摘要
目的观察臭氧加玻璃酸钠治疗创伤性踝关节炎的应用效果。方法采用随机对照实验设计,将76例创伤性踝关节炎患者分为实验组和对照组两组,每组38例。实验组采用关节腔注射臭氧加玻璃酸钠治疗,并配合系统干预措施;对照组口服非甾体消炎止痛药。用长海痛尺评分和踝关节Kofoed评分评价两组的治疗效果。结果治疗7d、5周、6个月,实验组的长海痛尺评分均低于对照组[(3.38±0.84)vs(5.53±0.35)、(0.68±0.74)vs(3.83±0.86)、(0.85±0.33)vs(6.75±0.74),均P<0.01],踝关节Kofoed评分均高于对照组[(75.58±0.17)vs(68.88±0.08)、(86.55±0.14)vs(75.45±0.13)、(85.65±0.15)vs(65.55±0.15),均P<0.01]。结论臭氧加玻璃酸钠治疗创伤性踝关节炎,能有效缓解创伤性关节炎的疼痛症状,改善踝关节的活动度,系统护理干预是疗效的保障。
Objective To explore the effect of ozone combined with sodium hyaluronate in the treatment of traumatic ankle arthritis. Methods 76 cases with traumatic ankle arthritis were randomly divided into Experimental Group and Control Group, 38 cases in each ＇group. Experimental Group received articular cavity injection of ozone combined with treatment with sodium hyaluronate, accompanied with systematic intervening measures. Control Group received oral administration with non-steroidal anti-inflammatory painkillers. Changhai pain scale and ankle Kofoed score were used to evaluate the therapeutic effect of both groups. Results After treatment for 7 d, 5 weeks and 6 months, Experimental Group had a Changhai pain score significantly lower than Control Group [（3.38 ±0.84） vs （5.53 ± 0.35）, （0.68 ± 0.74） vs （3.83±0.86）, （0.85± 0.33） vs （6.75 ±0.74）, P〈0.01], and an ankle kofoed score higher than Control Group [（75.58±0.17） vs （68.88±0.08）, （86.55±0.14） vs （75.45±0.13）, （85.65±0.15） vs （65.55±0.15）, P〈0.01 for all]. Conclusion For the treatment of traumatic ankle arthritis, ozone combined with sodium hyaluronate can effectively alleviate the pain of traumatic sex arthritis, improve the mobility of ankle joints. Systematic nursing intervention is the guarantee for the efficacy.
出处
《广东医学院学报》
2016年第3期326-328,共3页
Journal of Guangdong Medical College
关键词
臭氧
玻璃酸钠
创伤性踝关节炎
ozone
sodium hyaluronate
traumatic ankle arthritis
