江汉大学学报(自然科学版) ›› 2019, Vol. 47 ›› Issue (1): 83-86.doi: 10.16389/j.cnki.cn42-1737/n.2019.01.014

• 医学 • 上一篇    下一篇

膝关节骨性关节炎经关节腔内注射自体富血小板血浆治疗效果分析

马浩哲1,2a,郑成*2b   

  1. 1. 湖北中医药大学 针灸骨伤学院,湖北 武汉 430065;2. 武汉体育学院 a. 国际教育学院,b. 校医院,湖北 武汉 430079
  • 出版日期:2019-02-28 发布日期:2019-02-25
  • 通讯作者: 郑成
  • 作者简介:马浩哲(1984—),男,讲师,博士生,研究方向:骨与关节疾病的中西医防治。
  • 基金资助:
    武汉体育学院青年教师科研基金项目(2017202)

Curative Effect of Intra-articular Cavity Injection of Autologous Platelet-rich Plasma on Knee Osteoarthritis

MA Haozhe1,2a,ZHENG Cheng*2b   

  1. 1. College of Acupuncture and Orthopedics,Hubei University of Chinese Medicine,Wuhan 430065,Hubei;China;2. a. International Education College;b. Hospital of Wuhan Sports University ,Wuhan Sports University,Wuhan 430079,Hubei,China
  • Online:2019-02-28 Published:2019-02-25
  • Contact: ZHENG Cheng

摘要: 目 的 探讨膝关节骨性关节炎经关节腔内注射自体富血小板血浆治疗的效果。方 法 选取2016年7 月-2017 年7 月武汉体育学院校医院收治的84 例膝关节骨性关节炎患者进行前瞻性对照研究,按照随机均等原则分为研究组(关节腔内注射自体富血小板血浆)与对照组(关节腔内注射玻璃酸钠);对比两组患者术后6个月膝关节功能、疼痛情况及安全性。结 果 治疗后、疗程结束时,两组Lysholm 膝关节评分均高于就诊时,WOMAC 评分均低于就诊时(P < 0. 05),且研究组优于对照组(P < 0. 05);治疗后、疗程结束时,两组疼痛评分均较就诊时降低(P < 0. 05),但组间差异无统计学意义(P > 0. 05);治疗期间,两组不良反应发生率差异无统计学意义(P > 0. 05)。结 论 膝关节骨性关节炎采用关节腔内注射自体富血小板血浆治疗的效果更为理想,能改善关节功能,缓解疼痛,且不良反应少,值得推广应用。

关键词: 膝关节骨性关节炎, 自体富血小板血浆, 玻璃酸钠, 关节腔

Abstract: Objective To investigate the effect of intra-articular cavity injection of autologous plateletrich plasma on osteoarthritis of knee. Methods A prospective control study was conducted in 84 patients with osteoarthritis of the knee joint from July 2016 to July 2017 in the Hospital of Wuhan Sports University. According to the principle of random and equalization,the cases were divided into the study group(intra-articular cavity injection of autologous platelet-rich plasma)and the control group(intra-articular injection of sodium hyaluronate). The joint function,pain condition and safety of two groups were compared on six months after operation. Results After treatment and at the end of treatment,both groups had higher Lysholm knee score than that before treatment,and WOMAC score was lower than that before treatment(P < 0. 05 ),and the study group was better than the control group(P < 0. 05 );after treatment and at the end of treatment,the pain score of both groups was lower than that before treatment(P < 0. 05),but the difference between the two groups was not statistically significant (P < 0. 05 );during the treatment,the difference of adverse reactions incidence of the two groups was not statistically significant(P > 0. 05 ). Conclusion The therapeutic effect on knee osteoarthritis with intra-articular cavity injection of autologous platelet-rich plasma is more ideal,it can improve joint function,relieve pain,and has less adverse reactions,it is worthy of popularization and application.

Key words: osteoarthritis of knee joint, autologous platelet- rich plasma, sodium hyaluronate, articular cavity

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