针刺股四头肌肌腹筋结点治疗髌股关节炎疗效观察

Clinical observation of acupuncture at tendon blockage point of quadriceps femoris muscle belly for patella femoral arthritis

目的:评价针刺股四头肌肌腹筋结点治疗轻中度髌股关节炎的临床疗效。方法:76例轻中度髌股关节炎患者随机分为观察组和对照组,每组38例。观察组采用针刺股四头肌肌腹筋结点治疗,每次留针20min,每周治疗2次;对照组采用关节腔注射玻璃酸钠治疗,每周治疗1次,两组均治疗4周。分别于治疗前和治疗结束1周后采用疼痛视觉模拟量表(VAS)评分、膝前最明显痛点的压痛值、Lysholm膝关节功能评分对患者疼痛症状及关节功能进行评价,并观察两组患者临床疗效。结果:治疗后两组患者VAS评分、膝前最明显痛点的压痛值和Lysholm膝关节功能评分均较治疗前改善(P<0.05);与对照组比较,观察组治疗后VAS评分和膝前最明显痛点的压痛值改善更明显(P<0.05)。观察组总有效率为94.7%(36/38),高于对照组的81.6%(31/38,P<0.05)。结论:针刺股四头肌肌腹筋结点可缓解髌股关节炎患者疼痛,改善髌股关节功能,效果优于关节腔注射玻璃酸钠。

Objective To evaluate the clinical effect of acupuncture at tendon blockage point of quadriceps femoris muscle belly for mild to moderate patella femoral arthritis.Methods A total of 76 patients with mild to moderate patella femoral arthritis were randomly divided into an observation group and a control group,38 cases in each group.The patients in the observation group were treated with acupuncture at tendon blockage point of quadriceps femoris muscle belly,and the needles were stayed for 20 min each time for twice a week;while the patients in the control group were treated with sodium hyaluronate injection into articular cavity,once a week,and both groups were treated for 4 weeks.The pain symptoms and joint function of the patients were evaluated with pain visual analogue scale(VAS)score,tenderness value of the most obvious pain point in front of the knee,and Lysholm knee function score before and one week after treatment,and the clinical effect was observed.Results After treatment,VAS scores,tenderness value of the most obvious pain point in front of the knee and Lysholm knee function scores of the two groups were improved compared with before treatment(P<0.05);the improvement of VAS score and tenderness value of the most obvious pain point in front of the knee in the observation group was more obvious than that in the control group(P<0.05).The total effective rate in the observation group was 94.7%(36/38),which was higher than 81.6%(31/38)in the control group(P<0.05).Conclusion Acupuncture at tendon blockage point of quadriceps femoris muscle belly can relieve pain and improve the function of patella femoral joint for patients with patella femoral arthritis,and the clinical effect is better than that of sodium hyaluronate injected into articular cavity.