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关节腔内注射透明质酸联合静态牵伸锻炼治疗肘关节创伤后关节僵硬的效果

陈天昊 钟洲 滕林 钟刚

川北医学院学报2024,Vol.39Issue(1):67-70,4.
川北医学院学报2024,Vol.39Issue(1):67-70,4.DOI:10.3969/j.issn.1005-3697.2024.01.016

关节腔内注射透明质酸联合静态牵伸锻炼治疗肘关节创伤后关节僵硬的效果

Curative effect of intraarticular injection of hyaluronic acid combined with static stretching exercise on joint stiffness after elbow trauma

陈天昊 1钟洲 2滕林 3钟刚2

作者信息

  • 1. 四川大学,华西临床医学院,四川 成都 610041||四川大学,华西医院骨科,四川 成都 610041
  • 2. 四川大学,华西医院骨科,四川 成都 610041
  • 3. 华西空港医院骨科,四川 成都 610200
  • 折叠

摘要

Abstract

Objective:To observe the curative effect of intraarticular injection of hyaluronic acid combined with static stretching exercise on joint stiffness after elbow trauma.Methods:A total of 102 patients with joint stiffness after elbow trauma were selected and divided into control group(static stretching exercise,3 times a week)and observation group(intraarticular injection of hyaluronic acid on basis of control group,once a week)according to different treatmnet methods,51 cases in each group.All patients received treatment for 4 weeks.The changes in scores of elbow joint function(Mayo elbow joint function score),elbow range of motion,pain level[Visual Analog Scale(VAS)score],inflammatory factors[interleukin-1β(IL-1β),tumor necrosis factor α(TNF-α),C-reactive protein(CRP)]and therapeutic effects were compared between the two groups.Results:After 4 weeks of treatment,score of Mayo elbow func-tion in observation group was higher than that in control group(P<0.05),and elbow range of motion was greater than that in control group(P<0.05);After 2 and 4 weeks of treatment,scores of VAS in observation group were lower than those in control group(P<0.05);The levels of IL-1β,TNF-α and CRP in observation group were lower than those in control group(P<0.05).The total response rate of treatment of observation group was higher than that of the control group(94.12%vs.80.39%,P<0.05).Conclu-sion:Intraarticular injection of hyaluronic acid combined with static stretching exercise can significantly improve elbow function,relieve pain,reduce inflammation and improve curative effect in patients with joint stiffness after elbow trauma.

关键词

透明质酸/静态牵伸锻炼/肘关节创伤/关节僵硬

Key words

Hyaluronic acid/Static stretching exercise/Elbow trauma/Joint stiffness

分类

医药卫生

引用本文复制引用

陈天昊,钟洲,滕林,钟刚..关节腔内注射透明质酸联合静态牵伸锻炼治疗肘关节创伤后关节僵硬的效果[J].川北医学院学报,2024,39(1):67-70,4.

基金项目

四川省成都市卫生健康委员会项目(2022164) (2022164)

川北医学院学报

OACSTPCD

1005-3697

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