玻璃酸钠与超声导入Fastum凝胶联合治疗膝骨性关节炎合并滑膜炎

目的：比较多种方法治疗膝骨关节炎（KOA）合并滑膜炎（SY）的临床疗效。方法：126例KOA合并SY患者分成3组,分别采用玻璃酸钠（SH）关节腔内注射（A组）40例,SH注射联合低强度脉冲超声（LIUS）导入（B组）43例和SH注射联合LIUS导入酮基布洛芬（fastum）（C组）43例。以HSS评分标准在治疗1、3、5周末和治疗结束后24周时评定临床疗效。结果：治疗5周时,优良率比较,B、C组明显优于A组（P〈0.01）;C组优于B组（P〈0.05）。24周后C组优良率的稳定性明显优于A、B组。结论：SH与LIUS导入fastum可起到协同作用,具有高效、持久、安全的治疗优势。

Combined Use of Sodium Hyaluronate and LIUS-phoresised Fastum Gel Treating Knee Osteoarthritis Complicated with Synovitis

Objective:To investigate the clinical effectiveness of sodium hyaluronate(SH)intra-articular injection combined with LIUS-phoresised Fastum gel(KP)treating knee osteoarthritis(KOA)complicated with synovitis(SY).Methods:126 cases of KOA complicated with SY were randomly divided 3 groups:group A(SH injection,40 cases),group B(SH+LIUS,43 cases)and group C(SH+ LIUS-phoresised Fastum gel,43 cases).HSS score standard was used to assess the clinical effectiveness at first,third and fifty week of treatment and 24th week after treatment.Results:At 5th week after treatment,the clinical effectiveness in groups B and C was better than in group A(P<0.01),and in group C than in group B(P<0.05).Twenty-four weeks later,the therapeutic effect in group C was more stable than in groups A and B(P<0.01).Conclusion:Combined use of SH and LIUS-phoresised Fastum Gel can achieve the durable and reliable result for the treatment of osteoarthritis complicated with synovitis.