便携式针刀镜治疗军事训练膝关节创伤性滑膜炎的疗效观察

Clinical Observation of Minimally Invasive Needle-knife Scope Therapy for Treatment of Knee Joint Traumatic Synovitis Caused by Military Training

【目的】观察便携式针刀镜治疗军事训练膝关节创伤性滑膜炎的临床疗效。【方法】将63例军事训练膝关节创伤性滑膜炎患者随机分为治疗组32例和对照组31例。治疗组给予便携式针刀镜治疗,治疗持续4周(第1周应用便携式针刀镜行膝关节内疏通、灌洗、松解治疗,第2~4周应用针刀镜微创针具在膝关节周围进行疏通经筋、松解卡压治疗);对照组给予传统针灸推拿治疗,7 d为1个疗程,每疗程结束休息3 d,共治疗3个疗程(合计为4周)。观察2组患者治疗前后膝关节疼痛视觉模拟量表(VAS)评分和Lysholm膝关节功能评分,以及步频、步速、步态周期、步幅等步态时间距离参数的变化情况。【结果】(1)治疗后,2组患者Lysholm膝关节功能评分和疼痛VAS评分均较治疗前明显改善,且治疗组的改善作用均明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者的步频、步幅、步速均较治疗前明显提高,步态周期均较治疗前明显缩短,差异均有统计学意义(P<0.05),且治疗组在改善步频、步态周期、步幅、步速等步态时间距离参数方面均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】便携式针刀镜治疗军事训练膝关节创伤性滑膜炎,具有较好疗效,能有效改善患者的步态,促进患者膝关节功能恢复,可在基层部队中广泛推广使用。

Objective To observe the clinical curative effect of minimally invasive needle-knife scope therapy for the treatment of traumatic synovitis of the knee joint caused by military training.Methods Sixty-three cases of soldiers with traumatic synovitis of the knee joint caused by military training were randomized into treatment group(32 cases)and control group(31 cases).The treatment group was given minimally invasive needle-knife scope therapy for 4 weeks:therapy in the first week was for the intra-auricular dissociation,lavage and relaxation in the knee joint,and the therapy in the second to fourth week was for relaxing the soft tissues and relieving the compression around the knee joint.The control group was given conventional acupuncture and massage therapy for3 treatment courses,seven days constituting one treatment course,having an intermission of 3 days between the two courses and the treatment covering 4 weeks.Before and after treatment,knee pain scores evaluated with Visual Analogue Scale(VAS),Lysholm scores of knee joint function,step frequency,pace,gait period,and stride length in the two groups were observed.Results(1)After treatment,Lysholm scores of knee joint function and VAS pain scores in the two groups were obviously improved(P<0.05 compared with those before treatment),and the improvement in the treatment group was superior to that in the control group(P<0.05).(2)After treatment,step frequency,stride length,pace in the two groups were increased,and the gait period was shortened(P<0.05 compared with those before treatment),and the improvement of gait parameters in the treatment group was superior to that in the control group(P<0.05),the differences between the two groups having statistical significance(P<0.05).Conclusion Minimally invasive needle-knife scope therapy can offer an effective improvement in the gait of patients with traumatic synovitis of the knee joint caused by military training,and can promote the recovery of the knee joint function.Therefore,this therapy can be widely applied among grass-roots units.