果:治疗5周时,优良率比较,B、C组明显优于A组(P<0.01);C组优于B组(P<0.05)。24周后C组优良率的稳定性明显优于A、B组。结论:SH与LIUS导入fastum可起到协同作用,具有高效、持久、安全的治疗优势。Objective：To investigate the clinical effectiveness of sodium hyaluronate （SH） intra-articular injection combined with LIUS-phoresised Fastum gel （KP） treating knee osteoarthritis （KOA） complicated with synovitis （SY）. Methods： 126 cases of KOA complicated with SY were randomly divided 3 groups： group A（SH injection, 40 cases）, group B （SH＋LIUS, 43 cases） and group C （SH＋ LIUS-phoresised Fastum gel, 43 cases）. HSS score standard was used to assess the clinical effectiveness at first, third and fifty week of treatment and 24th week after treatment. Results： At 5th week after treatment, the clinical effectiveness in groups B and C was better than in group A （P〈0.01）, and in group C than in group B （P〈0.05）. Twenty-four weeks later, the therapeutic effect in group C was more stable than in groups A and B （P〈0. 01）. Conclusion： Combined use of SH and LIUS-phoresised Fastum Gel can achieve the durable and reliable result for the treatment of osteoarthritis complicated with synovitis.

关 键 词：骨性关节炎 滑膜炎 玻璃酸钠 超声导入 低强度脉冲超声(LIUS) fastum 

分 类 号：R684[医药卫生—骨科学] R686[医药卫生—外科学]