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膝关节骨关节炎患者在接受透明质酸注射前行走和爬楼梯时出现疼痛:一项定性研究。

Pain during walking and ascending stairs before hyaluronic acid injection was common in patients with knee osteoarthritis: a qualitative study.

机构信息

Department of Sports Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey

出版信息

Turk J Med Sci. 2021 Apr 30;51(2):693-699. doi: 10.3906/sag-2007-248.

Abstract

BACKGROUND/AIM: Knee osteoarthritis (OA) is a common pathology characterized by degeneration of the articular cartilage. The aim of the research was to ask patients how they decided to make the injection, what treatments they received, their complaints prior to and after the injection and how they feel at the moment, and whether they are currently exercising or not. Thus, to demonstrate the patients’ outcomes with their own expression.

MATERIALS AND METHODS

A total of 92 knee OA patients completed semistructured interviews, which included six open-ended questions.

RESULTS

A total of 92 patients (66 female, 26 male) aged between 36 and 95 years (mean 65.511.14) were included. Before the injection, the majority of the OA patients had pain complaints when walking (72.8%) and stair climbing (70.7%). One to four years after intraarticular injection, 45.2% of patients felt a decrease in their complaints. The majority of patients did not consider diet and exercise as a treatment option. In addition, almost all patients declared that they decided on hyaluronic acid injection treatment with the physician’s recommendation.

CONCLUSION

Pain during walking and stair climbing before hyaluronic acid injection was common in knee OA patients. Overall the patients felt a decrease in the symptoms after injection. Patients did not consider diet and exercise as a treatment option despite the recommendation by a physician.

摘要

背景/目的:膝骨关节炎(OA)是一种常见的关节软骨退变病理。本研究旨在询问患者他们是如何决定进行注射治疗的,他们接受了哪些治疗,注射前后的症状以及他们目前的感受,以及他们目前是否正在锻炼。因此,用患者自己的表述来展示他们的治疗结果。

材料和方法

共 92 名膝骨关节炎患者完成了半结构式访谈,其中包括 6 个开放式问题。

结果

共纳入 92 名患者(66 名女性,26 名男性),年龄 36-95 岁(平均 65.5±11.14 岁)。在注射前,大多数 OA 患者在行走(72.8%)和爬楼梯(70.7%)时存在疼痛症状。关节内注射后 1-4 年,45.2%的患者感觉疼痛症状减轻。大多数患者不认为饮食和运动是一种治疗选择。此外,几乎所有患者都表示他们是根据医生的建议决定接受透明质酸注射治疗的。

结论

膝骨关节炎患者在接受透明质酸注射前常出现行走和爬楼梯时的疼痛。总体而言,患者在注射后感觉症状有所减轻。尽管医生建议,但患者并不认为饮食和运动是一种治疗选择。

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