关节镜清理配合运动疗法和运动疗法治疗老年骨关节炎临床对照研究  

Clinical control study between arthroscope cleaning combined with exercise therapy and exercise therapy in senile osteoarthritis

作　　者：崔巍[1] 许天英[1] 吕伟[1] 张宇[1] 

机构地区：[1]黑龙江省医院关节外科,哈尔滨150036

出　　处：《中国医师进修杂志》2015年第3期174-177,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨关节镜清理配合运动疗法及运动疗法治疗老年骨关节炎的效果.方法 将210例老年膝关节骨关节炎患者按随机数字表法分为手术组和非手术组,每组105例,手术组给予关节镜清理,术后配合运动疗法治疗,非手术组给予单纯运动疗法治疗.治疗前及治疗后1、6、12个月应用视觉模拟评分（VAS）及国际膝关节文献委员会膝关节评估表（IKDC）评分进行评定并比较.结果 210例患者均进入结果分析,无脱落.手术组及非手术组治疗前、治疗后6和12个月VAS、IKDC评分比较差异无统计学意义（P＞0.05）;手术组治疗后1、6和12个月VAS、IKDC评分较治疗前显著改善,差异有统计学意义（P＜0.05）;非手术组治疗后6和12个月VAS、IKDC评分较治疗前显著改善,差异有统计学意义（P＜0.05）.根据IKDC评分,手术组治疗后优15例,良61例,中19例,差10例,优良率为72.38％（76/105）;非手术组优14例,良59例,中20例,差12例,优良率为69.52％（73/105）.两组优良率比较差异无统计学意义（P＞0.05）.结论 指导下运动疗法可以明显改善老年膝关节骨关节炎患者的关节功能,缓解关节疼痛症状.关节镜清理治疗可以快速减轻关节急性炎性症状,但对骨关节炎中、远期的治疗无明显临床意义.Objective To discuss the effectiveness between arthroscope cleaning combined with exercise therapy and exercise therapy in senile osteoarthritis patients.Methods Two hundred and ten senile osteoarthritis patients were divided into operation group and non-operation group by random digits table method with 105 cases each.Patients in operation group received the arthroscope cleaning and exercise therapy,and patients in non-operation group received the exercise therapy alone.The visual analogue score （VAS） and international knee documentation committee knee evaluation form （IKDC） score before treatment and 1,6 and 12 months after treatment were compared.Results A total of 210 patients received the analysis of result without drop-out.There were no statistical differences in VAS and IKDC scores before treatment and 6 and 12 months after treatment between operation group and non-operation group （P 〉 0.05）.The VAS and IKDC scores 1,6,12 months after treatment were significantly improved compared with those before treatment in operation group,and there were statistical differences （P 〈 0.05）.The VAS and IKDC scores 6,12 months after treatment were significantly improved compared with those before treatment in non-operation group,and there were statistical differences （P 〈 0.05）.According to the IKDC score,in operation group 15 patients were excellent,61 patients were fine,19 patients were general and 10 patients were bad after treatment,and good effectiveness rate was 72.38% （76/105）.In non-operation group,14 patients were excellent,59 patients were fine,20 patients were general and 12 patients were bad after treatment,and good effectiveness rate was 69.52% （73/105）.There was no statistical difference in the good effectiveness rate between 2 groups （P 〉 0.05）.Conclusions Exercise therapy with guidance can significantly improve the function of senile knee joint osteoarthritis,and ease joint pain symptoms.Arthroscope cleaning combined with exercise therapy can relieve the joint acute

关 键 词：骨关节炎 膝 关节镜 运动疗法 康复 

分 类 号：R684.3[医药卫生—骨科学]