循足阳明经筋体外冲击波治疗髌骨软化症临床研究  

Clinical Study of Efficacy of Extracorporeal Shock Wave on the Function of Foot-Yangming Meridian Muscle in Patients with Chondromalacia Patellae

作　　者：谢平金 卢启贵 郭艳幸 黄东红 郑英慧 XIE Pingjin;LU Qigui;GUO Yanxin;HUANG Donghong;ZHENG Yinghui(Shenzhen Luohu Hospital Group,Shenzhen 518002,Guangdong China;Shenzhen Hospital,Shanghai University of Traditional Chinese Medicine,Shenzhen 518002,Guangdong China.)

机构地区：[1]深圳市罗湖医院集团/深圳市罗湖区中医院,广东深圳518002 [2]上海中医药大学深圳医院

出　　处：《中国中医骨伤科杂志》2022年第4期10-13,20,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广东省中医药管理局科研项目(20201312);深圳市科创委2020年基础研究面上项目(JCYJ20190812170815559)。

摘　　要：目的:观察足阳明经筋循经体外冲击波治疗髌骨软化症的近远期临床疗效。方法:将76例患者随机分成治疗组和对照组(各38例),治疗组予循足阳明经筋体外冲击波治疗,对照组髌股关节周围散发冲击波治疗,每3 d一次,共治疗8次。观察两组治疗前、治疗后及治疗后3个月VAS疼痛评分、WOMAC功能评分及3个月后满意度。结果:治疗后两组疼痛VAS评分及WOMAC评分均较治疗前降低,差异有统计学意义(P<0.05),且治疗组优于对照组,差异有统计学意义(P<0.05);3个月后随访时治疗组疼痛VAS评分、WOMAC评分、患者满意度均优于对照组,差异有统计学意义(P<0.05)。结论:循足阳明经筋体外冲击波治疗髌骨软化症可减轻患者的疼痛程度,改善膝关节功能评分,且较髌股关节周围散发冲击波治疗有更好的近远期疗效。Objective:To observe the short-term,long-term clinical efficacy and safety of the treatment of chondromalacia patellae by external shock wave along the meridians of foot Yangming meridian.Methods:76 cases were randomly divided into treatment group(38 cases) and control group(38 cases).The treatment group was treated by external shock wave through tendon.The control group was treated by shock wave around patellofemoral joint once per 3 d with 8 times in all.Visual analogue scale(VAS),WOMAC function score(WOMAC) and satisfaction degree after 3 months were observed before,after treatment and 3 months after treatment.Results:After treatment,both VAS and WOMAC scores of the two groups were lower than those before treatment(P<0.05),and the treatment group was better than the control group(P<0.05).After 3 months follow-up,VAS score,WOMAC score and patient satisfaction in the treatment group were better than those in the control group(P<0.05).Conclusion:The foot Yangming extracorporeal shock wave therapy for chondromalacia patellae can reduce the pain level of anterior knee region and improve the physiological function of knee joint.

关 键 词：髌骨软化症 足阳明经 体外冲击波 筋结点 随机对照研究 

分 类 号：R681.3[医药卫生—骨科学]