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Infusion treatment for knee joint cavity of 54 cas

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قديم 05-27-2011
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افتراضي Infusion treatment for knee joint cavity of 54 cas

Knee joint cavity Ozone Treatment of 54 Cases perfusion Abstract Objective To investigate the treatment of knee osteoarthritis (OA) is indeed effective and feasible method. Methods 104 patients with knee osteoarthritis were enrolled and randomly divided into two groups, treatment group, 54 patients with knee joint cavity of ozone infusion therapy, pain by oral administration of paracetamol and dihydrocodeine can be for assistance. Control group was treated with acetaminophen or anti-bone hyperplasia dihydrocodeine capsules, intravenous infusion of peptide or complex bone chondroitin sulfate treatment. Six months follow-up effects were observed. Results The group of 54 patients, clinical recovery in 12 cases, 39 cases improved, 3 cases, efficiency 94.4%. The control group,Tiffany New York, clinical cure in 2 cases, 30 cases improved, 18 cases ineffective, efficiency 64%. Conclusion Ozone perfusion treatment of knee osteoarthritis can improve joint function, to eliminate or alleviate pain, relieve symptoms and improve quality of life, avoiding joint replacement, greatly reducing the pain and expensive health care costs, non-surgical treatment of knee osteoarthritis ideal therapy.  Key words ozone infusion  knee joint cavity of knee joint OA is a clinical multiple, common, more common in the elderly, its etiology is mostly associated with trauma, inflammation, joint power line is not correct or autoimmune responses have a certain relationship. Joint disease can cause destruction of cartilage, subchondral bone necrosis, sclerosis and bone hyperplasia, joint edge of the spur formation, joint space narrowing, articular surface uneven and reduced secretion of synovial fluid, repeated injury, the formation of inflammatory response. Often occur in clinical knee pain, swelling, joint effusion, advanced stage joint deformities, flexion dysfunction, severe difficulty in walking when the clinical treatment of the difficulty is too large   [1] . I used the pain of Guiyang Medical Branch in March 2009 -2009 on October outpatient and inpatient 104 patients with knee osteoarthritis patients, knee joint cavity of ozone infusion therapy, 54 patients are more satisfied with the results obtained, are as follows. Materials and Methods  1  1.1 General Information  1.1.1 104 patients with knee osteoarthritis patients,UGG Boots on sale, male 43 cases, 61 women, aged 38-81 years, mean 58 years old, 67 cases of unilateral knee, double knee in 37 cases, all patients are in line with the recommended American Rheumatism Association diagnostic criteria for knee arthritis shares, which have significant X-ray signs of osteoarthritis, clinical symptoms and Signs:  1.1.1.1 1 month before treatment have knee pain most of the time.  1.1.1.2 have morning stiffness, time 40 years of age, bone friction sound.  1.1.1.4 bone enlargement. 31 cases of floating knee patella test positive. Check blood before treatment, anti-, ozone allergy. 2, the puncture site infection. 3, body temperature. 4, severe mental disorder. 5, menstrual periods, patients, etc.). Randomly divided into two groups according to treatment time, A group of ozone infusion therapy group: 54 patients, 25 males, 29 females, aged 38 to 81 years, mean age 61 years, duration of several days to 30 years. B group was the control group of 50 patients, 18 males, 32 females, aged 41 to 78 years,Lipp knife with women after treatment of cervical, mean age 56.5 years, duration of a few days to 27 years,UGG Boots UK, by comparing the two groups in sex, age, no significant difference in duration, with comparability.  1.2  ozone infusion therapy treatment group: Under the special treatment room in the strict aseptic operation, set needed to treat patients with knee or knees straight bit 135 ° position, selected each treatment a knee, take the side of the suprapatellar bursa sac or patella, or double the puncture point, the conventional skin disinfectant LAYING, take 2% lidocaine local anesthesia after the commencement of the 7th with a 3cm long needle piercing the joint cavity from the puncture point, when the needle penetrates a sense of a breakthrough when the joint capsule, suggesting that access to joint cavity. With joint effusion as the first time out, take 20ml of ozone concentration 40ug/ml slowly into the joint cavity, when the patient feels a sense of joint swelling within the bolt after the Withdrawing needle, swelling disappears again after injection, repeated injection and Withdrawing movements can be observed that the knee wall and downs, the operation again after 2 minutes, taking the same concentration of ozone into the joint cavity, such as the Law of Repeat 3-4 times, a total of intra-articular injection of Chou Yang 60-80ml, affixed needle injection cover the puncture site apply passive knee range of motion several times to promote the diffusion of ozone exposure chamber organizations. The first five days, four times as a course of treatment soreness joints generally have a sense of reduced activity to moderate, warm to avoid weight-bearing activities. Can be alternately double knee, but not treatment. What could be more pain with oral paracetamol dihydrocodeine 1  # Bid.  control group: oral administration of paracetamol and dihydrocodeine 1  # Bid, anti-bone hyperplasia capsule 3  # Tid, NS250 + peptide complex bone 75mg ivggt Qd or NS250ml + chondroitin sulfate 80mg ivggt Qd, once daily, 14 days for treatment.  1.3 standard  effective pain visual analogue scale according to method (visual analogue scale, VAS) before and after treatment to evaluate changes in the level of pain during the reference standards Lequesne knee score clinical standards   [2] : recovery: the knee without pain, no tenderness around the joint joints without swelling, so easily, without recurrence. Improvement: improvement of knee pain, joint tenderness around the light, or slightly swollen. Invalid: knee pain, swelling around the joint,Christian Louboutin paris, tenderness. Recorded before treatment, for the first time, the last 3 days after reperfusion VAS scores, VAS scores were followed up for six months and efficient.  1.4 Application of Statistical Methods  SPSS12.5 statistical package can be tested, before and after treatment VAS scores as mean ± standard deviation (X ± S) said that clinical use of chi-square test, test to p






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