浮针联合体外冲击波治疗髌骨软化症的疗效观察  

Observations on the Efficacy of Subcutaneous Needling plus Extracorporeal Shock Wave Chondromalacia Patellae

作　　者：郭富明 刘付懿斐 杨俊兴 GUO Fuming;LIU Fuyifei;YANG Junxing(Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Shenzhen Hospital(Futian)of Guangzhou University of Chinese Medicine,Shenzhen 518000,China)

机构地区：[1]广州中医药大学,广州510405 [2]广州中医药大学深圳医院(福田),深圳518000

出　　处：《上海针灸杂志》2022年第9期912-917,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：深圳市福田区卫生公益性科研项目(FTWS2019027)。

摘　　要：目的观察浮针联合体外冲击波治疗髌骨软化症(CP)的临床疗效。方法将60例单侧CP患者分为对照组和观察组,每组30例。对照组进行冲击波治疗,观察组在对照组基础上给予浮针治疗。观察两组治疗前后、治疗后3个月随访时等速肌力测试指标、Lysholm评分、视觉模拟量表(VAS)评分的变化,并比较两组临床疗效及不良反应发生情况。结果两组治疗后临床疗效比较差异无统计学意义(P>0.05),两组随访时临床疗效比较差异有统计学意义(P<0.05)。两组治疗后的伸肌和屈肌峰力矩(PT)、VAS评分及Lysholm评分较治疗前升高(P<0.05),观察组伸肌和屈肌PT及Lysholm评分高于对照组(P<0.05)。随访时,两组屈肌PT和VAS评分较治疗后下降(P<0.05),对照组Lysholm评分较治疗后升高(P<0.05);观察组伸肌和屈肌PT及VAS评分优于对照组(P<0.05)。结论浮针联合体外冲击波治疗CP短期疗效明确,能改善疼痛、恢复功能及肌力,减缓CP的病情进展。Objective To observe the clinical efficacy of subcutaneous needling plus extracorporeal shock wave chondromalacia patellae(CP).Method Sixty patients with unilateral chondromalacia patellae were randomized to control and observation groups,with 30 cases in each group.The control group received extracorporeal shock wave and the observation group,subcutaneous needling in addition.Isokinetic muscle strength test indicators,the Lysholm score,and the visual analog scale(VAS)score were observed in the two groups before and after treatment and at the three-month follow-up after treatment.The clinical efficacy and the incidences of adverse reactions were compared between the two groups.Result There was no significant difference in clinical efficacy between the two groups after treatment(P>0.05),and there was significant difference in the clinical efficacy between the two groups at the follow-up(P<0.05).After treatment,extensor and flexor peak torques(PT),the VAS score and the Lysholm score increased in the two groups compared with before(P<0.05)and extensor and flexor PTs and the Lysholm score were higher in the observation group than in the control group(P<0.05).At the follow-up,extensor and flexor PTs and the VAS score decreased in the two groups(P<0.05)and the Lysholm score increased in the control group compared with after treatment(P<0.05);extensor and flexor PTs and the VAS score were better in the observation group than in the control group(P<0.05).Conclusion Subcutaneous needling plus extracorporeal shock wave has a definite short-term therapeutic effect on CP.It can relieve the pain,restore function and myodynamia and slow CP progression.

关 键 词：针刺疗法 浮针 髌骨软化症 膝关节疾病 体外冲击波 等速肌力测试 

分 类 号：R246.2[医药卫生—针灸推拿学]