不同方法对胫骨疲劳性骨膜炎的疗效观察  

Curative effects of different treatments on tibia fatigue periostitis

作　　者：黄明亮[1] 

机构地区：[1]武警四川省消防总队医院骨科,成都610072

出　　处：《西南国防医药》2014年第7期738-740,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的研究电针加TDP治疗仪等4种方法治疗军事训练致胫骨疲劳性骨膜炎的临床疗效。方法将160例胫骨疲劳性骨膜炎患者随机分为联合治疗组、电针组、TDP组、对照组,每组各40例,联合治疗组采用电针加TDP治疗,电针组单用电针治疗,TDP组单用TDP治疗,对照组患者自行热敷治疗,5 d为1个疗程。治疗3个疗程后,采用疼痛模拟评分法(VAS)和临床疗效分级,比较各组治疗效果。结果治疗3个疗程后,联合治疗组的VAS评分显著低于其他3组(P<0.05);电针组的VAS评分低于TDP组和对照组(P<0.05);TDP组与对照组的VAS评分没有显著差异(P>0.05)。联合治疗组的治愈率显著高于其他3组(P<0.05),且总有效率高于TDP组和对照组(P<0.05);电针组的治愈率也高于TDP组和对照组(P<0.05),TDP组与对照组的疗效没有显著差别(P>0.05)。结论电针加TDP治疗,对于军事训练致胫骨疲劳性骨膜炎的临床疗效最好,应该在临床大力推广。在没有条件的地方,电针治疗也可取得较好疗效。Objective To explore the clinical curative effects of 4 treatments including electro-acupuncture combined with TDP on tibia fatigue periostitis cause by military training. Methods 160 cases with tibia fatigue periostitis were randomly divided into 4 groups：combined group,electro-acupuncture group,TDP group and control group,40 cases in each;treatment of electro-acupuncture combined with TDP was performed on patients in combined group,that of electro-acupuncture to patients in electro-acupuncture group, TDP to patients in TDP group and hot compression to patients in control group;after 3 courses（5 days/ course）,VAS and clinical curative effect grading were applied to compare the curative effects in the 4 groups. Results The scores of VAS of the patients in combined group were much lower than those of the patients in the other 3 groups（P ﹤ 0. 05）;the scores of VAS the patients in electro-acupuncture group were lower than those of the patients in TDP group and control group（ P ﹤ 0. 05）;there existed no difference between the scores of VAS of the patients in TDP group and control group（P ﹥ 0. 05）;the cure rate in combined group was significantly higher than those in the other 3 groups（P ﹤ 0. 05）,and the total effective rate was higher than those in TDP group and control group （P ﹤ 0. 05）;the cure rate in electro-acupuncture group was higher than those in TDP group and control group（P ﹤ 0. 05）;there existed no obvious difference between the effects in TDP group and control group（ P ﹥ 0. 05）. Conclusions The treatment of electro-acupuncture combined with TDP is of the best effect on tibia fatigue periostitis and is worthy of wider clinical application;under restricted condition,treatment of electro-acupuncture may provide a better effect.

关 键 词：疲劳性骨膜炎 胫骨 训练伤 电针 

分 类 号：R681.8[医药卫生—骨科学]