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作 者:武宜亮 WU Yiliang(Department of SurgeryⅠ,Chinese People's Armed Police Force Xinjiang Production and Construction Corps General Hospital,Urumqi 830000,China)
机构地区:[1]中国人民武装警察部队新疆生产建设兵团总队医院外一科,新疆乌鲁木齐830000
出 处:《中国医学创新》2024年第16期141-145,共5页Medical Innovation of China
摘 要:目的:探究筋膜松解疗法在部队官兵训练膝痛中的疗效及对疼痛、关节功能的影响。方法:将2023年1—6月执勤第三支队基层大中队的210例训练膝痛患者根据随机数字表法分为A组、B组及C组,每组70例。A组采用曲安奈德+玻璃酸钠关节腔内注射治疗,B组采用电针+特定电磁波谱(TDP)疗法治疗,C组采用筋膜松解疗法治疗。比较三组的治疗总有效率、治疗前后疼痛评分[视觉模拟评分法(VAS)]、峰力矩及关节功能(Lysholm膝关节功能评分)。结果:C组及B组的治疗总有效率显著高于A组,差异均有统计学意义(P<0.05);治疗前三组的VAS评分、峰力矩及Lysholm膝关节功能评分比较,差异均无统计学意义(P>0.05);治疗后C组的VAS评分显著优于A组及B组,B组则显著优于A组,C组的峰力矩及Lysholm膝关节功能评分均显著高于A组及B组,B组则均显著高于A组,差异均有统计学意义(P<0.05)。结论:筋膜松解疗法在部队官兵训练膝痛中的疗效较好,可显著改善患者的疼痛及关节功能。Objective:To explore the effect of fasciolysis therapy on training knee pain in soldiers of forces and its influence on pain and joint function.Method:A total of 210 patients with training knee pain in Battalion and Squadrong of Third Detachment on Duty from January to June 2023 were divided into group A,group B and group C according to random number table method,with 70 patients in each group.Group A was treated with intraarticular injection of Triamcinolone Acetonide+Sodium Hyaluronate,group B was treated with electro acupuncture and Teding Diancibo Pu(TDP)therapy,and group C was treated with fasciolysis therapy.The total effective rate,before and after treatment of pain score[visual analogue scale(VAS)],peak moment and joint function(Lysholm knee function score)of the three groups were compared.Result:The total effective rate of group C and group B were significantly higher than that of group A,the differences were statistically significant(P<0.05).There were no significant differences in VAS score,peak moment and Lysholm knee function scores between the three groups before treatment(P>0.05).After treatment,the VAS score of group C was significantly better than that of group A and group B,and that of group B was significantly better than that of group A,the peak moment and Lysholm knee function score of group C were significantly higher than those of group A and group B,and those of group B were significantly higher than those of group A,the differences were statistically significant(P<0.05).Conclusion:Fasciolysis therapy is effective in the training knee pain of soldiers of forces,and can significantly improve the pain and joint function of patients.
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