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目的观察超声引导下膝周神经阻滞治疗膝骨性关节炎(KOA)的疗效。方法采用随机数字表法将符合纳入标准的102例KOA患者分为对照组和观察组
每组51例。研究期间
2组均有5例患者脱落
最终对照组和观察组分别纳入46例患者。2组患者均给予口服药物、针刺、运动训练、物理因子治疗及手法推拿治疗
连续2周;观察组在此基础上予以超声引导下的膝周神经阻滞治疗
每周1次
连续2周。治疗前、治疗2周及8周后
采用视觉模拟评分法(VAS)、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数及6分钟步行测试(6MWT)对2组患者的疗效进行评定。结果观察组治疗2周及8周后的膝关节疼痛VAS评分、WOMAC骨关节炎指数子项及总分均较组内治疗前显著改善(P<0.05)
而对照组仅治疗2周后的上述指标较组内治疗前改善(P<0.05)。与对照组同时间点比较
观察组治疗2周后[(3.54±2.00)分]及8周后[(4.13±2.04)分]的膝关节疼痛VAS评分、治疗8周后的WOMAC骨关节炎指数子项评分及总分[(36.91±16.91)分]改善较为优异(P<0.05)。观察组治疗2周后[(434.22±125.19)m]及8周后[(446.35±126.45)m]的6MWT距离较组内治疗前和对照组改善优异(P<0.05)。结论超声引导下的膝周神经阻滞能快速、精准、有效、持久地缓解KOA患者的疼痛症状
改善膝关节功能
提高步行耐力。
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