关节镜联合富血小板血浆对膝关节半月板损伤患者膝关节功能和生活质量的影响

目的:探讨关节镜联合富血小板血浆对膝关节半月板损伤患者膝关节功能和生活质量的影响。方法:选取2017年12月-2019年9月期间我院收治的膝关节半月板损伤患者80例,根据随机数字表法分为对照组(n=40)和研究组(n=40),对照组予以关节镜下修整手术治疗,研究组在对照组基础上联合富血小板血浆治疗,比较两组患者优良率、生活质量及视觉模拟评分量表(VAS)、Lysholm评分量表、美国西安大略和麦克马斯特大学关节炎指数(WOMAC)评分。记录两组治疗期间不良反应情况。结果:研究组治疗后3个月的膝关节功能优良率高于对照组(P0.05)。两组治疗前、治疗后1个月、治疗后3个月VAS、WOMAC评分均逐步降低,Lysholm评分逐步升高(P0.05);研究组治疗后1个月、治疗后3个月VAS、WOMAC评分低于对照组,Lysholm评分高于对照组(P0.05)。两组治疗后3个月SF-36各维度评分均较治疗前升高,且研究组高于对照组(P0.05)。两组不良反应发生率对比未见统计学差异(P0.05)。结论:关节镜联合富血小板血浆治疗膝关节半月板损伤患者,可促进膝关节功能的恢复,可有效缓解手术治疗后的疼痛症状,改善患者生活质量,具有较好的临床应用价值。

Effect of Arthroscopy Combined with Platelet Rich Plasma on Knee Function and Quality of Life in Patients with Meniscus Injury

ABSTRACT Objective: To investigate the effect of arthroscopy combined with platelet rich plasma on knee joint function and quality of life in patients with meniscus injury. Methods: From December 2017 to September 2019, 80 patients with meniscus injury of knee joint in our hospital were selected, they were divided into control group (n=40) and study group (n=40) according to the method of random number table. The control group was treated with arthroscopic repair operation. The study group was treated with platelet rich plasma on the basis of the control group. The excellent rate, quality of life and visual pain simulation score (VAS), Lysholm score scale, Western Ontario and McMaster Universities (WOMAC) of the two groups were compared. The adverse reactions of the two groups were recorded. Results: The excellent rate of the study group at 3 months after treatment was higher than that in the control group (P<0.05). VAS and WOMAC scores in the two groups before treatment, 1 month after treatment, and 3 months after treatment decreased gradually, while Lysholm scores increased gradually (P<0.05). VAS and WOMAC scores in the study group at 1 month after treatment and 3 months after treatment were lower than those in the control group, while Lysholm scores were higher than that in the control group (P<0.05). SF-36 scores of all dimensions in the two groups at 3 months after treatment were higher than those before treatment, and those in the study group were higher than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Arthroscopy combined with platelet-rich plasma in the treatment of patients with knee meniscus injury can promote the recovery of knee function, effectively relieve the pain symptoms after surgical treatment, improve the quality of life of patients, and which has a good clinical application value.