关节镜半月板治疗膝骨关节炎对治疗有效率、VAS评分、HSS评分及TNF-α指标水平的应用研究  

Studyon effective rate,vas score,hss score and tnf-αindex level of the application of arthroscopic meniscus in the treatment of knee osteoarthritis

作　　者：吴煌[1,2] 李永忠 陈亮[3] 李冬青 WU Huang;LI Yongzhong;CHEN Liang;LI Dongqing(Department of Orthopedics,the Second People’s Hospital of China Three Gorges University,Yichang 443000,China)

机构地区：[1]三峡大学第二人民医院、宜昌市第二人民医院,湖北宜昌443000 [2]湖北省老年胃肠癌精准防治临床医学研究中心,湖北宜昌443000 [3]武汉大学人民医院,湖北武汉430000 [4]武汉大学基础医学院,湖北武汉4300000

出　　处：《现代医院》2024年第1期153-155,161,共4页Modern Hospitals

基　　金：湖北省自然科学基金资助项目(2017CFB567)。

摘　　要：目的分析关节镜半月板治疗膝骨关节炎对治疗有效率、VAS评分、HSS评分及TNF-α指标水平的影响。方法选择2019年6月—2020年5月在我院进行治疗的86例因半月板损伤引起膝骨关节炎的患者作为研究对象,根据患者的意愿选择治疗方式,其中43例选择常规保守治疗的患者纳入对照组,另外43例选择关节镜半月板治疗的患者纳入研究组。对两组患者的治疗有效率、视觉模拟评分法(VAS)评分、HSS膝关节评分及肿瘤坏死因子-α(TNF-α)指标水平进行比较。结果研究组的治疗有效率显著高于对照组(P<0.05);研究组与对照组在治疗前的VAS评分、HSS评分、TNF-α水平进行比较均无显著差异(P>0.05),两组经治疗后的VAS评分、HSS评分及TNF-α水平均得到了改善,研究组在治疗后的VAS评分、TNF-α指标水平均低于对照组(P<0.05),HSS评分高于对照组(P<0.05)。结论对膝骨关节炎患者采取关节镜半月板治疗,具有显著效果,可有效减轻患者的疼痛程度与炎症反应,提升膝关节功能。Objective To analyze the effects of arthroscopic meniscus treatment on knee osteoarthritis on the effective rate,VAS score,HSS score and TNF-αlevel.Methods We selected 86 patients with knee osteoarthritis caused by meniscus injury who were treated in our hospital from June 2019 to May 2020 as the research subjects.The treatment method was selected according to the patient’s wishes,with 43 patients who chose conventional conservative treatment included in the control group and 43 patients who chose arthroscopic meniscus therapy included in the study group.The treatment effectiveness,visual analogue scale(VAS)score,HSS knee joint score and tumor necrosis factor-α(TNF-α)index levels were compared between the two groups of patients.Results The effective rate of treatment in the study group was significantly higher than that in the control group(P<0.05);there was no significant difference between the study group and the control group in the VAS score,HSS score,and TNF-αlevel before treatment(P>0.05).After treatment,the VAS score,HSS score and TNF-αlevel of the group were improved.The VAS score and TNF-αlevel of the study group after treatment were lower than those of the control group(P<0.05),and the HSS score was higher than the control group.Group(P<0.05).Conclusion The arthroscopic meniscus treatment for patients with knee osteoarthritis has a significant effect,which can effectively reduce the pain and inflammation of the patients and improve the function of the knee joint.

关 键 词：膝骨关节炎 关节镜 半月板治疗 VAS HSS TNF-Α 

分 类 号：R684[医药卫生—骨科学]