推拿结合深刺腘肌治疗髌股综合征的临床效果

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摘要目的探讨推拿结合深刺腘肌治疗髌股综合征的效果。方法选取2018年1～6月就诊于长春中医药大学附属第三临床医院软伤推拿科的髌股综合征患者64例，按随机数字表法分为治疗组和对照组，每组32例。两组患者均接受康复训练，治疗组在康复训练的基础上进行环推髌骨及深刺腘肌的治疗。治疗3个月后，采用疼视觉模拟评分法（VAS）及Lysholm膝关节功能评分量表（Lysholm）、国际膝关节文献编制委员会主观膝部评估表（IKDC）、Tegner膝关节运动水平评分（Tegner）对患者的疼痛程度及膝关节功能进行评定。比较两组的治疗效果。结果治疗组治疗3个月后VAS评分明显低于治疗前，IKDC评分优于治疗前，Lysholm、Tegner评分明显高于治疗前，差异均有统计学意义（均P ＜ 0.05）；治疗组治疗3个月后VAS明显低于对照组，而Tegner评分、Lysholm膝关节评分明显高于对照组，差异均有统计学意义（均P ＜ 0.05）；治疗组治疗3个月后IKDC评分优于对照组，但两组比较，差异无统计学意义（P ＞ 0.05）。结论推拿结合深刺腘肌治疗髌股综合征能有效提高疼痛治愈率，临床疗效更为显著，对改善患者膝关节功能具有重要意义，值得临床推广使用。

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	李海张瀚元张媛齐伟

关键词 ：髌股综合征, 推拿, 刃针, 深刺腘肌

Abstract：Objective To investigate the effect of massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome. Methods Sixty-four patients with patellofemoral pain syndrome admitted to the Third Affiliated Hospital of Changchun University of Chinese Medicine from January to June 2018 were selected. According to the random number table, they were divided into the treatment group and the control group, 32 patients in each group. Patients of two groups were received rehabilitation training. Patients of the treatment group were received ring push patella and deep spine popliteus treatment on the basis of rehabilitation training. Three months after treatment, the pain degree and knee joint function of patients were evaluated by visual analogue scales (VAS), Lysholm knee joint function score scale (Lysholm), the international knee documentation committee knee evaluation form (IKDC) and Tegner knee exercise level score (Tegner). The therapeutic effects of the two groups were compared. Results After 3 months of treatment, VAS scores in the treatment group were significantly lower than that before treatment, IKDC scores were better than that before treatment, Lysholm scores and Tegner scores were significantly higher than those before treatment, the differences were statistically significant (all P ＜ 0.05); VAS in the treatment group were significantly lower than those in the control group after 3 months of treatment, while Tegner scores and Lysholm scores were significantly higher than that in the control group, the differences were statistically significant (all P ＜ 0.05). The IKDC scores of the treatment group was superior to that of the control group after 3 months of treatment, but the difference between the two groups was not statistically significant(P ＞ 0.05). Conclusion Massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome can effectively improve the cure rate of pain, with more significant clinical efficacy, which is of great significance in improving the knee joint function of patients and is worthy of clinical promotion.

Key words： Patellofemoral pain syndrome Massage Blade needle Deep spine popliteus

基金资助:吉林省中医药科技项目（2018082）。

通讯作者: 齐伟（1974.8-），男，博士，主任医师，博士研究生导师；研究方向：擅长脊柱疾病、软组织损伤疾病的治疗。

作者简介: 李海（1979.2-），男，硕士；研究方向：中医骨伤科学，擅长运用针刀结合中医推拿手法治疗关节疾病。

引用本文:

李海张瀚元张媛齐伟. 推拿结合深刺腘肌治疗髌股综合征的临床效果[J]. 中国医药导报, 2019, 16(28): 114-117.
LI Hai ZHANG Hanyuan ZHANG Yuan QI Wei. Clinical effect of massage combined with deep spine popliteus in the treatment of patellofemoral pain syndrome. 中国医药导报, 2019, 16(28): 114-117.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I28/114

