应用富含血小板血浆注射治疗运动员顽固性跳跃膝的临床研究  

Clinical Application of Platelet-rich Plasma for the Treatment of Refractory Jumper's Knee of Athletes

作　　者：许鑫[1] 胡小卫[1] 金志旦[1] 杨威斌[1] 

机构地区：[1]浙江体育职业技术学院附属体育医院,浙江杭州311231

出　　处：《浙江体育科学》2014年第1期92-96,共5页Zhejiang Sport Science

基　　金：浙江省教育厅科研资助项目(Y201121963)

摘　　要：目的:评价注射富含血小板血浆(PRP)对常规保守治疗无效的运动员慢性顽固性跳跃膝的疗效。方法:给予实验组的15名慢性顽固性跳跃膝的患者PRP注射治疗和物理治疗,这些患者先前经保守治疗无效;对照组的16名患者仅给予物理治疗,比较两组临床疗效的差异。PRP经局部注射于髌腱炎的部位,每2周注射1次,共3次,分别在治疗前、治疗后以及6个月随访时应用Tegner、EQ-VAS、疼痛指数三种评分评价临床疗效,同时记录并发症、功能恢复和患者的满意率。结果:实验组中患者在PRP注射后所有评分有显著性改善,患者运动能力提高更加明显。结论:实验结果表明PRP注射对于治疗经常规保守治疗无效的运动员慢性顽固性跳跃膝有一定的应用价值。Objective：To evaluate the efficacy of multiple platelet--rich plasma （PRP） injections on the healing of chronic refractory patellar tendinopathy after previous classical treatments have failed. Methods：We treated 15 patients affected by chronic jumper＇s knee, who had failed previous nonsurgical treatments, with multiple PRP injections and physiotherapy. We also compared the clinical outcome with a homogeneous group of 16 patients primarily treated exclusively with the physiotherapy approach. Multiple PRP iniections were performed on three occasions two weeks a- part into the site of patellar tendinopathy. Tegner, EQ--VAS and pain level were used for clinical evaluation before, at the end of the treatment and at six months follow--up. Complications, functional recovery and patient satisfaction were also recorded. Results： A statistically significant improvement in all scores was observed at the end of the PRP injections in patients with chronic refractory patellar tendinopathy, with an even higher improvement in the sport activity level achieved in the PRP group. Conclusions：The clinical results indicate that PRP injections have the potential to promote the achievement of a satisfactory clinical outcome, even in difficult cases with chronic refractory tendinopathy after previous classical treatments have failed.

关 键 词：富含血小板血浆 跳跃膝 运动员 

分 类 号：G804.5[文化科学—运动人体科学]