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单剂量富血小板血浆与透明质酸治疗膝骨关节炎的对比分析:一项为期12周的随访研究。

Comparative analysis of single-dose platelet-rich plasma and hyaluronic acid therapies in knee osteoarthritis: A 12-week follow-up study.

作者信息

Karabas Caglar, Tezcan Ezgi Akyildiz

机构信息

Private Practice, Antalya, Turkiye.

Department of Physical Medicine and Rehabilitation, Cumra State Hospital, Konya, Turkiye.

出版信息

North Clin Istanb. 2025 Apr 22;12(2):204-210. doi: 10.14744/nci.2024.89587. eCollection 2025.

DOI:10.14744/nci.2024.89587
PMID:40330526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12051010/
Abstract

OBJECTIVE

Osteoarthritis (OA) is a prevalent and disabling joint condition that affects millions worldwide, particularly in the knee joint, and it presents limited therapeutic options. Platelet-rich plasma (PRP) and hyaluronic acid (HA) have emerged as promising intra-articular treatments. This study aimed to compare the effects of single-dose PRP and HA on pain, functionality, and stiffness in patients with knee OA over a 12-week follow-up period.

METHODS

A retrospective analysis was conducted on 64 patients who underwent single-dose intra-articular HA or PRP treatment for knee OA between December 2021 and June 2022. Pain and functional outcomes were assessed using the Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. Patient satisfaction was evaluated using a Likert scale. Appropriate statistical analyses were performed to compare treatment outcomes and p<0.05 was considered statistically significant.

RESULTS

Both PRP and HA treatments led to significant improvements in pain, functionality, and stiffness over the 12-week follow-up period. VAS pain scores decreased significantly in both groups, but a greater reduction was observed in the HA group. Additionally, the HA group exhibited superior improvement in the WOMAC physical function score at the 4-week mark (p=0.047).

CONCLUSION

This study is another novel contribution to the growing literature on treatment of PRP and HA treatments for knee OA, where we highlighted the potential benefits of single-dose HA in alleviating pain and enhancing physical function.

摘要

目的

骨关节炎(OA)是一种常见且致残的关节疾病,全球数百万人受其影响,尤其是膝关节,且治疗选择有限。富血小板血浆(PRP)和透明质酸(HA)已成为有前景的关节内治疗方法。本研究旨在比较单剂量PRP和HA对膝骨关节炎患者在12周随访期内疼痛、功能和僵硬程度的影响。

方法

对2021年12月至2022年6月期间接受单剂量关节内HA或PRP治疗膝骨关节炎的64例患者进行回顾性分析。使用视觉模拟量表(VAS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分评估疼痛和功能结果。使用李克特量表评估患者满意度。进行适当的统计分析以比较治疗结果,p<0.05被认为具有统计学意义。

结果

在12周的随访期内,PRP和HA治疗均使疼痛、功能和僵硬程度有显著改善。两组的VAS疼痛评分均显著降低,但HA组降低幅度更大。此外,HA组在4周时WOMAC身体功能评分的改善更显著(p=0.047)。

结论

本研究是关于PRP和HA治疗膝骨关节炎的文献不断增加的又一新颖贡献,我们强调了单剂量HA在减轻疼痛和增强身体功能方面的潜在益处。

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1
Comparative analysis of single-dose platelet-rich plasma and hyaluronic acid therapies in knee osteoarthritis: A 12-week follow-up study.单剂量富血小板血浆与透明质酸治疗膝骨关节炎的对比分析:一项为期12周的随访研究。
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Am J Sports Med. 2021 Jan;49(1):249-260. doi: 10.1177/0363546520909397. Epub 2020 Apr 17.
5
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7
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本文引用的文献

1
Comparison of clinical efficiency between intra-articular injection of platelet-rich plasma and hyaluronic acid for osteoarthritis: a meta-analysis of randomized controlled trials.富血小板血浆与透明质酸关节腔内注射治疗骨关节炎的临床疗效比较:一项随机对照试验的荟萃分析
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Comparing the Efficacy of Intra-Articular Single Platelet-Rich Plasma(PRP) versus Novel Crosslinked Hyaluronic Acid for Early-Stage Knee Osteoarthritis: A Prospective, Double-Blind, Randomized Controlled Trial.比较关节内注射富血小板血浆(PRP)与新型交联透明质酸治疗早期膝骨关节炎的疗效:一项前瞻性、双盲、随机对照试验。
Medicina (Kaunas). 2022 Aug 1;58(8):1028. doi: 10.3390/medicina58081028.
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Nocturnal pain, is the pain different compared with pain during the day? An exploratory cross-sectional study in patients with hip and knee osteoarthritis.夜间疼痛与白天的疼痛有何不同?髋关节和膝关节骨关节炎患者的横断面探索性研究。
Fam Pract. 2023 Feb 9;40(1):75-82. doi: 10.1093/fampra/cmac074.
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Disease burden of osteoarthritis of the knee and hip due to a high body mass index in China and the USA: 1990-2019 findings from the global burden of disease study 2019.中国和美国因高身体质量指数导致的膝和髋关节骨关节炎疾病负担:2019 年全球疾病负担研究的 1990-2019 年调查结果。
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Clinical Efficacy of Platelet-Rich Plasma Injection and Its Association With Growth Factors in the Treatment of Mild to Moderate Knee Osteoarthritis: A Randomized Double-Blind Controlled Clinical Trial As Compared With Hyaluronic Acid.富血小板血浆注射的临床疗效及其与生长因子在治疗轻中度膝骨关节炎中的关系:与透明质酸相比的随机双盲对照临床试验。
Am J Sports Med. 2021 Feb;49(2):487-496. doi: 10.1177/0363546520986867.
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Platelet-rich plasma versus hyaluronic acid in the treatment of knee osteoarthritis: a meta-analysis.富血小板血浆与透明质酸治疗膝骨关节炎的疗效比较:一项荟萃分析。
J Orthop Surg Res. 2020 Sep 11;15(1):403. doi: 10.1186/s13018-020-01919-9.
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Osteoarthritis.骨关节炎。
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Pain Med. 2019 Jul 1;20(7):1418-1429. doi: 10.1093/pm/pnz011.