FINDING OUT OF THE RESULTS OF INTRA-ARTICULAR INJECTION METHOD ON THE PATIENTS WITH KNEE OSTEOARTHRITIS AT HAI DUONG PROVINCIAL GENERAL HOSPITAL
Main Article Content
Abstract
Objective: Finding out of the results of intra-articular injection method in the treatment of primary knee osteoarthritis at Hai Duong Provincial General Hospital. Methods: The research design uses an interventional, prospective, non-controlled research method. Including 45 patients who met the criteria for selection into the study. Convenient way to choose samples. Using VAS, Lequesne and WOMAC scales for evaluation. Research procedure: The patient only would be injected 01 tube of Depo-Medrol 40 mg/ 1 ml x 1 time into the knee joint (T0). After that, patients were monitored and scheduled for re-examination at the four times: Examination in the 1st week (T1), the 4th week (T4), the 8th week (T8), the 12th week (T12). Results: About gender, 62.2% were female, only 37.8% were male. The average age was 60.47 ± 6.71, the major age group was 61-70, accounting for 36.6%. The rate of patients with manual labor occupations was high, 66.7%. The rate of obese patients was 60%, the average BMI was 23.15 ± 2.16. Common functional symptoms: mechanical pain (86.7%), pain when climbing stairs (88.9%), and pain when changing positions (93.3%), signs of joint breakage (86.7%), and signs of wood shaving (71.1%). The average VAS, Lequesne and WOMAC scores before and after treatment at the survey times had statistically significant differences, p < 0.05. Conclusion: 100% of patients receiving intra-articular corticosteroid injection had improved clinical symptoms, as shown by the improvement of VAS, Lequesne, and WOMAC scores at the follow-up survey points after treatment, p < 0.05. Recommendation: With quiet good effectiveness, relative safety and low cost, intra-articular corticosteroid injection on the patients with knee osteoarthritis should be routinely applied to cases of primary knee osteoarthritis to achieve higher efficiency in clinical practice at the hospital. Keywords: knee osteoarthritis, intra-articular injectio
Article Details
Keywords
knee osteoarthritis, intra-articular injection
References

2. Raynauld J. P., Buckland-Wright C., Ward R. et al (2003). Safety and efficacy of long-term intraarticular steroid injections in osteoarthritis of the knee: a randomized, double-blind, placebo-controlled trial. Arthritis Rheum, 48 (2), 370-377.

3. Yavuz U., Sokucu S., Albayrak A. et al (2012). Efficacy comparisons of the intraarticular steroidal agents in the patients with knee osteoarthritis. Rheumatol Int, 32 (11), 3391-3396.

4. Nguyễn Văn Pho (2007). Đánh giá hiệu quả của tiêm chất nhầy sodium-hyaluronate (Go-on) vào ổ khớp trong điều trị thoái hóa khóp gối. Luận văn tốt nghiệp bác sĩ chuyên khoa II.

5. Đỗ Thị Lan và cs (2016). Đánh giá kết quả điều trị của phương pháp chọc hút kết hợp tiêm corticoid nội khớp trong điều trị thoái hóa khớp nguyên phát có phản ứng viêm. Báo cáo khoa học Đại hội thấp khớp học lần thứ XIII, Hội thấp khớp học Việt Nam, tr 87-92.

6. Lê Thị Liễu, Nguyễn Mai Hồng (2009). Nghiên cứu vai trò của siêu âm khớp trong chẩn đoán bệnh thoái hóa khớp gối. Tạp chí Y học Nội Khoa.

7. Kellgren. J.H and Lawrence. J.S (1957). Radiological assessment of osteo-arthrosis. Ann Rheum Dis, 16 (4), 494-502.

8. Arroll.B and Goodyear-Smith.F (2004). Corticosteroid injections for osteoarthritis of the knee: meta-analysis. Bmj, 328 (7444), 869.

9. Chao. C, Wu. B et al (2010). Inflammatory characteristics on ultrasound predict poorer longterm response to intraarticular corticosteroid injections in knee osteoarthritis. J Rheumatol, 37 (3), 650-655
