超声引导下隐神经脉冲射频联合关节注射治疗膝骨关节炎的临床疗效观察  

Clinical curative effect observation of ultrasound-guided saphenous nerve pulse radiofrequency combined with joint injection for knee osteoarthritis

作　　者：黄建军[1] 杜冬峰 李灜灜 HUANG Jianjun;DU Dongfeng;LI Yingying(Department of Pain Medicine,The First Hospital of Fangshan District,Beijing 102400;Department of Pain Medicine,Fangshan Hospital Beijing University of Chinese Medicine,Beijing 102400)

机构地区：[1]北京市房山区第一医院疼痛科,北京102400 [2]北京中医药大学房山医院疼痛科,北京102400

出　　处：《中国疼痛医学杂志》2022年第5期347-352,共6页Chinese Journal of Pain Medicine

基　　金：北京中医药大学新教师启动基金项目(2020-BUCMXJKY008)。

摘　　要：目的:探讨彩超引导下隐神经脉冲射频联合膝关节注射干预膝骨关节炎病人的临床疗效。方法:选取2019年3月至2021年3月疼痛科收治的符合纳入标准的62例膝骨关节炎病人,按随机数字表分为试验组和对照组,每组31例,试验组病人接受彩超引导下隐神经脉冲射频联合膝关节注射治疗,对照组给予局部痛点注射联合膝关节注射治疗。比较两组病人治疗前、治疗后1周、1月、3月、6月视觉模拟评分法(visual analogue scale,VAS)评分和Lysholm膝关节评分,观察治疗后有无并发症。结果:两组病人治疗后Lysholm评分高于同组治疗前,VAS评分低于同组治疗前。治疗后6个月,试验组VAS评分(0.4±0.3)低于对照组(1.1±0.6),Lysholm膝关节评分(93.0±2.8)显著高于对照组(80.7±3.5),说明两组治疗后膝关节疼痛均有不同程度的缓解,膝关节功能有所改善,且试验组治疗效果优于对照组,两组病人治疗后均无并发症发生。结论:彩超引导下隐神经脉冲射频联合膝关节注射治疗,可有效减轻膝关节疼痛,改善其功能,为临床以膝内侧痛为主的膝骨关节炎病人提供了新的路径。Objective:To investigate the efficacy and safety of ultrasound-guided saphenous nerve pulse radiofrequency combined with knee joint injection for knee osteoarthritis.Methods:Sixty-two patients with knee osteoarthritis who met the inclusion criteria were selected in the pain department from March 2019 to March 2021.They were randomly divied into the experimental group(n=31)and the control group(n=31).Patients of the experimental group were treated with ultrasound-guided saphenous nerve pulsed radiofrequency combined with knee joint injection while patients of the control group were treated with trigger point injection combined with knee joint injection.The VAS score and Lysholm score of the two groups before treatment,1 week,1 month,3 months and 6 months after treatment were recorded.The complications after treatment were observed.Results:The Lysholm scores of the two groups after treatment were higher than those before treatment.The VAS scores after treatment were lower than those in the same group.Six months after treatment,the VAS score of the experimental group was(0.4±0.3),which was significantly lower than that of the control group(1.1±0.6),and the Lysholm score of(93.0±2.8)was obviously higher than that of the control group(80.7±3.5).The pain of knee joint in the two groups after treatment was relieved to varying degrees,and the function was improved.The efficacy of the experimental group was better than that of the control group.No complications occurred.Conclusion:The application of ultrasound-guided saphenous nerve pulsed radiofrequency combined with knee joint injection for knee osteoarthritis not only significantly alleviate pain,but also improve the function of knee.It provides a new path for patients with knee osteoarthritis mainly caused by medial knee pain.

关 键 词：膝骨关节炎 脉冲射频 彩超引导 隐神经 关节注射 

分 类 号：R445.1[医药卫生—影像医学与核医学] R684.3[医药卫生—诊断学]