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髌骨下入路注射富血小板血浆对女性髌骨软化症患者MRI髌股关节形态参数的影响
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作者 陈彦博 张申麓 +1 位作者 汪子杰 金成哲 《川北医学院学报》 CAS 2023年第11期1496-1499,共4页
目的:探讨髌骨下入路注射富血小板血浆(PRP)对女性髌骨软化症患者磁共振(MRI)髌股关节形态参数的影响。方法:选取108例女性髌骨软化症患者为研究对象,按照不同治疗方法将其分为PRP组(每间隔7 d行1次髌骨下入路注射PRP,共注射3次)和透明... 目的:探讨髌骨下入路注射富血小板血浆(PRP)对女性髌骨软化症患者磁共振(MRI)髌股关节形态参数的影响。方法:选取108例女性髌骨软化症患者为研究对象,按照不同治疗方法将其分为PRP组(每间隔7 d行1次髌骨下入路注射PRP,共注射3次)和透明质酸钠组(每间隔7 d行1次髌骨下入路注射透明质酸钠,共注射3次),每组各54例。两组患者治疗前后均进行MRI检查和膝关节功能评估,对比两组临床疗效,治疗前后MRI髌骨形态参数、股骨滑车形态参数、疼痛视觉模拟评分(VAS)、Lysholm膝关节评分及Kujala评分。结果:PRP组治疗显效率高于透明质酸钠组(P<0.05),有效率与透明质酸钠组比较,差异无统计学意义(P>0.05)。治疗后,PRP组髌骨I-S指数、髌骨倾斜角均小于透明质酸钠组(P<0.05),Wiberg指数大于透明质酸钠组(P<0.05),髌骨面角与透明质酸钠组比较(P>0.05);PRP组滑车深度、外侧滑车倾斜角均大于透明质酸钠组(P<0.05),滑车沟角与透明质酸钠组比较,差异无统计学意义(P>0.05);PRP组VAS评分低于透明质酸钠组(P<0.05),Lysholm、Kujala评分高于透明质酸钠组(P<0.05)。结论:髌骨下入路注射PRP能够有效改善女性髌骨软化症患者髌股关节形态,减轻其膝关节疼痛,促进膝关节功能恢复。 展开更多
关键词 髌骨软化症 女性 富血小板血浆 磁共振 髌股关节形态参数
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中药熏洗配合手法治疗髌骨软化症38例
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作者 王正 安建源 何庆辉 《广西中医药》 1999年第S1期33-129,共2页
Boswwelliae Carterii and some other herbs to steam and washed the affected knee. The manipulation was also applied together and the procedures were as follows: (1) Rub to relax the musculus quadriceps femoris and the ... Boswwelliae Carterii and some other herbs to steam and washed the affected knee. The manipulation was also applied together and the procedures were as follows: (1) Rub to relax the musculus quadriceps femoris and the ligaments around the knee joint and lift and grasp the musculus quadriceps femoris; (2) Use thumb and index fingers of both hands to fix the superior and inferior position of patella respectively, then push and pull the patella from up to down and from the left to the right; (3) Press the knee eye point 1 to 2 minutes with both thumbs, then flick the collateral ligament of lateral side for 5 minutes and pat from the middle part of the thigh to the middle part of shank; (4) Knead and press popliteal and biceps femoris and muscle tendon of gastrocnemius for 5 minutes with thumbs, then extend and flex the knee joint slowly for several times. One treatment should be given everyday with ten times in a course. After 3 courses of treatment, 5 cases were cured, 27 improved and 6 ineffective. 展开更多
关键词 髌骨软化症 中药熏法 手法 中医药疗法
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