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关节镜下关节有限清理术联合玻璃酸钠和术后运动康复治疗半月板损伤的效果

Effect of Arthroscopic Limited Debridement Combined Sodium Hyaluronate with Exercise

中国体育研究 / 2021,3(1)：107-115 / 2021-03-23 642 514

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• 作者： 李俊强¹      李殿威²      胡绪¹     
• 单位：

  1.陆军军医大学陆军卫勤训练基地，重庆；
  2.陆军军医大学第一附属医院，重庆

• 关键词： 半月板损伤；关节镜下关节有限清理术；玻璃酸钠；运动康复
• Meniscus injury; Arthroscopic joint limiterd cleaning; Sodium hyaluronate; Motor recovery
• 摘要： 目的：探讨关节镜下关节有限清理术联合玻璃酸钠和术后运动康复治疗半月板损伤的效果。方法：选择我院 2014 年 7 月～ 2017 年 7 月收治的 86 例半月板损伤患者，按随机数表法分为对照组和研究组，每组 43 例。对照组予以关节镜下关节有限清理术联合玻璃酸钠治疗，研究组在对照组基础上加以术后运动康复治疗。比较两组临床疗效，白细胞计数、血沉及 C 反应蛋白（CRP），Lysholm 功能评分，活动度及 Barthel 指数，和并发症发生情况。结果：研究组优良率高于对照组，比较有统计学差异（p<0.05）。治疗后，两组白细胞计数、血沉及 CRP 均下降，研究组低于对照组，比较有统计学差异（p<0.05）。两组Lysholm 功能评分、活动度及 Barthel 指数均上升，研究组上升幅度更明显，比较有统计学差异（p<0.05）。两组均未发生严重不良反应或者并发症，比较无统计学差异（p>0.05）。结论：关节镜下关节有限清理术联合玻璃酸钠和术后运动康复治疗半月板损伤的临床疗效肯定，能够促进膝关节功能恢复，改善关节活动度，提高生活质量，值得临床推广应用。
• Objective: To explore the effects of arthroscopic joint limited clearance combined with sodium hyaluronate and postoperative rehabilitation in treatment meniscal injury. Methods: 86 patients with meniscus injury who received therapy from July 2014 to July 2017, according to random number table method，those patients were divided into the control group and the research group, 43 cases in each group. control group was treated with arthroscopic joint limited clearance combined with sodium hyaluronate, research group was treated with postoperative rehabilitation based on the control group.then clinical efficacy, white blood cell count, blood sedimentation and C-reactive protein (CRP), Lysholm function score, activity and Barthel index, and complications between two group was compared. Results: Superior rate in research group was higher than that in the control group, and the difference was statistically significant (p<0.05). After treatment,the white blood cell count, blood sedimentation and CRP in two group was decreased, and the research group was lower than the control group, with tatistically significant difference (p<0.05). Lysholm function score, activity degree and Barthel index in two group were all increased,and the research group rose more significantly, with statistically significant difference (p<0.05). there was oo serious adverse reactions or complications occurred in either group (p>0.05). Conclusion: Effect of arthroscopic joint limited clearance combined with sodium hyaluronate and postoperative rehabilitation in treatment meniscal injury is sure, can promote knee function recovery, improve joint activity and improve quality of life, it’s worthy of clinical application.
• DOI： https://doi.org/10.35534/scps.0301010
• 引用：
  李俊强，李殿威，胡绪．关节镜下关节有限清理术联合玻璃酸钠和术后运动康复治疗半月板损伤的
  效果［J］．中国体育研究，2021，3（1）：107-115．