关刺针法配合超声波治疗气滞血瘀型髌股关节疼痛综合征的临床观察

Clinical Observation on the Joint Needling Method Combined withUltrasound in the Treatment of Patellofemoral Pain Syndrome ofQi Stagnation and Blood Stasis Type

【目的】观察关刺针法配合超声波治疗气滞血瘀型髌股关节疼痛综合征的临床疗效。【方法】将86例气滞血瘀型髌股关节疼痛综合征患者随机分为观察组和对照组,每组各43例。对照组给予西医常规治疗联合功能锻炼,观察组在对照组治疗的基础上,给予关刺针法联合超声波治疗。连续治疗2周。治疗2周后,评价2组临床疗效,观察2组患者治疗前后膝关节疼痛视觉模拟量表(VAS)评分的变化情况,以及Kujala量表评分的情况。比较2组患者治疗前后患侧膝关节主动屈膝活动度(AROM)的变化情况。【结果】(1)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分水平方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的Kujala评分明显改善(P<0.05),且观察组在改善Kujala评分水平方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的AROM明显改善(P<0.05),且观察组在改善AROM水平方面明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组总有效率为95.35%(41/43),对照组为81.40%(35/43)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】关刺针法配合超声波治疗髌股关节疼痛综合征,能明显缓解患者的疼痛症状,促进膝关节功能的恢复,临床疗效显著。

Objective To observe the clinical efficacy of joint needling method combined with ultrasound in the treatment of qi stagnation and blood stasis type of patellofemoral pain syndrome(PFPS).Methods Eighty-six patients with qi stagnation and blood stasis type of PFPS were randomly divided into observation group and control group,with 43 cases in each group.The control group was given western medicine conventional treatment combined with functional exercise,and the observation group was given joint needling method combined with ultrasound treatment on the basis of the control group.Both groups were treated for 2 consecutive weeks.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Visual Analogue Scale(VAS)scores of knee pain and the Kujala scale scores of the two groups were observed before and after treatment.The changes in active range of motion(AROM)of the affected knee joint were compared before and after treatment between the two groups.Results(1)After treatment,the VAS scores of the two groups of patients were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the level of VAS scores,and the difference was statistically significant(P<0.05).(2)After treatment,the Kujala scores of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the level of Kujala scores,and the difference was statistically significant(P<0.05).(3)After treatment,the AROM of patients in the two groups were significantlyimproved(P<0.05),and the observation group was significantly superior to the control group in improving thelevel of AROM,and the difference was statistically significant(P<0.05).(4)The total effective rate was 95.35%(41/43)in the observation group and 81.40%(35/43)in the control group. The efficacy of the observation groupwas superior to that of the control group,and the difference was statistically significant(P<0.05). ConclusionThe joint needling method combined with ultrasound can significantly relieve the pain symptoms of patients withPFPS and promote the recovery of knee joint function,and the clinical efficacy is remarkable.