联合阻滞疗法治疗膝骨关节炎的临床研究

目的：探讨联合阻滞疗法对缓解膝骨关节炎的疼痛症及改善其活动功能的效果。方法：选择疼痛门诊70例膝骨关节炎患者，进行关节腔内注射透明质酸钠2ml／次，5次为一疗程，同时用1％利用多卡因，得宝松7mg（阿沙吉尔0.9g）及VitB12 0.5mg进行关节周围的痛点阻滞。分别观察治疗前后的视觉类比测试法（visual analogue scale,VAS）评分及关节活动功能评分。结果：疗程结束后膝关节疼痛症状明显缓解，关节活动功能得到显著改善，治疗有效率达98．3％，无任何不良反应的发生。结论：应用联合阻滞疗法膝骨关节炎疗效显著，无严重的不良反应，是一种有效安全的膝骨关节炎治疗方法。

A clinical study on the combination block therapy for knee osteo arthritis

Objective: To assess the treatment effect of combination block therapy on knee osteoarthritis. Method: The articular space of knee osteoarthritis of 70 pain clinic patients were injected with sodium hyaluronate (HA) 2ml once a week. Five injections were as one course. The pain spots of surrounding soft tissue of the knee joint were injected with 1% lidocaine, diprospan 7mg(arthalgyl 0.9g), vitamin B 12 0.5mg at the same time. Observing the score of visual analogue scale(VAS) and joint motion function pretherapy and posttherapy. Result: After one course, the pain of the knee joint were obviously remitted. The knee joint motion function obtain striking amelioration. The total effectiveness rate was 98.3%. No side effect was observed. Conclusion: The combination block therapy for knee osteoarthritis has striking effect and without serious side effects. It is a safe and effective treatment for the knee osteoarthritis.