针刺肌筋疼痛膜触发点联合常规治疗在髌股疼痛综合征患者中的应用效果分析  

Analysis on Application Effect of Acupuncture on Myofascial Trigger Point Combined with Conventional Treatment in Patients with Patellofemoral Pain Syndrome

作　　者：陈阁 许睿 盛伟伟 孙克慧 Chen Ge;Xu Rui;Sheng Weiwei;Sun Kehui(Laboratory of Sports Medicine,Shaanxi Institute of Sport Science,Xi′an 710068,Shaanxi Province,China;Department of Rehabilitation,Shaanxi Institute of Sport Science,Xi′an 710068,Shaanxi Province,China)

机构地区：[1]陕西省体育科学研究所运动医学研究室,陕西西安710068 [2]陕西省体育科学研究所康复科,陕西西安710068

出　　处：《中国社区医师》2024年第20期64-66,共3页Chinese Community Doctors

摘　　要：目的:探讨针刺肌筋疼痛膜触发点(MTrPs)联合常规治疗在髌股疼痛综合征(PFPS)患者中的应用效果。方法:选取2021年1月—2023年9月陕西省体育科学研究所收治的PFPS患者68例作为研究对象,按照随机数字表法分为常规组(34例)和试验组(34例)。常规组采用常规治疗,试验组在常规组基础上实施针刺MTrPs治疗。比较两组治疗效果。结果:试验组治疗总有效率高于常规组(P=0.041)。治疗后,两组60°/s角速度、120°/s角速度下腘绳肌峰力矩、股四头肌峰力矩大于治疗前,且试验组大于常规组(P<0.05)。治疗后,两组疼痛评分低于治疗前,且试验组低于常规组,两组髌股关节功能、膝关节功能评分高于治疗前,且试验组高于常规组(P<0.05)。结论:针刺MTrPs联合常规治疗在PFPS患者中的应用效果显著,可减轻疼痛,改善患者膝屈伸肌力、髌股关节功能、膝关节功能。Objective:To explore the application effect of acupuncture on myofascial trigger points(MTrPs)combined with conventional treatment in patients with patellofemoral pain syndrome(PFPS).Methods:A total of 68 patients with PFPS admitted to Shaanxi Institute of Sport Science from January 2021 to September 2023 were selected as the study subjects.They were divided into conventional group(34 cases)and test group(34 cases)by random number table method.The conventional group adopted conventional treatment,and the test group was treated with acupuncture on MTrPs on the basis of the conventional group.The treatment effects of the two groups were compared.Results:The total effective rate of treatment in the test group was higher than that in the conventional group(P=0.041).After treatment,the hamstring peak torque and quadriceps peak torwue at 60°/s angular velocity and 120°/s angular velocity in the two groups were greater than those before treatment,and these indexes in the test group were greater than those in the conventional group(P<0.05).After treatment,the pain scores in the two groups were lower than those before treatment,and the scores in the test group were lower than those in the conventional group;and the scores of patellofemoral joint function and knee joint function in the two groups were higher than those before treatment,and the scores in the test group were higher than those in the conventional group(P<0.05).Conclusion:Acupuncture on MTrPs combined with conventional treatment has a significant effect in PFPS patients,and can relieve pain and improve the muscle strength of knee flexor and extensor,patellofemoral joint function and knee joint function.

关 键 词：髌股疼痛综合征 针刺 肌筋膜 关节功能 

分 类 号：R274[医药卫生—中医骨伤科学]