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机构地区:[1]四川省骨科医院,成都610041
出 处:《中国中医骨伤科杂志》2013年第9期31-33,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics
摘 要:目的:观察综合疗法治疗网球腿的临床疗效。方法:建立急性网球腿的临床诊治路径,对21例患者实行B超引导下穿刺抽吸瘀血、加压包扎和固定,同时配合中药、针灸、推拿和康复功能锻炼等综合治疗,选取疼痛分度,快速行走距离及踝关节屈伸功能等作为临床疗效评估指标,随访1~3个月,并对治疗前、治疗后1、4、8周疗效进行评估。结果:(1)治疗结束时临床痊愈17例,好转4例,无效。例。治疗后8周随访临床痊愈20例,好转1例,无效。例。治疗后3个月随访临床痊愈21例。(2)21例经穿刺抽血加中医综合治疗的患者,治疗前与治疗后的第1、4、8周NRS、1min快行距离、踝关节活动度比较差异有统计学意义(P〈0.01)。治疗前后患者疼痛程度明显降低,踝关节功能明显提高。结论:使用穿刺抽血加中医综合治疗网球腿疗效好,·陂复快,不良反应少,经济实用。Objective:To observe the clinical effect of combined modality therapy for tennis leg. Methods: Established the clinical path of acute tennis leg. We applied puncturing blood under the guide of B-mode ultrasonography, implementation of compression bandaging and fixed, and combined with acupuncture and massage therapy for 21 cases. They were all followed up for 1 to 3 months. The pain assessment, one minute walking distance, and ankle joint flexion function of patients were evaluated before treatment and 1, 4, 8 weeks after treatment. Results: (1) At the end of treatment, 17 cases were cured, 4 cases were improved, and there was no case invalid. Eight weeks after treatment, there were 20 cases cured, 1 ca- ses improved, and no case invalid. Three months after treatment, there were 21 cases got clinical cured. (2) The pain assessment, one minute walking distance, and ankle joint flexion function of all patients were significant different after puncturing blood and combined modality therapy (P〈0.01). The pain severity was reduced and the ankle joint function was improved after treatment. Conclusion : The method of puncturing blood and combined modality therapy is effective, early recovery, few adverse reactions, and economical for treating tennis leg.
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