超声引导下膝神经脉冲射频治疗膝骨关节炎疗效分析  

Analysis on therapeutic effect of ultrasound guided knee nerve pulse radiofrequency in treatment of knee osteoarthritis

作　　者：周帆 张小梅[1] 董谐 ZHOU Fan;ZHANG Xiaomei;DONG Xie(Department of Pain Treatment,First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China;Orthopedic Surgery,Yuxi People s Hospital,Yuxi Yunnan 653100,China)

机构地区：[1]昆明医科大学第一附属医院疼痛科,云南昆明650032 [2]玉溪市人民医院骨外一科,云南玉溪654100

出　　处：《云南医药》2025年第2期16-19,共4页Medicine and Pharmacy of Yunnan

摘　　要：目的对超声引导下膝神经脉冲射频治疗KOA的疗效进行研究。方法将纳入的150例KOA患者分为对照组(口服药物)65例及射频组(超声引导下膝神经脉冲射频)85例。检测所有研究对象入院24小时内(治疗前),治疗后第1、3、6个月的WBC水平、CRP水平、ESR水平。使用WOMAC评估膝关节功能,VAS量表评估膝关节疼痛情况。结果治疗后,2组患者的WBC水平、CRP水平、ESR水平远期疗效差异无统计学意义(P>0.05);射频组患者的WOMAC评分、VAS评分在治疗后各个时间点均显著低于对照组(P<0.05)。结论超声引导下膝神经脉冲射频治疗相比于口服药物治疗对KOA具有更好的效果,且疗效稳定,值得临床推广和应用。Objective To study the efficacy of ultrasound-guided knee nerve pulse radiofrequency therapy for knee osteoarthritis(KOA).Methods 150 patients with KOA were included in the study and divided into control group(oral medication)in 65 cases and radiofrequency group(ultrasound-guided knee nerve pulsed radiofrequency)in 85 cases.The levels of white blood cell(WBC),erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)were detected in all subjects within 24 hours after admission(before treatment),and at the first,third and sixth month after discharge.The visual analogue scale(VAS)was used to assess pain,and knee osteoarthritis index(WOMAC)was used to assess knee joint function.Results After treatment,there was no significantly difference in the levels of WBC,CRP and ESR between the two groups in the long-term result(P>0.05).At each time point after treatment,the VAS score and the WOMAC score of radiofrequency group were significantly lower than those of control group(P<0.05).Conclusions Compared with oral drug therapy,ultrasound guided knee nerve pulse radiofrequency therapy has a better therapeutic effect on knee osteoarthritis,and the curative effect is stable,which is worthy of clinical popularization and application.

关 键 词：超声引导 膝神经脉冲射频 膝骨关节炎 临床疗效 

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]