针刺治疗髌股关节疼痛综合征临床研究  

Clinical study of acupuncture on the treatment of patellofemoral pain syndrome

作　　者：魏智钧[1] 张金葆[1] 欧阳颀[1] 李雪[1] 李华[1] 侯艳丽[1] 

机构地区：[1]中国人民解放军北京军区总医院理疗科,北京100700

出　　处：《河北中医》2016年第8期1220-1224,共5页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察针刺治疗髌股关节疼痛综合征(PFPS)的临床疗效,并探讨其治疗机制。方法将45例PFPS患者随机分为2组。对照组22例予家庭常规训练,治疗组23例在对照组基础上予针刺治疗。2组均治疗3周。2组治疗前后进行台阶任务试验,利用表面肌电仪对股内侧斜肌(VMO)和股外侧肌(VL)的神经肌肉电比率进行评定,同时采用视觉模拟评分(VAS)对膝关节疼痛程度进行评定。结果 2组治疗后VAS评分均降低,上、下台阶VMO/VL均升高,差异均有统计学意义(P<0.05)。治疗组治疗后VAS评分低于对照组,上、下台阶VMO/VL高于对照组,差异均有统计学意义(P<0.05)。结论针刺治疗可明显缓解PFPS患者疼痛症状。Objective To observe the curative effects of acupuncture on the treatment of patellofemoral pain syndrome（ PFPS）,and to explore its mechanism. Methods 45 patients with PFPS were randomly divided into two groups. The control group（ n = 22） received family exercise program only,and the acupuncture group（ n = 23） receivied acupuncture combined with family exercise program,continuously treatment for 3 weeks. The step test,the neuromuscular electricity ratio of vastus medial muscle（ VMO） and vastus lateralis（ VL） and the visual analogue scale（ VAS） of knee joint were detected before and after treatment in all patients. Results The scores of VAS after treatment were decreased in two groups,and the VMO / VL of ascending and descending the staris were increased,with statistical differences（ P〈0. 05）. The scores of VAS after treatment in treatment group were lower than those in control group,and the VMO / VL of ascending and descending the staris were higher,with statistical differences（ P〈0. 05）. Conclusion Acupunture can significantly relieve the pain in PFPS patients,worthy of clinical application.

关 键 词：髌股疼痛综合征 针刺疗法 

分 类 号：R441.1[医药卫生—诊断学] R245.31[医药卫生—临床医学]