目的 探讨关节镜清理术配合盐酸氨基葡萄糖对膝骨关节炎的治疗作用。 方法 2009年6月-2011年6月纳入轻度膝骨关节炎(AhlbackⅠ级)患者135例,随机分成3组。A组(n=45)接受关节镜清理术治疗;B组(n=45)口服盐酸氨基葡萄糖胶囊治疗;C组((n=45)先行关节镜清理术治疗,术后口服盐酸氨基葡萄糖胶囊。观察3组Lequesne评分和WOMAC指数,用以评价治疗效果。 结果 成功随访患者123例,随访时间8个月。治疗后各组Lequesne评分和WOMAC指数较治疗前均显著好转(P<0.01),其中治疗后C组好转较A组和B组具有显著性(P<0.01),但B组和C组之间差异无统计学意义(P>0.05)。 结论 关节镜清理术配合盐酸氨基葡萄糖,较之单用关节镜清理术或盐酸氨基葡萄糖,对膝骨关节炎的治疗有更好的效果。
Pneumoconiosis is an interstitial lung disease with pulmonary fibrosis as the main pathological change. Patients with pneumoconiosis can increase immunity, delay disease progression, reduce symptoms, and improve lung function through respiratory rehabilitation. With the development of the domestic medical stratification, grading, and referral system between various specialties and the promotion of “internet +” model, remote home respiratory rehabilitation has become an inevitable trend in the full-cycle management of chronic respiratory diseases. By searching Chinese and English literatures, this article summarizes the safety, efficacy and research progress of remote home respiratory rehabilitation for pneumoconiosis. The purpose is to provide ideas for patients with pneumoconiosis to receive home-based remote rehabilitation management.