文档介绍：不同干预方法治疗膝关节骨性关节炎的临床研究作者:温健,李国新,李震单位:北京大学深圳医院骨科,广东深圳【摘要】目的対比膝关节骨性关节炎不同干预方法的疗效。方法选择诊断为膝骨性关节炎的患者共120例128关节,分为三组:关节腔内注射透明质酸钠治疗组(SH组)、关节内注射透明质酸钠的同吋口服硫酸氨棊葡萄糖治疗组(GS组),关节镜下关节清理术组(AD组)。比较三组治疗后的lysholm膝关节功能评分。结果三组治疗前后膝关节功能评分均有明显改善。治疗1个月时,AD组膝关节功能评分改善明显优于SH组和GS组(P<);治疗6个月时,AD组与GS组无明显差异,但均优于SH组(P<)o结论对于中重度患者首选方案应为关节镜淸理术,有经济承受能力的患者对同时配合口服硫酸氨基葡萄糖或关节内注射透明质酸钠治疗。【关键词】膝关节骨性关节炎:关节镜清理术;透明质酸钠;硫酸氨基葡萄糖ClinicalstudyofdifferentinterventiontreatmentofkneeosteoarthritisWENJian,LIGuo-xin,,ShenzhenhospitalofPekinguniversity,Shenzhen,China[Abstract],weredividedintothreegroups:intra-articularinjectionofhyaluronicacidtreatmentgroup(SHgroup),intra-articularinjectionofsodiumhyaluronateatthesametimeoralglucosaminesulfatethetreatmentgroup(GSgroup),arthioscopicjointdebridementgroup(ADgroup).,ADGroup'skneefunctionscoreimprovedsignificantlybetterthantheSHgroup'sandtheGSgroup's(P<),treatmentfor6months,ADgroupandtheGSgroupwasnosignificantdifference,butallbetterthantheSHgroup(P<).ConclusionForpatientswithmoderatetoseverepreferredsolutionshouldbeart