超短波治疗膝关节滑膜炎的临床疗效及对关节液和血清瘦素的影响

发布时间：2018-02-04 20:01

本文关键词： 超短波膝关节滑膜炎瘦素　出处：《中国老年学杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的探讨超短波对膝关节滑膜炎的临床疗效及对关节液和血清瘦素的影响。方法 126例膝关节滑膜炎患者随机分为实验组和对照组,每组63例。对照组给予吲哚美辛胶囊25 mg/次,3次/d;布洛芬缓释胶囊0.4 g/次,3次/d。实验组在对照组基础上给予超短波治疗,微温量,15 min/次,1次/d。治疗均10 d为1个疗程,连续2个疗程。观察并比较两组治疗前后疼痛视觉模拟评分(VAS)、血清、关节液中瘦素水平及临床治疗有效率。结果与治疗前相比,治疗后两组VAS、血清以及关节液瘦素水平均下降,且实验组均低于对照组(P0.05);与对照组相比,实验组临床治疗有效率较高(P0.05)。结论应用超短波能够降低膝关节滑膜炎患者血清及关节液的瘦素水平,临床疗效较好。
[Abstract]:Objective to investigate the clinical effect of ultrashort wave on synovitis of knee joint and the effect of leptin on synovitis of knee joint. Methods 126 patients with synovitis of knee joint were randomly divided into experimental group and control group. There were 63 cases in each group. The control group was treated with indomethacin capsule 25 mg / time 3 times / d; Ibuprofen sustained release capsules were treated with ultrashort wave on the basis of control group. The treatment group was treated with ultrashort wave on the basis of control group. The visual analogue score of pain before and after treatment was observed and compared between the two groups. The leptin levels in serum and joint fluid and the effective rate of clinical treatment were observed and compared. Results compared with before and after treatment, the two groups were treated with VAS. The levels of leptin in serum and joint fluid decreased, and the level of leptin in the experimental group was lower than that in the control group (P 0.05). Compared with the control group, the effective rate of clinical treatment in the experimental group was higher than that in the control group (P 0.05). Conclusion the application of ultrashort wave can reduce the level of leptin in serum and joint fluid of the patients with synovitis of knee joint, and the clinical effect is better.
【作者单位】：济南市第四人民医院;济南市急救中心;
【分类号】：R686.7
【正文快照】： 膝关节滑膜炎临床主要表现为关节肿胀、滑膜增厚以及软骨组织破坏[1],临床常用非甾体类消炎止痛药、抗生素、激素等治疗,对于关节积液明显的患者可采用积液抽出,但以上治疗方案均不全面,且药物的副作用较多,患者复发率较高[2]。超短波对于人体具有较强的致热以及电磁振荡作用,

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