彩超引导下隐神经射频联合玻璃酸钠关节内注射治疗老年膝关节骨性关节炎的效果分析  

Analysis of the efficacy of color ultrasound-guided pulsed radiofrequency of the saphenous nerve combined with intra-articular injection of sodium hyaluronate in the treatment of older patients with osteoarthritis of the knee joint

作　　者：洪勇[1] 岳思阳[1] HONG Yong;YUE Siyang(Department of Pain,Pengzhou People’s Hospital,Chengdu,Sichuan 610000,China)

机构地区：[1]彭州市人民医院疼痛科,四川成都610000

出　　处：《医药前沿》2023年第15期16-19,共4页Journal of Frontiers of Medicine

摘　　要：目的:分析彩超引导下隐神经射频联合玻璃酸钠关节内注射治疗老年膝关节骨性关节炎的效果。方法:选取彭州市人民医院疼痛科2021年3月—2022年3月收治的60例年龄≥60岁的膝关节骨关节炎老年患者,采用随机数字表法随机分为观察组和对照组各30例。观察组给予隐神经射频联合玻璃酸钠关节内注射治疗,对照组给予隐神经0.9%氯化钠溶液注射联合玻璃酸钠关节内注射治疗。记录两组患者治疗前以及治疗后第3、4、12周时的疼痛视觉模拟评分(VAS)、西安大略与麦克马斯特大学骨关节炎指数(WOMAC)和治疗有效率。结果:观察组治疗总有效率高于对照组,差异有统计学意义(χ^(2)=5.963,P=0.015)。治疗前,两组VAS评分比较,差异无统计学意义(P>0.05);治疗后第3、4、12周,两组VAS评分均呈逐渐下降趋势,差异有统计学意义(P<0.05)。治疗后第4、12周,观察组的VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者WOMAC评分比较,差异无统计学意义(P>0.05);治疗后第3、4、12周,两组VAS评分均呈下降的趋势,差异有统计学意义(P<0.05)。治疗后第4、12周,观察组的WOMAC评分均低于治疗前,差异有统计学意义(P<0.05)。结论:在对关节腔玻璃酸钠注射常规治疗的基础上,给予老年性膝关节骨性关节炎患者彩超引导下隐神经射频脉冲治疗安全性高、镇痛效果好,对患者生活质量有明显的改善作用。Objective To analyze the clinical effectiveness of pulsed radiofrequency of the saphenous nerve combined with intra-articular sodium hyaluronate injection under color ultrasound guidance in the treatment of age-related osteoarthritis of the knee.Methods Total 60 patients with knee osteoarthritis aged≥60 years admitted to the Pain Department of Pengzhou People’s Hospital between March 2021 and March 2022.According to the random number table method,the patients were randomly divided into observation group(saphenous nerve radiofrequency combined with intra-articular injection of sodium hyaluronate group)and control group(saline injection combined with intra-articular injection of sodium hyaluronate group),30 cases in each group,the control group was given 2 mL of saline at the saphenous nerve,the observation group underwent radiofrequency pulse treatment of the saphenous nerve.The Visual Analogue Scale(VAS)score,Western Ontario and McMaster Universities osteoarthritis index(WOMAC)score and treatment efficiency were recorded before and at the 3rd,4th and 12th week after treatment in both groups for statistical analysis.Results Regarding the total effective rate,the observation group was higher than the control group,and the difference was statistically significant(χ^(2)=5.963,P=0.015).There was no statistically significant difference between the two groups in terms of VAS scores before treatment(P>0.05),and the VAS scores at 3rd,4th and 12th week after treatment showed a gradual decrease(all P<0.05),and the VAS scores in the observation group were lower than those in the control group at 4th and 12th week after treatment(all P<0.05).There was no significant difference in the WOMAC scores between the two groups before treatment,and the VAS scores at 3rd,4th and 12th week after treatment showed a decreasing trend(all P<0.05),and the WOMAC scores in the observation group at 4th and 12th week after treatment showed a significant decrease compared with those before treatment(P<0.05).Conclusion For elderly patients wi

关 键 词：膝关节骨性关节炎 关节腔注射 彩超引导 隐神经脉冲射频 

分 类 号：R684[医药卫生—骨科学]