首页|期刊导航|临床输血与检验|自体单采富血小板血浆与玻璃酸钠治疗膝骨关节炎短期疗效的对比分析

自体单采富血小板血浆与玻璃酸钠治疗膝骨关节炎短期疗效的对比分析OA

Comparative Analysis of Short-term Efficacy of Autologous Apheresis Platelet-rich Plasma and Hyaluronic Acid in the Treatment of Knee Osteoarthritis

中文摘要英文摘要

目的 分析比较自体单采富血小板血浆(platelet-rich plasma,PRP)和玻璃酸钠(hyaluronic acid,HA)治疗膝骨关节炎(knee osteoarthritis,KOA)的疗效,为自体单采PRP应用于KOA治疗提供科学依据.方法 收集2022年1月—2023年6月在我院就诊并接受相关治疗和短期随访的60例KOA患者作回顾性分析,根据治疗方案不同分为PRP治疗组及HA治疗组,比较两组患者治疗前后视觉模拟量表(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分以及膝关节功能Lysholm评分,并评定两组治疗1个月、治疗3个月的临床疗效.结果 两组患者在治疗后1个月、3个月,VAS疼痛评分和WOMAC评分均较治疗前降低(P<0.05)、Lysholm评分较治疗前升高(P<0.05),治疗后3个月相比治疗后1个月变化幅度更为明显(P<0.05),且PRP治疗组评分变化较HA治疗组尤为显著(P<0.05).结论 在KOA患者短期疼痛缓解和功能改善方面,自体单采PRP治疗优于HA.

Objective To investigate the therapeutic effects of intra-articular injection of autologous apheresis platelet-rich plasma(PRP)and hyaluronic acid(HA)in the kenn of people with knee osteoarthritis(KOA).Methods From January 2022 to June 2023,60 patients with KOA were randomly divided into two groups of intra-articular HA and PRP.The patients of the two groups were followed up for three months and different outcomes were recorded.The visual analog scale(VAS)scores,McMaster index(WOMAC)and Lysholm scores of knee function evaluated all patients at rest and during movements.Measurements were taken at the beginning,the first month treatmen and the third month of treatment.Results In both groups of patients,at 1 month and 3 months after treatment,the VAS pain score and WOMAC score were lower than the baseline value(P<0.05),while the Lysholm score was higher than the baseline value(P<0.05).The change at three months of treatment was more significant than that at one month of treatment(P<0.05).Moreover,the change in scores in PRP group were more significant than those in HA group(P<0.05).Conclusion In terms of short-term pain relief and functional improvement in patients with KOA,autologous apheresis PRP treatment is superior to HA.

张新萍;马红霞;王皓;黄象艳

解放军联勤保障部队第九六〇医院输血医学科(解放军济南血液中心),山东 济南 250031||山东中医药大学第二临床医学院,山东 济南 250031解放军联勤保障部队第九六〇医院输血医学科(解放军济南血液中心),山东 济南 250031解放军联勤保障部队第九六〇医院输血医学科(解放军济南血液中心),山东 济南 250031解放军联勤保障部队第九六〇医院输血医学科(解放军济南血液中心),山东 济南 250031

医药卫生

膝骨关节炎自体单采富血小板血浆玻璃酸钠功能评分

Knee osteoarthritisAutologous apheresis platelet-rich plasmaHyaluronic acidFunctionality scoring

《临床输血与检验》 2025 (4)

456-461,6

本课题受山东省济南市临床医学科技创新计划项目(No.202225073)资助

10.3969/j.issn.1671-2587.2025.04.004

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