关节镜微创手术配合复方丹红注射液及维生素B12局部穴位注射治疗膝骨关节炎疗效观察

Clinical observation on the curative effect of knee osteoarthritis with mnimally invasive arthroscopic operation and local injection

关键词:  关节镜  微创手术  复方丹红注射液  局部注射  膝骨关节炎

Key words:  [Key words]　arthroscopy  minimally invasive surgery  compound Dan red injection  local injection  knee osteoarthritis

摘要:

[摘要]　目的　观察关节镜微创手术配合复方丹红注射液及维生素B12局部穴位注射治疗膝骨关节炎疗效。　方法　选取2012年2月—2013年3月诊断为膝关节骨关节炎90例患者的临床资料，根据治疗方法分为丹维治疗组、曲利治疗组、对照组。每组各30例。所有患者行关节镜下炎症滑膜清理术，丹维治疗组患者配合局部痛点注射复方丹红注射液（2 mL）及维生素B12注射液（0.5 mg）；曲利治疗组患者配合局部痛点注射醋酸曲安奈德注射液（2 mL）配伍盐酸利多卡因注射液（1 mL）；每周1次局部注射,3次为1疗程。对照组患者仅关节镜微创手术治疗。治疗出院后随访6个月。　结果　应用Lequsne疗效评定法来评定术后1周临床治疗效果，结果显示，丹维治疗组、曲利治疗组患者术后1周的有效率明显优于对照组（P<0.05）；术后1周、术后3个月及术后6个月采用Lysholm法评分，丹维治疗组、曲利治疗组患者评分优于对照组（P<0.05）；但丹维治疗组评分与曲利治疗组评分无明显差异（P>0.05）。　结论　关节镜微创手术配合复方丹红注射液及维生素B12局部穴位注射治疗膝骨关节炎具有较好的临床疗效，并且避免了因为应用糖皮质激素导致的多种并发症。

Abstract:

[Abstract]　Objective　To observe the curative effect of knee osteoarthritis with mnimally invasive arthroscopic operation and local injection.　Methods　Choose 90 patients with knee osteoarthritis diagnosed as hospitalized patients from March 2012 to February 2013. They were randomly divided into Dan-wei treatment group, Qu-li treatment group, and the control group.There were 30 cases in each group. Patients were informed consent and signed informed consent. All patients do Arthroscopic inflammation of the synovial membrane. Dan-wei treatment groups was with local pain points for injection of compound Dan red injection (2 mL) and vitamin B12 injection (0.5 mg). Qu-li treatment group was with Umcy Ann Ned injection (2 mL) with lidocaine hydrochloride injection (1 mL). 1 time a week, 3 times were a course of treatment.The control group was only with arthroscopic minimally invasive surgery. Follow up for 6 months after treatment. The clinical effect of Lysholm was evaluated by Lequsne efficacy and knee function score.　Results 　Two scoring results are displayed.Compared with control group, The clinical therapetic effect of Dan-wei treatment group and Qu-li treatment group were obvious(P<0.05). Compared the score of patients in Dan-wei treatment group and Qu-li treatment group ,the difference of statistics are not obviously(P>0.05).　Conclusion　There is good clinical therapetic effect of minimally invasive surgery combined with compound Dan red injection and vitamin B12 local acupoint injection for osteoarthritis of knee joint，and avoided the complications caused by the Qu-li treatment group.