肌内效贴力学矫正贴扎改善髌骨软化症患者疼痛的即时与短期疗效观察
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摘要
目的研究肌内效贴力学矫正贴扎改善髌骨软化症患者疼痛的即时与短期疗效。方法选取我院髌骨软化症患者46例为研究对象,随机分研究组与对照组,各23例。研究组给予肌内效布贴扎治疗,对照组给予常规理疗联合运动疗法。比较两组疼痛程度、膝关节功能、短期疗效与治疗效果。结果治疗前两组疼痛程度、膝关节功能、抗阻伸膝试验痛与半蹲试验痛评分比较,差异无统计学意义(P>0.05);治疗后研究组疼痛程度评分为(1.09±0.34)分低于对照组的(1.84±0.42)分,研究组膝关节功能评分为(92.83±3.52)分高于对照组的(82.84±4.05)分,抗阻伸膝试验痛与半蹲试验痛评分低于对照组,研究组治疗效果(95.65%)高于对照组(73.91%),差异均有统计学意义(P<0.05)。结论对髌骨软化症患者采用肌内效贴治疗能提高短期疗效,促进膝关节功能早期恢复,有效缓解疼痛感,改善预后与生活质量,安全性高,值得借鉴。
Objective To study the immediate and short-term effects of intramuscular effector mechanics correction and ligation on pain in patients with patellofemoral softening. Methods 46 patients with patella softening in our hospital were enrolled in the study. They were randomly divided into study group and control group, with 23 cases in each group. The study group was given an intramuscular effect banding treatment, and the control group was given a conventional physiotherapy combined with exercise therapy. The pain level, knee function, short-term efficacy and treatment effect were compared between the two groups. Results There was no significant difference between the pain level, knee function, anti-obstruction knee pain test and the semi-sputum test pain score before treatment(P >0.05). The pain degree score of the study group was(1.09 ±0.34) after treatment.Compared with the control group(1.84±0.42), the knee joint function score of the study group was(92.83 ±3.52) higher than that of the control group(82.84 ±4.05), and the pain score of the resistance and knee extension test was low. In the control group, the treatment effect of the study group(95.65%) was higher than that of the control group(73.91%),the difference was statistically significant( P<0.05).Conclusion Intramuscular therapy for patients with patella softening can improve short-term curative effect, promote early recovery of knee joint function, effectively relieve pain, improve prognosis and quality of life, and have high safety. It is worth learning.
Objective To study the immediate and short-term effects of intramuscular effector mechanics correction and ligation on pain in patients with patellofemoral softening. Methods 46 patients with patella softening in our hospital were enrolled in the study. They were randomly divided into study group and control group, with 23 cases in each group. The study group was given an intramuscular effect banding treatment, and the control group was given a conventional physiotherapy combined with exercise therapy. The pain level, knee function, short-term efficacy and treatment effect were compared between the two groups. Results There was no significant difference between the pain level, knee function, anti-obstruction knee pain test and the semi-sputum test pain score before treatment(P >0.05). The pain degree score of the study group was(1.09 ±0.34) after treatment.Compared with the control group(1.84±0.42), the knee joint function score of the study group was(92.83 ±3.52) higher than that of the control group(82.84 ±4.05), and the pain score of the resistance and knee extension test was low. In the control group, the treatment effect of the study group(95.65%) was higher than that of the control group(73.91%),the difference was statistically significant( P<0.05).Conclusion Intramuscular therapy for patients with patella softening can improve short-term curative effect, promote early recovery of knee joint function, effectively relieve pain, improve prognosis and quality of life, and have high safety. It is worth learning.
引文
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[5]武圣超,李强,李红旗,等.中药外敷联合低能量体外冲击波治疗气滞血瘀型髌骨软化症临床研究[J].亚太传统医药,2018,14(8):171-173.
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[7]Majidi S,Parna A,Zamani M,et al.Onset and Effect Duration of Intrabuccal Space and Intramuscular Ketamine in Pediatrics[J].Advanced Biomedical Research,2018,7(1):91.
