青鹏软膏超声波导入对膝关节军事训练伤的疗效研究

Effect of Qingpeng Ointment Combined Ultrasound Penetration in the Treatment of Knee Injury Induced by Military Training

背景膝关节损伤是常见的军事训练伤,严重影响战士的战斗力,近年军事训练伤的防治变得越发重要。超声波治疗和青鹏软膏是常用的运动损伤疗法,但是两者联合应用的研究较少。目的分析青鹏软膏超声波导入治疗军事训练致膝关节损伤的临床效果。方法选取2022年5—7月在中国人民解放军西部战区总医院第五派驻门诊部治疗的膝关节损伤患者56例,利用IBM-SPSS 25.0统计软件产生随机数字后进行随机分组,分为对照组(研究过程中脱落4例,n=24)与治疗组(n=28)。对照组给予普通耦合剂超声波治疗,治疗组给予青鹏软膏超声波导入治疗,1次/d,1个疗程10次,共2个疗程。比较两组治疗前后Lysholm膝关节评分、视觉模拟评分法(VAS)评分、汉密尔顿抑郁量表(HAMD-17)评分、膝关节活动度。结果治疗前,两组患者Lysholm膝关节评分、VAS评分、HAMD-17评分、膝关节活动度比较,差异无统计学意义(P>0.05)。治疗2个疗程,治疗组患者膝关节被动关节活动度优于对照组(P<0.05)。治疗2个疗程后,两组患者Lysholm膝关节评分高于治疗前,VAS评分低于治疗前(P<0.05)。与治疗前相比,治疗组治疗2个疗程膝关节主动关节活动度、被动关节活动度增加(P<0.05);与治疗前比较,治疗组患者治疗2个疗程HAMD-17评分降低(P<0.05)。结论青鹏软膏超声导入治疗与普通耦合剂超声波两种治疗方法均可显著增加Lysholm膝关节评分,改善膝关节功能;降低膝关节损伤患者VAS评分,缓解疼痛。青鹏软膏作为超声波治疗的特殊耦合剂,相比普通耦合剂,具有一定的优势。

Background Knee joint injury is a common military training injury,which seriously affects the combat effectiveness of soldiers.In recent years,the prevention and treatment of military training injury becomes more and more important.Ultrasound therapy and Qingpeng ointment are commonly used to treat sports training injuries.However,the protective effectiveness of ultrasound combined with the external use of Qingpeng ointment for knee injury in sports training injury patients is less reported.Objective To comprehensively assess the clinical efficacy of Qingpeng ointment combined with ultrasound therapy in the treatment of knee injuries caused by military training.Methods Fifty-six patients with knee injury who were treated in the Fifth Pentry Outpatient Clinic,the General Hospital of the Western Theater Command PLA from May to July 2022 were selected and randomly grouped into control group(4 cases fell off during the study,n=24)and treatment group(n=28)using IBM-SPSS 25.0 statistical software to generate random numbers.The control group was given ordinary coupling agent ultrasonic therapy,and the treatment group was given Qingpeng ointment ultrasonic therapy,once a day,10 times a course,a total of 2 courses.The Lysholm knee joint score,VAS score,Hamilton Depression Scale-17(HAMD-17),and knee range of motion were compared between the two groups after a twenty-minute intervention.Results Before treatment,there was no significant difference in Lysholm knee joint score,VAS score,HAMD-17 score and knee joint motion between the two groups(P>0.05).After 2 courses of treatment,the passive joint motion of the knee in the treatment group was better than that in the control group(P<0.05).After 2 courses of treatment,Lysholm knee joint score in 2 groups was higher than before treatment,and VAS score was lower than before treatment(P<0.05).Compared with before treatment,the active and passive joint motion in the treatment group increased after 2 courses of treatment(P<0.05).Compared with before treatment,HAMD-17 score in the treatment group was decreased after 2 courses of treatment(P<0.05).Conclusion Qingpeng ointment combined with ultrasound therapy and ultrasound therapy with ordinary coupling agents can significantly improve knee joint function,reduce pain in patients with knee injuries.As a special coupling agent for ultrasound therapy,Qingpeng ointment has certain advantages over ordinary coupling agents.