前交叉韧带重建术后应用玻璃酸钠减少髌股摩擦感的临床研究  

Reduction of Patellofemoral Crepitus by Intra-articular Injection with Hyaluronic Acid after Arthroscopic ACL Reconstruction

作　　者：张新涛[1] 张文涛[1] 尤田[1] 江小成 张洪雷[1] 

机构地区：[1]北京大学深圳医院运动医学与康复科,深圳518036

出　　处：《中国运动医学杂志》2015年第5期446-449,共4页Chinese Journal of Sports Medicine

基　　金：深圳市科技计划项目(201302058)

摘　　要：目的:评价前交叉韧带重建术后关节内注射玻璃酸钠对减少术后髌股摩擦感、改善膝关节活动度的作用。方法:将我院2012年1月至2013年4月收治的单纯膝关节前交叉韧带断裂患者80例随机分为治疗组和对照组,每组40例,两组均采用同一术者、手术方式和康复计划。治疗组术后4周开始注射玻璃酸钠25mg,1次/周,连续注射5周。分别在术后4周(注射前)、8周、12周、半年、1年对患者进行随访,随访内容包括髌股摩擦感、关节活动度。结果:术后4周及8周时两组髌股摩擦感人数比较差异无统计学意义,术后12周、6月及1年时两组差异有统计学意义(P<0.05)。术后4周时两组关节活动度比较差异无统计学意义,术后8周及12周两组间差异有统计学意义(P<0.05),而术后6个月及1年时差异有显著的统计学意义(P<0.01)。结论:前交叉韧带重建术后关节内注射玻璃酸钠可以明显减少髌股摩擦感,改善关节活动度。Objective To evaluate the effect of hyaluronic acid injection on the patellofemoral crepitus and range of movement（ROM） of patients after arthroscopic anterior cruciate ligament（ACL） reconstruction.Methods A total of 80 patients completed ACL reconstruction in our hospital from January 2012 to April2013. They were randomly divided into the treatment group（n=40） and control group（n=40）. The surgical procedure and rehabilitation program of the patients were accomplished by the same surgeon. Four weeks after surgery,patients in treatment group received intra-articular injection of hyaluronic acid once a week for five weeks. The patellofemoral crepitus and ROM were evaluated 4,8,12 weeks,6 months,and 1 year after the operation. Results The difference in patellofemoral crepitus between the two groups was insignificant 4 and 8weeks after operation,but significant difference appeared 12 weeks,6 months and 1 year after operation. The difference in ROM between the two groups was insignificant 4 weeks after operation,but significant difference appeared 8 and 12 weeks,6 months and 1 year after operation. Conclusion Intra-articular injection with hyaluronic acid after arthroscopic ACL reconstruction could reduce patellofemoral crepitus and improve ROM.

关 键 词：前交叉韧带 重建术 玻璃酸钠 髌股摩擦感 

分 类 号：R87[医药卫生—运动医学]