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玻璃酸钠关节腔注射与运动疗法治疗髋臼发育不良性髋关节骨关节炎.pdf

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玻璃酸钠关节腔注射与运动疗法治疗髋臼发育不良性髋关节骨关节炎.pdf

g1025g3281g13464g13467g5049g12255g11752g12362g994g1032g5214g5259g3809g1254414g2379g1254429g74112010g80207g80216g1998g10268JournalofClinicalRehabilitativeTissueEngineeringResearchJuly16,2010Vol.14,No.29ISSN16738225CN211539/RCODENZLKHAH5403DepartmentofOrthopedicsandTraumatology,theFirstAffiliatedHospitalofHenanUniversityofTraditionalChineseMedicine,Zhengzhou450000,HenanProvince,ChinaWangLihe,Associatechiefphysician,DepartmentofOrthopedicsandTraumatology,theFirstAffiliatedHospitalofHenanUniversityofTraditionalChineseMedicine,Zhengzhou450000,HenanProvince,Chinawanglihe0222sina.comReceived20100205Accepted20100607g1770g2706g4399g4004g3888g4189g1307g4002g1560g3307g4004g4189g1664g3172g2227g275g1770g2706g3224g4354g4412g3271450000g3589g2374g1766g275g2707g2751970g2733g3219g275g1770g2706g3224g2311g2217g3749g3078g275g1745g4514g2751995g2733g1770g2706g4399g4004g3888g4189g920g3996g275g1548g4438g3081g4004g3229g275g4438g3985g1206g3257g1664g1681g2059g1925g968g1923g1175g3172g1664g2227g1285g3929g2126g100wanglihe0222sina.comg1025g3282g2010g12879g2507R318g7003g10498g7643g16794g11733Bg7003g12468g13546g2507167382252010290540304g3276g1600g3088g2905g28920100205g3849g1869g3088g2905g2892010060720100205020/Mg101Yg10639g10839g18252g19060g1863g14422g14120g8892g4568g994g17828g2172g11115g8873g8847g11115g20639g14288g2469g13958g993g14403g5627g20639g1863g14422g20604g1863g14422g9826g8766g2045g2524KinesitherapyincombinationwithsodiumhyaluronateinjectedintothearticularcavityforthetreatmentofacetabulardysplasticcoxarthrosisWangLiheAbstractBACKGROUNDArtificialjointreplacementisnotthebestchoiceforyoungerpatientsandpatientswithearlyandmiddlestageofacetabulardysplasticcoxarthrosis.Sodiumhyaluronatelubricatesjoints,nourishesandpromoteshealingandregenerationofthearticularcartilage.Itcaninhibitthedegenerationofcartilagewhenthecartilageearlydamageandosteoarthritisform.OBJECTIVEToverifytheclinicalefficacyofkinesitherapyincombinationwithsodiumhyaluronateinjectedintothearticularcavityinthetreatmentofacetabulardysplasticcoxarthrosis.METHODSThirtyeightpatientswithacetabulardysplasticcoxarthrosiswererandomlydividedintoanexperimentalgroupn20receivingtherapeuticexercisecombinedwithsodiumhyaluronatetreatment,andacontrolgroupn18undergoingcomprehensivephysicaltherapyonly.ThepatientshipjointfunctionwasevaluatedbyHarrishipscoringandtheclinicalefficacywasassessedbeforeandafteronecourseoftreatment.RESULTSANDCONCLUSIONTheHarrishipscoringoftheexperimentalgrouprangedfrompreoperative48.8±8.4pointstopostoperative90.6±5.2points.Theremarkableeffectiveratewas90.0.TheHarrishipscoringofthecontrolgrouprangedfrompreoperative49.6±9.3pointstopostoperative76.2±4.8points.Theremarkableeffectiveratewas50.0.TherewasasignificantdifferenceinHarrishipscoringandremarkableeffectiveratebetweentwogroupsP0.05g452g6365g3281g2165g19510g457g2319g19510g12661g10714g7477g1375g458g16280g4462g4557g5751g13785g11352g8847g11115g2462g20130g19517g17839g15904g3926g4466g2590g11705g712g5751g13785g4557g8847g11115g3355g12626g13638g11705g5785g2528g5859g10824g712g8847g11115g7053g7708g13475g2319g19510g2319g4410g1274g10714g4008g2604g1262g6221g1946g452g7460g7021g726g10639g10839g18252g19060g1038g4677g1008g2350g3775g1274g12131g10802g17810g2058g14659g7389g19492g1856g2508g10995g1147g712g16280g7696g7171g20056g1817g5347g7092g14752g10639g10839g8892g4568g3132g16025g712g8611g2494g1881g25592mLg29720mgg10639g10839g18252g19060g452g8847g11115g7053g8873g726g3g10639g10839g18252g19060g1863g14422g14120g8892g4568g7053g8873g726g6365g10043g20604g12197g16798g11115g5132g16280g17839g15904g6817g13285g726g5751g13785g1220g2363g1313g712g3324g20630g2081g990g7852g994g13839g20604g13864g2524g17842g13459g11352g1025g9869g712g14157g13941g8819g1025g9869g991g70531.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°g9994g2530g3818g4649g991g13942g712g1889g2419g17347g17832g3250g4523g8437/dg712g8611g84371530g13464g452g9994g2530g1403g2363g1313g16769g13463g712g1593g1403g2363g1313g712g5751g13942g3324g990g712g3324g3818g17393g3800g6930g980g17148g18339g134342kgg8813g15967g712g2533g990g3818g4649g6272g20652g5751g13942g712g1457g635720sg7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