摘要
目的:对髌骨软化症的非手术疗法现状进行系统文献回顾,以期为临床治疗提供参考资料,并探讨进一步发挥非手术疗法作用的策略。资料来源:检索Medline2000-01/2004-12与髌骨软化症相关的文献,检索词“chondromalaciaofpatella”,并限定文章语言种类为英文。检索中国医院数字图书馆1994-01/2004-12中国医学核心期刊关于髌骨软化症的相关文献,检索词“髌骨软化症”,限定文章语言种类为中文。资料选择:对检索到的髌骨软化症相关文献112篇进行筛选,选择非手术疗法,并排除综述类文献,符合纳入标准的有58篇。资料提炼:对58篇文献进行分类整理,排除重复性文献,纳入27篇文献。资料综合:国内对髌骨软化症的非手术疗法是以局部治疗为主,方法主要有中药、针灸、推拿、针刀等中医疗法,在缓解临床症状方面具有较好的疗效。但目前多数资料缺乏严格的临床研究设计、统一的疗效评价标准和随访,尤其缺少临床分期诊断标准和客观监测指标,疗效机制也有待研究。结论:非手术疗法治疗髌骨软化症显示了较好的临床疗效,但仍需开展大样本随机对照研究进行科学评价,并筛选较佳治疗方案;需尽快建立临床分期诊断标准,寻求客观监测指标以助于确定非手术疗法适应症,提高临床疗效,并对疗效机制加以研究。
OBJECTIVE： To systemically review the literatures about nonoperative treatment for chandremalacia of patella, so as to provide reference for clinic, and discuss the strategy of developing non-operative treatment.
DATA SOURCES： A computer-based online search of articles related to chondromalacia of patella from January 2000 to December 2004 was condueted by using the key words of ＂chondromalacia of patella＂, and limited the language to English. Meanwhile, Chinese Hospital Digital Library and Chinese Core Journal of Medical Science were retreived for articles related to ehondromalacia of patella from January 1999 to December 2004 with the key words of ＂chondremalacia of patella＂, and limited the language to Chinese.
STUDY SELECTION： A total of 112 articles related to ehondromalacia of patella were screened, non-operative treatment articles were included, reviews were excluded, 58 articles were in accordance with the inclusive criteria.
DATA EXTRACTION： 58 literatures were classified, repetitve articles .were excluded, and 27 ones were included. DATA SYNTHESIS： Domestic non.operative treatment of chondremalaeia of patella were mainly local ones, especially traditional Chinese medical methods, such as Chinese drugs, acupuncture, massage and acupetomy, which had a good effect On ameliorating clinical symptoms. But most data lacked of strict clinical research design, uniform standard for evaluation of curative effect and follow up, especially clinical staging diagnosis standard and objective inspection index. Mechanism of curative effect needed further developing.
CONCLUSION： Non-operative treatment has a good clinical effect on chondromalacia of patella, however, large-sample randomized controlled trials are required to evaluate scientifically, so as to obtain better means. It is also necessary to establish clinical staging diagnosis standard as soon as possible, and seek for objective inspection index, so as to make sure of the adaptation diseases of non-operative treatment and improve clinical effect. Mechanism of therapeutic effect must be studied.
出处
《中国临床康复》
CSCD
北大核心
2006年第3期158-160,共3页
Chinese Journal of Clinical Rehabilitation
关键词
骨软化症
髌骨
综述文献
中西医结合治疗
临床分期
临床疗效
of 'chondromalacia of patella', and limited the language to English. Meanwhile, Chinese Hospital Digital Library and Chinese Core Journal of Medical Science were retreived for articles related to chondromalacia of patella from January 1999 to December 2004 with the key words of 'chondromalacia of patella', and limited the language to Chinese. STUDY SELECTION: A total of 112 articles related to chondromalacia of patella were screened, non-operative treatment articles were included, reviews were excluded, 58 articles were in accordance with the inclusive criteria.DATA EXTRACTION: 58 literatures were classified, repetitve articles were excluded, and 27 ones were included. DATA SYNTHESIS: Domestic non-operative treatment of chondromalacia of patella were mainly local ones, especially traditional Chinese medical methods, such as Chinese drugs, acupuncture, massage and acupotomy, which had a good effect on ameliorating clinical symptoms. But most data lacked of strict clinical research design, uniform standard for evaluation of curative effect and follow up, especially clinical staging diagnosis standard and objective inspection index. Mechanism of curative effect needed further developing.CONCLUSION: Non-operative treatment has a good clinical effect on chondromalacia of patella, however, large-sample randomized controlled trials are required to evaluate scientifically, so as to obtain better means. It is also necessary to establish clinical staging diagnosis standard as soon as possible, and seek for objective inspection index, so as to make sure of the adaptation diseases of non-operative treatment and improve clinical effect. Mechanism of therapeutic effect must be studied.
