阿是超声波治疗仪联合膝关节腔注射富血小板血浆治疗早中期膝骨关节炎患者的临床效果观察  

Observation on the Clinical Effect of Ashi Ultrasonic Therapeutic Apparatus Combined with Intraarticular Injection of Platelet-Rich Plasma in the Treatment of Patients with Early and Middle-stage Knee Osteoarthritis

作　　者：丁一航 DING Yihang(Department of Rehabilitation Medicine,Guizhou Hospital of Beijing Jishuitan Hospital,Guiyang 550000,China)

机构地区：[1]北京积水潭医院贵州医院康复医学科,贵州贵阳550000

出　　处：《反射疗法与康复医学》2025年第7期58-61,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨阿是超声波治疗仪联合膝关节腔注射富血小板血浆(PRP)治疗早中期膝骨关节炎(KOA)患者的临床效果。方法选取2019年8月—2024年3月北京积水潭医院贵州医院收治的85例早中期KOA患者为研究对象,按随机数字表法将其分为对照组(n=42)和观察组(n=43)。对照组患者给予常规西医治疗,观察组患者给予阿是超声波治疗仪联合膝关节腔注射PRP治疗,两组均持续治疗3周。比较两组的临床效果、运动功能、疼痛程度、不良反应发生情况。结果观察组治疗总有效率为93.02%,高于对照组的76.19%,差异有统计学意义(P<0.05)。治疗后,观察组美国特种外科医院膝关节评分高于对照组,疼痛视觉模拟评分低于对照组,组间差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论阿是超声波治疗仪联合膝关节腔注射PRP治疗早中期KOA患者的疗效确切,能够有效减轻患者疼痛程度,改善其运动功能。Objective To explore the clinical effect of Ashi ultrasonic therapeutic apparatus combined with intraarticular injection of platelet-rich plasma(PRP)in the treatment of patients with early and middle-stage knee osteoarthritis(KOA).Methods A total of 85 patients with early and middle-stage KOA admitted to Guizhou Hospital of Beijing Jishuitan Hospital from August 2019 to March 2024 were selected as the research objects,they were divided into a control group(n=42)and an observation group(n=43)according to the random number table method,the patients in the control group were given conventional Western medicine treatment,and the patients in the observation group were given Ashi ultrasonic therapeutic apparatus combined with intra-articular injection of PRP treatment,both groups were treated continuously for 3 weeks.The clinical effects,motor functions,pain degrees,and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.02%,which was higher than 76.19%in the control group,and the difference was statistically significant(P<0.05).After treatment,the knee joint score of the Hospital for Special Surgery in the United States in the observation group was higher than that in the control group,and the Visual Analogue Scale score of pain was lower than that in the control group,and the differences between the two groups were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Ashi ultrasonic therapeutic apparatus combined with intra-articular injection of PRP has a definite curative effect in the treatment of patients with early and middle-stage KOA,which can effectively reduce the pain degree of patients and improve their motor functions.

关 键 词：膝骨关节炎 富血小板血浆 阿是超声波 临床效果 运动功能 

分 类 号：R684.3[医药卫生—骨科学]