触发点疗法联合TDP治疗慢性膝痛的临床疗效观察  

Observation on clinical efficacy of trigger point therapy combined with TDP in the treatment of chronic knee pain

作　　者：郭光明[1] 朱士娜 Guo Guangming;Zhu Shina(Medical school of Fuyang institute of technology,Fuyang,Anhui,236000,China)

机构地区：[1]阜阳职业技术学院医学院,安徽阜阳236000

出　　处：《齐齐哈尔医学院学报》2023年第11期1019-1022,共4页Journal of Qiqihar Medical University

基　　金：安徽省教育厅2021年度高校自然科学研究重点项目(KJ2021A1351)。

摘　　要：目的 观察触发点疗法联合TDP治疗慢性膝痛的临床疗效,为触发点疗法在慢性膝痛的临床应用提供理论与方法依据。方法 选择2021年12月—2022年6月在××县洪河桥镇高园村卫生室接受慢性膝痛治疗的患者68例作为研究对象,随机分为对照组与实验组两组,每组各34例。两组患者均进行健康教育,对照组患者行TDP治疗,实验组患者在对照组基础上进行触发点治疗,每周治疗5次,共治疗2周。对两组患者结束后进行总有效率评定,对两组患者治疗前后进行视觉模拟评分(visual analogue scale,VAS)、JOA(Japanese Orthopaedic Association Scores,JOA)评分,并对两组患者治疗后1个月、3个月进行随访,以检验治疗效果。治疗期间,记录两组患者的不良反应率发生情况。结果 治疗后,两组患者总有效率比较有统计学差异(P<0.05);治疗前,两组患者VAS评分、JOA评分无统计学差异(P>0.05);治疗后,两组患者VAS评分、JOA评分有统计学差异(P<0.05);治疗后1个月、3个月随访,两组患者VAS评分、JOA评分比较有统计学差异(P<0.05);对两组患者进行治疗期间不良反应率比较,无统计学差异(P>0.05)。结论 触发点疗法联合TDP治疗可以减轻慢性膝痛患者的疼痛,改善患者的膝关节功能,临床疗效显著。同时,两种疗法联合治疗慢性膝痛的不良反应发生率较低,治疗安全性较高,可以推广应用。Objective To observe the clinical efficacy of trigger point therapy combined with TDP in the treatment of chronic knee pain,and to provide theoretical and methodical basis for the clinical application of trigger point therapy in chronic knee pain.Methods A total of 68 patients receiving treatment for chronic knee pain in village clinic of Gaoyuan village of Honghe bridge town Funan county during December 2021 and June 2022 were enrolled as study subjects,and they were randomly divided into control group and experimental group with 34 patients in each group.Both groups received health education,the control group received TDP treatment,and the experimental group received trigger point treatment on the basis of the control group,5 times a week for 2 weeks.The total effective rate of the 2 groups was evaluated after the end of treatment,and score of visual analogue scale(VAS) and JOA(Japanese Orthopaedic Association) were performed before and after treatment.Patients in the 2 groups were followed up 1 month and 3 months after treatment to test the therapeutic effect.During the treatment period,the incidence of adverse reactions in 2 groups was recorded.Results After treatment,the total effective rate of 2 groups was statistically different(P<0.05).Before treatment,there were no significant differences in VAS score and JOA score between 2 groups(P>0.05).After treatment,VAS score and JOA score were statistically different between 2 groups(P<0.05).At 1 month and 3 months after treatment,VAS score and JOA score were significantly different between 2 groups(P<0.05).There was no statistical difference in the adverse reaction rate between the two groups during treatment(P>0.05).Conclusions Trigger point therapy combined with TDP can reduce the pain and improve the knee function of patients with chronic knee pain,with significant clinical effect.At the same time,the combined treatment of chronic knee pain has a lower incidence of adverse reactions and higher safety,it can be popularized.

关 键 词：触发点 TDP 膝痛 评价 

分 类 号：R681.5[医药卫生—骨科学]