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玻璃酸钠关节腔内注射联合冲击波治疗膝骨关节炎的临床疗效观察王科艇吴权张辽[摘要]目的观察玻璃酸钠关节腔内注射联合冲击波治疗膝骨关节炎的临床疗效。方法选取2016年3月~2018年5月于我院就诊的126例膝骨关节炎患者按随机数字表随机分为治疗组63例和对照组63例对照组采用单纯玻璃酸钠腔内注射治疗治疗组采用玻璃酸钠关节腔注射联合冲击波治疗疗程均为5周分别在干预前及干预5周后采用疼痛视觉模拟评分(VisualanalogscaleVAS)、西安大略麦克马斯特大学膝骨关节炎指数可视化量表(WesternOntarioandMcMasterUniversitiesWOMAC)及形态学(Lequesne)指数评分对两组进行评定。结果干预后治疗组VAS、WOMAC指数及Lequesne指数评分显著优于对照组(P<0.05)。结论玻璃酸钠关节腔注射联合冲击波治疗膝骨关节炎具有较好的临床疗效。[关键词]膝骨关节炎;玻璃酸钠;冲击波;治疗效果[中图分类号]R684.3[文献标识码]B[文章编号]1673-9701(2020)07-0077-04Observationontheclinicalefficacyofintra-articularinjectionofsodiumhyaluronatecombinedwithshockwaveinthetreatmentofkneeosteoarthritisWANGKetingWUQuanZHANGLiaoDepartmentofOrthopedicsNingboHospitalofTCMNingbo315010China[Abstract]ObjectiveToobservetheclinicalefficacyofintra-articularinjectionofsodiumhyaluronatecombinedwithshockwaveinthetreatmentofkneeosteoarthritis.MethodsAtotalof126patientswithkneeosteoarthritiswhowereadmittedtoourhospitalfromMarch2016toMay2018wereselected.Accordingtotherandomnumbertabletheywererandomlydividedintotreatmentgroup(63cases)andcontrolgroup(63cases).Thecontrolgroupwasgivenintra-articularinjectionofsodiumhyaluronatealone.Thetreatmentgroupwasgivenintra-articularinjectionofsodiumhyaluronatecombinedwithshockwavefortreatmentwiththecourseoftreatmentof5weeks.PainVisualAnalogScale(VAS)WesternOntarioandMcMasterUniversitieskneeosteoarthritisindexvisualizedscale(WOMAC)andLequesneindexscoreswereusedforevaluationbeforeinterventionand5weeksafterinterventioninbothgroups.ResultsAfterinterventionthescoresofVASWOMACindexandLequesneindexinthetreatmentgroup