摘要
目的探讨关节内注射玻璃酸钠对胫骨平台骨折术后关节功能康复的影响。方法选择阳江市中医医院骨一科2019年8月至2020年11月收治的80例住院胫骨平台骨折术后患者,采用抽签法分为对照组(40例)与观察组(40例)。对照组术后给予指导及规范化膝关节功能锻炼,观察组在对照组的基础上术后2周拆线后给予膝关节内注射玻璃酸钠注射液,两组均连续干预4周。记录两组6周后的膝关节恢复情况,比较两组术后2、4、6周的功能锻炼疼痛评分及术后并发症发生情况。结果观察组的疼痛、症状、日常生活活动能力、运动及娱乐能力、膝关节相关生活质量评分及优良率均高于对照组,差异有统计学意义(P<0.05);术后2周时,两组的功能锻炼视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05);术后4、6周,观察组的功能锻炼VAS评分低于对照组,差异有统计学意义(P<0.05);观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论胫骨平台骨折术后关节内注射玻璃酸钠可有效改善患者的膝关节功能,降低功能锻炼疼痛评分及术后并发症发生率。
Objective To explore the influence of intra-articular injection of Sodium Hyaluronate on joint function rehabilitation after tibial plateau fracture.Methods A total of 80 inpatient postoperative patients with tibial plateau fractures who were admitted to the First Department of Orthopedics of Yangjiang Traditional Chinese Medicine Hospital from August 2019 to November 2020 were selected,and they were divided into the control group(40 cases)and the observation group(40 cases)by lottery methods.The control group was given guidance and standardized knee joint functional exercises after operation,and the observation group was given intra-knee injection of Sodium Hyaluronate injection on the basis of the control group after 2 weeks after operation.Both groups were intervened for 4 weeks.After 6 weeks,the knee joint recovery of the two groups were recorded,and the pain scores of functional exercise at 2,4,and 6 weeks after operation and the occurrence of postoperative complications were compared between the two groups.Results The scores of pain,symptoms,activities of daily living,exercise and recreational ability,knee joint-related quality of life,and the excellent and good rate of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the functional exercise VAS scores between the two groups at 2 weeks after operation(P>0.05).The functional exercise VAS scores in the observation group at 4 and 6 weeks after operation were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Intra-articular injection of Sodium Hyaluronate after tibial plateau fracture can effectively improving the knee joint function of patients,reducing the pain score of functional exercise,and reducing the incidence of postoperative complications.
作者
林永行
陈定启
王胜浪
谭庆豪
郑开达
冯仕华
叶志辉
LIN Yong-hang;CHEN Ding-qi;WANG Sheng-lang;TAN Qing-hao;ZHENG Kai-da;FENG Shi-hua;YE Zhi-hui(The First Department of Orthopedics,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong Province,Yangjiang 529500,China)
出处
《中国当代医药》
CAS
2021年第26期98-100,共3页
China Modern Medicine
基金
广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号54)。
关键词
膝关节
玻璃酸钠
胫骨平台骨折
功能锻炼
视觉模拟疼痛评分
Knee joint
Sodium Hyaluronate
Tibial plateau fracture
Functional exercise
Visual analog pain score
