Clinical treatment analysis of joint effusion in severe knee osteoarthritis
重度膝关节骨关节炎关节积液的临床治疗分析

摘要

目的 分析重度膝关节骨关节炎关节积液患者的治疗方法。方法 抽选2021年3月-2023年3月于我院就诊的患者80例，对以上患者均进行抽积液、关节腔内注射玻璃酸钠、口服药物（硫酸氨基葡萄糖等）、理疗等综合性治疗，对比本组患者治疗前后的关节炎性因子、Lysholm膝关节评分、VAS疼痛评分；结果 相较治疗前，治疗后本组关节炎性因子水平更低，Lysholm膝关节评分更高、VAS疼痛更低，对比差异显著，P﹤0.05。结论 对重度膝关节骨关节炎关节积液患者实施抽积液、关节腔内注射玻璃酸钠、口服药物（硫酸氨基葡萄糖）、理疗等综合性治疗效果较好，可降低炎性因子水平，促进临床症状和疼痛改善，患者膝关节评分明显提高。

Abstract

Objective To analyze the treatment of patients with severe knee osteoarthritis and joint effusion.
Methods A total of 80 patients admitted to our hospital from March 2021 to March 2023 were selected. All the above patients received comprehensive treatment including fluid extraction, intraarticular injection of sodium hyaluronate, oral drugs (glucosamine sulfate, etc.) and physiotherapy. The arthritic factors, Lysholm knee joint score and VAS pain score before and after treatment were compared in this group.
Results Compared with before treatment, after treatment, the level of arthritic factor was lower, Lysholm knee joint score was higher, VAS pain was lower, and the difference was significant (P<0.05).
Conclusion   The comprehensive treatment of fluid extraction, intra articular injection of sodium hyaluronate, oral medication (glucosamine sulfate) and physiotherapy in patients with severe joint osteoarthritis has a good effect, which can reduce the level of inflammatory factors, promote the improvement of clinical symptoms and pain, and significantly improve the knee joint score.