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三种透明质酸制剂对中青年早期半月板损伤患者的治疗效果

Therapeutic efficacy of three hyaluronic acid formulations in young and middle-aged patients with early-stage meniscal injuries.

作者信息

Dernek Bahar, Kesiktas Fatma Nur, Duymus Tahir Mutlu, Diracoglu Demirhan, Aksoy Cihan

机构信息

Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Turkey.

Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Orthopedics Clinic, Turkey.

出版信息

J Phys Ther Sci. 2017 Jul;29(7):1148-1153. doi: 10.1589/jpts.29.1148. Epub 2017 Jul 15.

Abstract

[Purpose] To investigate and compare the efficacy of three hyaluronic acid formulations in patients with early-stage meniscal injuries. [Subjects and Methods] Male and female patients who were admitted to our clinic between January 2013 and December 2013, diagnosed with early-stage meniscus lesions of the knee, and given a hyaluronic acid treatment were included in this retrospective study. Patients were categorized into 3 groups according to their treatments: MONOVISC, OSTENIL PLUS, or ORTHOVISC. Scores from a Visual Analog Scale and the Western Ontario and McMaster Universities Arthritis Index were evaluated at baseline and one, three, and six months after baseline. [Results] A total of 55 patients were included in this study. Most of the patients were female (55%), and the mean age of the patients was 42.4 (± 8.1) years. Based on the pre- and post-injection data, there was significant reductions both in the Visual Analog Scale score and the Western Ontario and McMaster Universities Arthritis Index score after the injections for all groups. According to intergroup comparisons, no significant difference was observed in terms of efficacy. [Conclusion] Three hyaluronic acid formulations produced a similar efficacy in patients with meniscal injuries, and further studies are needed to evaluate long-term results.

摘要

[目的] 研究并比较三种透明质酸制剂对早期半月板损伤患者的疗效。[对象与方法] 本回顾性研究纳入了2013年1月至2013年12月期间在我院就诊、被诊断为膝关节早期半月板损伤并接受透明质酸治疗的男性和女性患者。根据治疗方法将患者分为3组:施沛特(MONOVISC)、奥泰灵加(OSTENIL PLUS)或施乐辉(ORTHOVISC)。在基线时以及基线后1个月、3个月和6个月评估视觉模拟量表评分和西安大略和麦克马斯特大学骨关节炎指数评分。[结果] 本研究共纳入55例患者。大多数患者为女性(55%),患者的平均年龄为42.4(±8.1)岁。根据注射前后的数据,所有组注射后视觉模拟量表评分和西安大略和麦克马斯特大学骨关节炎指数评分均显著降低。组间比较显示,在疗效方面未观察到显著差异。[结论] 三种透明质酸制剂对半月板损伤患者产生了相似的疗效,需要进一步研究以评估长期结果。

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