筋膜内热针技术在膝关节软组织疼痛治疗中的应用  

Application of intra-fascial hot needle technique in the treatment of knee joint soft tissue pain

作　　者：吴德文 骆佳 WU Dewen;LUO Jia(Department of Anesthesiology,Liuyang Maternal and Child Health Hospital,Hunan,Liuyang 410300,China;Anesthesia Pain Center of Hunan Provincial People’s Hospital,Hunan,Changsha 410100,China)

机构地区：[1]湖南省浏阳市妇幼保健院麻醉科,湖南浏阳410300 [2]湖南省人民医院麻醉疼痛中心,湖南长沙410100

出　　处：《中国医药科学》2024年第13期74-77,共4页China Medicine And Pharmacy

基　　金：湖南省浏阳市科技计划项目(K23011140)。

摘　　要：目的分析筋膜内热针技术在膝关节软组织疼痛治疗中的应用价值。方法选取2022年1月至2023年8月浏阳市妇幼保健院麻醉科收治的膝关节软组织疼痛患者51例,随机分组,治疗组(26例)患者给予筋膜内热针技术,对照组(25例)患者给予非筋膜内热针技术。评定两组治疗总有效率;比较两组治疗前后炎症递质水平;比较两组治疗前后膝关节功能、关节功能障碍;比较两组治疗前后的疼痛评分;比较两组治疗后生活质量评分;比较两组复发率。结果治疗总有效率:治疗组与对照组分别为88.46%(23例)与60.00%(15例),差异有统计学意义(P<0.05)。治疗前,两组炎症递质水平、膝关节功能、关节功能障碍、疼痛评分比较,差异无统计学意义(P>0.05);治疗后,治疗组炎症递质水平、膝关节功能、关节功能障碍、疼痛评分低于对照组,差异有统计学意义(P<0.05)。治疗组治疗后生活质量评分高于对照组,差异有统计学意义(P<0.05)。治疗组复发率低于对照组,差异有统计学意义(P<0.05)。结论对膝关节软组织疼痛患者治疗中应用筋膜内热针技术,可获得理想的治疗效果,能改善患者的炎症水平与机体疼痛情况,提高关节功能与生活质量,利于降低疾病复发率。Objective To analyze the application value of intra-fascial hot needle technique in the treatment of knee joint soft tissue pain.Methods A total of 51 patients with knee joint soft tissue pain admitted to the Department of Anesthesiology in the Maternal and Child Health Hospital of Liuyang City from January 2022 to August 2023 were included and randomly divided into the treatment group(n=26)and the control group(n=25).The treatment group was treated with intra-fascial hot needle technique,while the control group was treated with non-fascial hot needle technique.The overall response rate of the two groups was evaluated.Before and after treatment,the levels of inflammatory mediators between the two groups were compared.Before and after treatment,the knee joint function and joint dysfunction between the two groups were compared.Before and after treatment,the pain scores between the two groups were compared.After treatment,the quality of life(QoL)scores between the two groups were compared.The relapse rate were compared between the two groups.Results The overall response rate in the treatment group was 88.46%(23 cases),higher than 60.00%(15 cases)in the control group,with statistically significant difference(P<0.05).Before treatment,there were no statistically significant differences in inflammatory mediators,knee joint function,joint dysfunction and pain scores between the two groups(P>0.05).After treatment,the levels of inflammatory mediators,knee joint function,joint dysfunction and pain scores in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).The QoL score in the treatment group was higher than that in the control group,with statistically significant difference(P<0.05).The relapse rate in the treatment group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion The application of intra-fascial hot needle technique in the treatment of knee joint soft tissue pain can achieve ideal therapeutic efficacy.

关 键 词：筋膜内热针技术 膝关节软组织疼痛 疼痛情况 炎症水平 

分 类 号：R274[医药卫生—中医骨伤科学]