彩超引导隐神经脉冲射频联合关节注射干预膝骨性关节炎

Ultrasound-guided saphenous nerve pulse radiofrequency combined with joint injection for knee osteoarthritis

摘要:

研究彩超引导下隐神经脉冲射频联合膝关节注射干预膝关节骨关节炎病人的临床效果。方法:选取2019年3月至2021年3月北京中医药大学房山医院疼痛科收治的62例膝骨性关节炎病人，按就诊先后顺序采用随机数字表法随机分为试验组和对照组，每组各31例，试验组病人接受彩超引导下隐神经脉冲射频联合膝关节注射治疗；对照组给予局部痛点注射联合膝关节注射治疗。记录两组患者治疗前、治疗后1周、1月、3月和6月的疼痛视觉模拟评分 (visual analogue scale, VAS) 和Lysholm评分，通过组内比较和组间比较方式评估临床疗效，观察两组患者治疗后有无并发症。结果：两种不同的治疗方式实施后，在治疗后1周、1月、3月和6月，两组患者的VAS评分均较治疗前下降，Lysholm评分较治疗前升高。治疗后的同一时间点比较，试验组的VAS评分明显低于对照组，Lysholm评分明显高于对照组，两组间比较有显著性差异（P<0.05），说明两组治疗后患膝关节疼痛均有不同程度的缓解，功能有改善，试验组治疗效果优于对照组，两组病人治疗后均无并发症。结论：彩超引导下隐神经脉冲射频联合膝关节注射治疗，可有效减轻膝关节疼痛，改善其功能，为膝骨性关节炎病人提供了新的路径。

Abstract:

Abstract Objective:To investigate the efficacy and safety of ultrasound-guided saphenous nerve pulsed radiofrequency combined with knee joint injection for knee osteoarthritis.Methods:Sixty-two patients with knee osteoarthritis in the pain department of Fangshan Hospital Beijing University of Chinese Medicine from March 2019 to March 2021 were selected.The patients were randomly divieded into the trial group (n=31) and the control group (n=31) according to the visiting sequence.Patients of the trial group were treated with ultrasound-guided saphenous nerve pulsed radiofrequency combined with knee joint injection while patients of the control group were treated with trigger point injection combined with knee joint injection.The VAS score and Lysholm score of the two groups before treatment, 1 week, 1 month, 3 months and 6 months after treatment were recorded.The clinical efficacy was evaluated by intra group comparison and inter group comparison.The complications of the two groups were observed after treatmentResults:After the implementation of the two different treatment methods, the VAS score of the two groups decreased and the Lysholm score increased 1 week, 1 month, 3 months and 6 months after treatment. At the same time point after treatment, the VAS score of the trial group was significantly lower than that of the control group, and the Lysholm score was significantly higher than that of the control group. There was significant difference between the two groups (P < 0.05)The pain of knee joint in the two groups after treatment was relieved to varying degrees,and the function was improved.The efficacy of the trial group was better than that of the control group. No complications occurred. Conclusion:The application of ultrasound-guided saphenous nerve pulsed radiofrequency combined with knee joint injection for knee osteoarthritis not only significantly alleviate pain,but also improve the function of knee.It provides a new path for patients with knee osteoarthritis.