针刺联合康复训练对髌骨软化症患者疼痛和运动功能的影响  

Effect of acupuncture combined with rehabilitation training on pain and motor function in patients with chondromalacia patellae

作　　者：史景 夏厚纲 毛志帮 王飞飞 王琪 SHI Jing;XIA Hou-gang;MAO Zhi-bang;WANG Fei-fei;WANG Qi

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)骨肌疼痛一科,河南洛阳471000

出　　处：《中国疗养医学》2024年第12期32-35,共4页Chinese Journal of Convalescent Medicine

基　　金：洛阳市社会发展类公益专项项目医疗卫生一般项目(2302060Y)。

摘　　要：目的探讨针刺联合康复训练对髌骨软化症(chondromalacia patellae,CMP)患者疼痛和运动功能的影响。方法选取2023年1月至2024年3月河南省洛阳正骨医院(河南省骨科医院)收治的60例CMP患者为研究对象。按照随机数字表将患者分为对照组和研究组,各30例。两组患者均给予常规口服药治疗,对照组患者在此基础上予以康复训练,研究组患者在此基础上予以针刺联合康复训练。两组患者治疗30 d后评价临床疗效,比较两组患者治疗前、治疗15 d及治疗30 d膝关节疼痛情况[视觉模拟疼痛评分法(VAS)],治疗前后运动功能[西安大略和麦克马斯特大学骨关节炎指数量表(WOMAC量表)],记录两组患者症状改善时间。结果与对照组的73.33%相比,研究组临床总有效率93.33%更高(P<0.05)。治疗15 d,治疗30 d对照组VAS评分均低于研究组,差异均有统计学意义(P<0.05);治疗30 d,两组患者WOMAC量表总分及各维度评分均下降(P<0.05),且研究组更低(P<0.05)。研究组患者膝关节疼痛消失时间、活动正常时间,髌骨研磨试验(-)时间均短于对照组,差异有统计学意义(P<0.05)。结论在康复训练的基础上联合使用针刺疗法可提升CMP患者临床疗效,患者膝关节疼痛改善明显,且可显著提高膝关节功能及下肢运动能力。Objective To investigate the effects of acupuncture combined with rehabilitation training on pain and motor function in patients with chondromalacia patellae(CMP).Methods Sixty patients with CMP admitted to Luoyang Orthopaedic Hospital from January 2023 to March 2024 were selected as the study objects.According to the random number table,the patients were randomly divided into control group and study group,30 cases each.Patients in both groups were given conventional oral medicine treatment,the control group was given rehabilitation training on this basis,and the study group was given acupuncture combined rehabilitation training on this basis.The clinical efficacy of the two groups was evaluated 30 days after treatment.The knee pain status of the two groups before treatment,15 days after treatment and 30 days after treatment(visual analogue pain scale[VAS])and motor function before and after treatment(Western Ontario and McMaster Universities arthritis index scale[WOMAC scale])were compared,and the symptom improvement time of the two groups was recorded.Results Compared with 73.33%of the control group,the total clinical effective rate of the study group 93.33%was higher(P<0.05).VAS scores of the control group were lower than those of the study group after 15 and 30 days of treatment,with difference of statistical significance(P<0.05).After 30 days of treatment,the total score of WOMAC scale and scores of all dimensions were decreased in both groups(P<0.05),and the study group was even lower(P<0.05).The time of knee pain disappearance,normal activity and patella grinding test(-)in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Combined use of acupuncture therapy on the basis of rehabilitation training can improve the clinical efficacy of CMP patients,their knee pain can significantly be improved,and the knee function and lower limb movement ability can significantly be increased.

关 键 词：髌骨软化症 康复训练 针刺 疼痛 运动功能 

分 类 号：R246.9[医药卫生—针灸推拿学]