顶天立地式功能训练联合二黄新伤软膏治疗急性髌内侧滑膜皱襞综合征临床分析  

Clinical Analysis of Applying Indomitable Functional Training Combined with Erhuang Xinshang Ointment in the Treatment of Acute Patellar Synovial Fold Syndrome

作　　者：蒋旭 胡勇[1] 程松苗 高志[1] 林瓒 JIANG Xu;HU Yong;CHENG Songmiao(Knee Sports Injury Department,Sichuan Provincial Orthopaedic Hospital,Chengdu Sichuan 610041,China)

机构地区：[1]四川省骨科医院膝关节运动损伤科,四川成都610041

出　　处：《四川中医》2021年第11期170-173,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省卫生和计划生育委员会科研课题(编号:16PJ387)。

摘　　要：目的:探讨顶天立地式功能训练联合二黄新伤软膏治疗急性髌内侧滑膜皱襞综合征的效果。方法:选取我院收治的142例急性髌内侧滑膜皱襞综合征患者,采用随机数字表分为联合组和对照组各71例,两组患者均给予顶天立地式功能训练+基础治疗,联合组在上述基础上加用二黄新伤软膏,疗程4周;对比治疗前后患者的膝关节功能评分、视觉模拟疼痛量表(VAS)评分、表面肌电图股内侧斜肌(VMO)/股外侧肌(VL)值、中医证候评分、临床治疗效果。结果:治疗前,联合组和对照组的Lysholm评分、VAS评分比较,差异无统计学意义(P>0.05);治疗后,联合组的Lysholm评分高于对照组,差异具有统计学意义(P<0.05),联合组的VAS评分低于对照组(P<0.05);治疗前,联合组和对照组的股内侧斜肌VMO/VL比较,差异无统计学意义(P>0.05);治疗后,联合组的股内侧斜肌VMO/VL高于对照组,差异具有统计学意义(P<0.05);治疗前,联合组和对照组的各项中医证候积分及总分比较,差异无统计学意义(P>0.05);治疗后,联合组的跛行、关节肿胀、关节弹响、关节疼痛、腰膝酸软乏力、中医证候总分低于对照组,差异具有统计学意义(P<0.05);治疗后,联合组的临床治愈率36.62%、显效率43.66%、有效率15.49%、无效率4.23%,对照组的临床治愈率23.94%、显效率38.04%、有效率29.58%、无效率8.45%,两组比较差异具有统计学意义(P<0.05)。结论:顶天立地式功能训练联合二黄新伤软膏治疗急性髌内侧滑膜皱襞综合征对于患者膝关节功能恢复、临床症状的缓解具有积极作用。Objective: To explore the effect of applying indomitable functional training combined with Erhuang Xinshang Ointment in the treatment of acute medial patellar synovial fold syndrome. Methods: A selection of 142 patients with acute medial patellar synovial fold syndrome admitted to our hospital were divided into a combination group and a controlled group with 71 cases each using a random number table. Both groups were given upright functional training+basic treatment. The combination group was based on the above plus Erhuang Xinshang Ointment for 4 weeks, compared the knee function scores, visual analog pain scale(VAS) scores, surface electromyography medial femoral blood secondary oblique muscle(VMO)/lateral femoral muscle before and after treatment(VL) value, TCM syndrome score, clinical treatment effect. Results: Before treatment, the Lysholm score and VAS score of the combination group and the controlled group were not significantly different(P > 0.05). After treatment, the Lysholm score of the combination group was higher than that of the controlled group, and the difference was statistically significant(P < 0.05). The VAS score of the combination group was lower than that of the controlled group(P < 0.05). Before treatment, the VMO/VL of the medial femoral oblique muscle of the combination group and the controlled group were not significantly different(P > 0.05);after treatment, The VMO/VL of the medial oblique muscle of the combination group was higher than that of the controlled group, and the difference was statistically significant(P < 0.05). Before treatment, there was no statistically significant difference in the scores and total scores of various TCM syndromes between the combined group and the controlled group(P > 0.05). After treatment, the total scores of claudication, joint swelling, joint snapping, joint pain, waist and knee weakness, and TCM syndromes of the combined group were lower than those of the controlled group, the difference was statistically significant(P < 0.05). After that, the clin

关 键 词：顶天立地式功能训练 二黄新伤软膏 髌内侧滑膜皱襞综合征 膝关节功能 

分 类 号：R274[医药卫生—中医骨伤科学] R686.7[医药卫生—中医学]