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[9]Lykov AP,Bondarenko NA,Poveshchenko OV,et al.Effect of Intramuscular Administration of Mesenchymal Stem Cells and Erythropoietin on Angiogenesis in Critical Limb Ischemia[J].Bulletin of Experimental Biology&Medicine,2018,165(4):121-126.
[10]宋为平,曾磊,宋志平.肌内效贴力学矫正贴扎改善髌骨软化症患者疼痛的即时与短期效果[J].中国运动医学杂志,2017,36(9):817-819.
[11]张伟东,王黎明,李伟.关节镜下去神经化联合中药透入治疗髌骨软化症的疗效观察[J].中国社区医师,2017,33(7):102-103.
[12]郭俊涛.核磁共振弥散加权成像诊断髌骨软化症的多序列对比研究[J].社区医学杂志,2017,15(4):19-21.
[13]左坦坦.玻璃酸钠关节腔填充联合肌力训练治疗髌骨软化症的疗效观察[J].大医生,2018,3(4):96-97.
[14]徐彬,薄金南,田万青,等.针刀松解联合玻璃酸钠关节腔注射及益肾健脾汤口服治疗肝肾亏虚型髌骨软化症[J].中医正骨,2018,30(2):61-62.
[2]李层,涂杨茂.口服结晶型硫酸氨基葡萄糖治疗膝关节镜术后髌骨软化症的疗效分析[J].中国社区医师,2019,35(1):24-25.
[3]杜冬峰,田向东,杨晨,等.髌骨软化症关节镜术后BZY-A型肌力平衡治疗仪的疗效观察[J].中国矫形外科杂志,2018,26(21):1956-1961.
[4]朱宝发,钟金浦.膝关节镜配合超短波与单纯应用膝关节镜治疗髌骨软化症效果分析[J].当代医学,2018,24(22):121-123.
[5]武圣超,李强,李红旗,等.中药外敷联合低能量体外冲击波治疗气滞血瘀型髌骨软化症临床研究[J].亚太传统医药,2018,14(8):171-173.
[6]杨鑫.股内收肌群强化锻炼对口服药物联合运动疗法治疗髌骨软化症临床疗效的影响[D].河南中医药大学,2018.
[7]Majidi S,Parna A,Zamani M,et al.Onset and Effect Duration of Intrabuccal Space and Intramuscular Ketamine in Pediatrics[J].Advanced Biomedical Research,2018,7(1):91.
[8]汤巧霞.核磁共振3D-DW-bSSFP序列在髌骨软化症诊疗中的应用价值评价[J].医学理论与实践,2018,31(5):728-730.
[9]Lykov AP,Bondarenko NA,Poveshchenko OV,et al.Effect of Intramuscular Administration of Mesenchymal Stem Cells and Erythropoietin on Angiogenesis in Critical Limb Ischemia[J].Bulletin of Experimental Biology&Medicine,2018,165(4):121-126.
[10]宋为平,曾磊,宋志平.肌内效贴力学矫正贴扎改善髌骨软化症患者疼痛的即时与短期效果[J].中国运动医学杂志,2017,36(9):817-819.
[11]张伟东,王黎明,李伟.关节镜下去神经化联合中药透入治疗髌骨软化症的疗效观察[J].中国社区医师,2017,33(7):102-103.
[12]郭俊涛.核磁共振弥散加权成像诊断髌骨软化症的多序列对比研究[J].社区医学杂志,2017,15(4):19-21.
[13]左坦坦.玻璃酸钠关节腔填充联合肌力训练治疗髌骨软化症的疗效观察[J].大医生,2018,3(4):96-97.
[14]徐彬,薄金南,田万青,等.针刀松解联合玻璃酸钠关节腔注射及益肾健脾汤口服治疗肝肾亏虚型髌骨软化症[J].中医正骨,2018,30(2):61-62.