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臭氧治疗膝关节创伤性滑膜炎的临床研究

ISSN号：2095-1477
期刊名称：《中华眼外伤职业眼病杂志》
时间：0
分类：R684[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]
作者机构：[1]贵州省黔南布依族苗族自治州中医医院骨伤科,贵州都匀558000, [2]贵州省黔南民族医学高等专科学校。贵州都匀558001
相关基金：贵州省黔南州社会发展基金项目（黔南科合2009010）

关键词：膝滑膜炎, 关节腔, 创伤性, 臭氧, 玻璃酸钠注射液, Synovitis of knee joints, Articular cavity, Traumatic, Ozone, Sodium hyaluronate injecta

中文摘要：

目的观察臭氧治疗膝关节创伤性滑膜炎的临床疗效。方法 308例患者随机分成臭氧治疗组（n=156）和玻璃酸钠组（n=152）,分别观察两组临床疗效、症状改善情况。结果①临床近期疗效比较：臭氧治疗组总有效率为91.67%,玻璃酸钠组总有效率为85.52%,两组总有效率比较,差异有统计学意义（χ2=9.984,P〈0.01）;两组临床治愈率及显效率比较,差异也有统计学意义（χ2值分别为12.496和42.122,P〈0.01）。②两组症状改善比较：治疗2个疗程后,臭氧治疗组局部肿胀、局部疼痛及膝部活动受限积分比较,差异有统计学意义（P〈0.01）。③两组患者止痛时间及肿胀消退时间比较,差异有统计学意义（P〈0.01）。④远期疗效：两组不良反应及后遗症发生率比较,差异有统计学意义（P〈0.01）。结论臭氧治疗膝关节创伤性滑膜炎具有较好的临床疗效,是一种安全有效的新技术。

英文摘要：

Objective To observe the clinical therapeutic effect of ozone on traumatic synovitis of knee joints.Methods 308 patients were divided into two groups randomly： the ozone treatment group（n=156） and the sodium hyaluronate treatment group（n=152）.The clinical therapeutic effect and improvement of symptoms of the patients in both groups were observed respectively.Results ①Comparison of recent clinical therapeutic efficacy： the total effective rate of ozone treatment group was 91.67%;the total effective rate of the sodium hyaluronate treatment group was 85.52%.There was significant statistical difference between both groups in total effective rate（χ2=9.984,P0.01）.There was significant statistical difference between both groups in clinical cure rate and markedly effective rate（χ2=12.49 and 42.12,P0.01）.②Comparison of improvement of symptoms of both groups： after two courses of treatment,there was significant statistical difference between the scores of local swelling,local pain and limited knee mobility in the ozone treatment group（P0.01）.③There was significant statistical difference between both groups in therapeutic efficacy on pain and swelling（P0.01）.④Long-term therapeutic efficacy： there was significant statistical difference between both groups in terms of adverse reactions and occurrence rate of sequela（P0.01）.Conclusion Ozone has a good therapeutic effect on traumatic synovitis of knee joints and is a safe and effective method.

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