不同治疗方案在关节粘连预防中的效果比较  

COMPARISON OF THE EFFECTS OF DIFFERENT TREATMENT METHODS IN PREVENTING SYNARTHROPHYSIS

作　　者：郭锐[1] 

机构地区：[1]河北邢台市人民医院创伤骨科,邢台054001

出　　处：《现代预防医学》2010年第23期4570-4571,4574,共3页Modern Preventive Medicine

摘　　要：[目的]探讨比较不同治疗方案在关节粘连预防中的效果。[方法]选取2008年1月-2010年5月于某院进行膝关节手术治疗的38例患者为研究对象,将其随机分为A组（透明质酸钠组）19例和B组（几丁糖组）19例,后将两组患者d 3、7、14、28、35的主动ROM及被动ROM评价、HSS评分、患者满意率、疼痛评分及治疗前后生活质量评分进行统计及比较。[结果]经研究比较发现,B组的主动ROM及被动ROM改善效果均优于A组,HSS评分好于A组,患者满意率高于A组,VAS评分低于A组,治疗后SF-36评分优于A组,经比较,P均﹤0.05,差异均有统计学意义。[结论]几丁糖在关节粘连预防中的效果较为明显,综合优势明显,值得临床推广应用。[Objective]To compare the effects of different treatment methods in preventing synarthrophysis.[Methods]38 patients treated with knee surgery in our hospital from January 2008 to May 2010 were selected as research objects,and all the patients were randomly divided into two groups.19 cases were in group A（Sodium Hyaluronate group）and 19 cases in group B（chitosan group）,then the active ROM score and passive ROM score,HSS score,patients satisfaction rate,VAS score and SF-36 score before and after the treatment were analyzed and compared.[Results]The improvement of active ROM score and passive ROM score of group B were higher than those of group A,HSS score of group B was higher than that of group A,patients satisfaction rate was higher than that of group A,VAS score was lower than that of group A,SF-36 score after the treatment was better than that of group A,and there were significant differences（P﹤0.05）.[Conclusion]The effect of chitosan in preventing synarthrophysis is better,comprehensive advantages are obvious,and it is worthy of generalization and application.

关 键 词：几丁糖 透明质酸钠 关节粘连 预防 效果 

分 类 号：R681.530.5[医药卫生—骨科学]