彩超引导下隐神经脉冲射频联合针刀治疗膝骨关节炎的临床研究  

Clinical Study on the Treatment of Knee Osteoarthritis with Ultrasound Guided Hidden Nerve Pulse Radiofrequency Combined with Needle Knife

作　　者：李矛 毛文丽[2] 徐贤亮 文武 肖永焕 LI Mao;MAO Wen-li;XU Xian-liang;WEN Wu;XIAO Yong-huan(Department of Pain,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine;Department of Traditional Chinese Medicine,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine;Department of Anesthesiology,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院疼痛科 [2]江西中医药大学附属医院中医外科 [3]江西中医药大学附属医院麻醉科,江西南昌330006

出　　处：《宜春学院学报》2024年第9期58-61,95,共5页Journal of Yichun University

基　　金：江西省中医药管理局科技计划项目(编号:2023B0663)。

摘　　要：目的:观察彩超引导下隐神经脉冲射频联合针刀治疗膝骨关节炎(KOA)的临床疗效。方法:选择医院收治的75例KOA患者为研究对象,按照随机数字表法将其分为3组,即A组、B组、C组,各25例。A组实施彩超引导下隐神经脉冲射频手术治疗,B组实施针刀治疗,C组实施彩超引导下隐神经脉冲射频联合针刀治疗。比较两组疼痛、膝关节功能、膝关节活动度、不良反应、临床疗效。结果:治疗后,三组VAS评分、WOMAC评分降低,且C组VAS评分、WOMAC评分低于A组、B组(P<0.05);治疗后A组、B组VAS评分及WOMAC评分比较,差异无统计学意义(P>0.05);术后7 d、14 d、30 d,C组关节活动度高于A组、B组(P<0.05);术后7 d、14 d、30 d,A组、B组关节活动度比较,未见显著差异(P>0.05);三组不良反应发生率比较,差异无统计学意义(P>0.05);C组治疗总有效率较A组、B组高(P<0.05);A组、B组治疗总有效率比较,差异无统计学意义(P>0.05)。结论:彩超引导下隐神经脉冲射频联合针刀治疗KOA效果较佳,可缓解膝关节疼痛,提高膝关节活动度,促进膝关节功能的提升,且联合治疗安全性较高。Objective:To observe the clinical efficacy of ultrasound-guided pulsed radiofrequency combined with needle knife therapy for knee osteoarthritis(KOA).Methods:75 KOA patients admitted to the hospital were selected as the research subjects and randomly divided into three groups according to the random number table method,namely Group A,Group B,and Group C,with 25 patients in each group.Group A underwent ultrasound-guided pulsed radiofrequency surgery for the hidden nerve,Group B underwent needle knife treatment,and Group C underwent ultrasound-guided pulsed radiofrequency combined with needle knife treatment for the hidden nerve.Compare the pain,knee joint function,knee joint range of motion,adverse reactions,and clinical efficacy between two groups.Results:After treatment,the VAS and WOMAC scores of the three groups decreased,and the VAS and WOMAC scores of Group C were lower than those of Group A and Group B(P<0.05).There was no statistically significant difference in VAS scores and WOMAC scores between group A and group B after treatment(P>0.05).On postoperative days 7,14,and 30,the joint range of motion in group C was higher than that in groups A and B(P<0.05).On postoperative days 7,14,and 30,there was no significant difference in joint range of motion between group A and group B(P>0.05).There was no statistically significant difference in the incidence of adverse reactions among the three groups(P>0.05).The overall effective rate of treatment in Group C was higher than that in Group A and Group B(P<0.05).There was no statistically significant difference in the total effective rate between group A and group B(P>0.05).Conclusion:The combination of ultrasound-guided pulsed radiofrequency and needle knife therapy for knee osteoarthritis is more effective in relieving knee joint pain,improving knee joint mobility,promoting knee joint function improvement,and has a higher safety profile.

关 键 词：脉冲射频 针刀治疗 膝骨关节炎 膝关节功能 

分 类 号：R274.9[医药卫生—中西医结合]