玻璃酸钠配合下肢功能锻炼器锻炼对髋关节骨性关节炎功能康复的影响

摘要

Objective:To discuss the impacts of sodium hyaluronate injection together with lower limbs functions exercises devices(CPM)to the functional rehabilitation of hip osteoarthritis. Methods:Selected 112 early and middle stage hip osteoarthritis patients(129 hips)treated in our hospital from February to April in 2012 which didn’t need operations,and these 112 patients were randomly divided into two even group by adopting the Dollˊs clinical patients random lists,namely the experimental group and the control group. The control group were purely treated with sodium hyaluronate injection;in addition to sodium hyaluronate injection,the experiment group also used CPM for early stage negative hip activities. The VAS and Harris evaluation grades and compre-hensive treatment results were observed for 2 weeks,5 weeks and 3 months after the treatment. Results:The VAS evaluation grades of the experiment group for 2 weeks,5 weeks and 3 months after the treatment were obviously lower than that of the control group,and the differences were of statistical meanings (P < 0. 05);and the Harris evaluation grades of the experimental group for 2 weeks,5 weeks and 3 months after the treatment were obviously increased, and the differences were of statistical meanings(P < 0. 05);the comprehensive effective rates of the experimental group was obviously higher than that of the control group,and the differences are of statistical meanings(P < 0. 05). Conclusion:Sodium hyaluronate injection together with lower limbs functions exercises devices is an safe and effective way for the early treatment of hip osteoarthritis.%目的：探讨玻璃酸钠腔内注射配合下肢功能锻炼器（CPM）锻炼对髋关节骨性关节炎功能康复的影响。方法：选取2012年2月~2014年4月在我院就诊的112例（129髋）早中期尚无需手术的髋关节骨性关节炎患者，采用 Doll’s 临床病例随机表的方法将112例病例随机等分成试验组与对照组，对照组单纯关节腔内注射玻璃酸钠（施沛特）治疗；试验组在对照组治疗的基础上使用 CPM 早期被动活动髋关节，观察两组患者治疗2周、5周、治疗后3个月的 VAS 评分、Harris 评分及综合疗效。结果：试验组治疗2周、5周和治疗后3个月的 VAS 评分明显低于对照组，差异有统计学意义（P ＜0.05）；试验组治疗2周、5周和治疗后3个月的 Harris 评分与对照组比较明显增加，差异有统计学意义（P ＜0.05）；试验组总有效率明显高于对照组，差异具有统计学意义（P ＜0.05）。结论：玻璃酸钠腔内注射配合 CPM 锻炼是髋关节骨性关节炎早期治疗的安全、有效的治疗方法。