推拿结合深刺腘肌治疗髌股综合征的临床效果(1)
[摘要] 目的 探討推拿结合深刺腘肌治疗髌股综合征的效果。 方法 选取2018年1～6月就诊于长春中医药大学附属第三临床医院软伤推拿科的髌股综合征患者64例，按随机数字表法分为治疗组和对照组，每组32例。两组患者均接受康复训练，治疗组在康复训练的基础上进行环推髌骨及深刺腘肌的治疗。治疗3个月后，采用疼视觉模拟评分法(VAS)及Lysholm膝关节功能评分量表(Lysholm)、国际膝关节文献编制委员会主观膝部评估表(IKDC)、Tegner膝关节运动水平评分(Tegner)对患者的疼痛程度及膝关节功能进行评定。比较两组的治疗效果。 结果 治疗组治疗3个月后VAS评分明显低于治疗前，IKDC评分优于治疗前，Lysholm、Tegner评分明显高于治疗前，差异均有统计学意义(均P < 0.05);治疗组治疗3个月后VAS明显低于对照组，而Tegner评分、Lysholm膝关节评分明显高于对照组，差异均有统计学意义(均P < 0.05);治疗组治疗3个月后IKDC评分优于对照组，但两组比较，差异无统计学意义(P > 0.05)。 结论 推拿结合深刺腘肌治疗髌股综合征能有效提高疼痛治愈率，临床疗效更为显著，对改善患者膝关节功能具有重要意义，值得临床推广使用。
[关键词] 髌股综合征;推拿;刃针;深刺腘肌
[中图分类号] R684 [文献标识码] A [文章编号] 1673-7210(2019)10(a)-0114-04
Clinical effect of massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome
LI Hai ZHANG Hanyuan ZHANG Yuan QI Wei
Department of Soft Wounds Massage， the Third Affiliated Hospital of Changchun University of Chinese Medicine Jilin Provine， Changchun 130033， China
[Abstract] Objective To investigate the effect of massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome. Methods Sixty-four patients with patellofemoral pain syndrome admitted to the Third Affiliated Hospital of Changchun University of Chinese Medicine from January to June 2018 were selected. According to the random number table， they were divided into the treatment group and the control group， 32 patients in each group. Patients of two groups were received rehabilitation training. Patients of the treatment group were received ring push patella and deep spine popliteus treatment on the basis of rehabilitation training. Three months after treatment， the pain degree and knee joint function of patients were evaluated by visual analogue scales (VAS)， Lysholm knee joint function score scale (Lysholm)， the international knee documentation committee knee evaluation form (IKDC) and Tegner knee exercise level score (Tegner). The therapeutic effects of the two groups were compared. Results After 3 months of treatment， VAS scores in the treatment group were significantly lower than that before treatment， IKDC scores were better than that before treatment， Lysholm scores and Tegner scores were significantly higher than those before treatment， the differences were statistically significant (all P < 0.05); VAS in the treatment group were significantly lower than those in the control group after 3 months of treatment， while Tegner scores and Lysholm scores were significantly higher than that in the control group， the differences were statistically significant (all P < 0.05). The IKDC scores of the treatment group was superior to that of the control group after 3 months of treatment， but the difference between the two groups was not statistically significant(P > 0.05). Conclusion Massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome can effectively improve the cure rate of pain， with more significant clinical efficacy， which is of great significance in improving the knee joint function of patients and is worthy of clinical promotion., 百拇医药(李海 张瀚元 张媛 齐伟)
[关键词] 髌股综合征;推拿;刃针;深刺腘肌
[中图分类号] R684 [文献标识码] A [文章编号] 1673-7210(2019)10(a)-0114-04
Clinical effect of massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome
LI Hai ZHANG Hanyuan ZHANG Yuan QI Wei
Department of Soft Wounds Massage， the Third Affiliated Hospital of Changchun University of Chinese Medicine Jilin Provine， Changchun 130033， China
[Abstract] Objective To investigate the effect of massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome. Methods Sixty-four patients with patellofemoral pain syndrome admitted to the Third Affiliated Hospital of Changchun University of Chinese Medicine from January to June 2018 were selected. According to the random number table， they were divided into the treatment group and the control group， 32 patients in each group. Patients of two groups were received rehabilitation training. Patients of the treatment group were received ring push patella and deep spine popliteus treatment on the basis of rehabilitation training. Three months after treatment， the pain degree and knee joint function of patients were evaluated by visual analogue scales (VAS)， Lysholm knee joint function score scale (Lysholm)， the international knee documentation committee knee evaluation form (IKDC) and Tegner knee exercise level score (Tegner). The therapeutic effects of the two groups were compared. Results After 3 months of treatment， VAS scores in the treatment group were significantly lower than that before treatment， IKDC scores were better than that before treatment， Lysholm scores and Tegner scores were significantly higher than those before treatment， the differences were statistically significant (all P < 0.05); VAS in the treatment group were significantly lower than those in the control group after 3 months of treatment， while Tegner scores and Lysholm scores were significantly higher than that in the control group， the differences were statistically significant (all P < 0.05). The IKDC scores of the treatment group was superior to that of the control group after 3 months of treatment， but the difference between the two groups was not statistically significant(P > 0.05). Conclusion Massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome can effectively improve the cure rate of pain， with more significant clinical efficacy， which is of great significance in improving the knee joint function of patients and is worthy of clinical promotion., 百拇医药(李海 张瀚元 张媛 齐伟)