[1] 杨明军.手法配合中药离子导入、功能锻炼治疗髌骨软化症70例[J].中国中医骨伤科杂志，2011，19（3）：51-52.
[2] van der Heijden RA，de Kanter JL，Bierma-Zeinstra SM，et al. Structural Abnormalities on Magnetic Resonance Imaging in Patients With Patellofemoral Pain：A Cross-sectional Case-Control Study [J]. Am J Sports Med，2016， 44（9）：2339-2346.
[3] 宋鑫.贴扎联合肌力训练对早期髌股关节疼痛综合征患者临床效果的研究[D].石家庄：河北医科大学，2016.
[4] Piva SR，Goodnite EA，Childs JD. Strength around the hip and flexibility of soft tissues in individuals with and without patellofemoral pain syndrome [J]. J Orthop Sports Phys Ther，2005，35（12）：793-801.
[5] Nakagawa TH，Baldon Rde M，Muniz TB，et al. Relationship among eccentric hip and knee torques，symptom severity and functional capacity in females with patello-femoral pain syndrome [J]. Phys Ther Sport，2011，12（3）：133-139.
[6] 傅团结，李光友，纪树青.小针刀松解髌股外侧支持带治疗髌股外侧高压综合征的临床探讨[J].世界最新医学信息文摘，2016，16（82）：68-69.
[7] 余志毅.中医手法治疗士兵髌股疼痛综合征的疗效观察[D].福州：福建中医药大学，2016.
[8] Mohr KJ，Kvitne RS，Pink MM. Electromyography of the quadriceps in patellofemoral pain with patellar subluxation [J].Clin Orthop Relat Res，2003（415）：261-271.
[9] 张涛，杨屾.改良针刀松解术治疗髌股外侧高压综合征的临床研究[J].中国医药科学，2017，7（6）：43-45.
[10] 傅团结，李光友.关节镜手术与小针刀治疗髌股外侧高压综合征的疗效对比[J].世界最新医学信息文摘，2016， 16（49）：122-123.
[11] 白震民，吕倩楠，赵爽，等.下肢补偿助力离心力量训练干预髌股疼痛综合征的研究[J].实用骨科杂志，2016， 22（11）：995-997，1009.
[12] 李敏，袁桂平，王丽.温针疗法配合穴位注射臭氧治疗髌股疼痛综合征的临床研究[J].中国医药导报，2016， 13（28）：83-86.
[13] 徐亮，马明，赵祥虎，等.核心肌群稳定性训练对髌股关节疼痛综合征的疗效观察[J].中国康复医学杂志，2018， 33（11）：1314-1317.
[14] 程桥珍，张娥铿，程伟，等.肌内效贴扎技术联合物理疗法对髌股关节疼痛综合征的治疗效果[J].按摩与康复医学，2016，7（9）：10-12.
[15] 胡熙耀，万超，周立志，等.针刺后艾灸联合射频臭氧介入治疗髌股关节疼痛综合征的临床研究[J].中国中医急症，2018，27（11）：1933-1936.
[16] 吴小茂，杨建全.髋关节力量训练结合康复治疗对运动员髌股关节疼痛综合征的临床效果[J].中国医药导报，2018，15（17）：175-178.
[17] 万盛成，姜南春，姜晓幸，等.篮球运动员髌股关节疼痛综合征的原因及股四头肌等长收缩训练的作用[J].中国临床医学，2015，22（5）：663-666.
[18] 李男，檀志宗.髌股关节疼痛综合征康复治疗的研究进展[J].中国康复医学杂志，2015，30（2）：189-193.
[19] 陈静.髌股关节疼痛综合征患者的疼痛治疗研究[J].医学信息，2015，28（4）：131.
[20] 马磊，宋鑫，李美，等.肌电生物反馈疗法针对股内侧斜肌训练对髌股关节疼痛综合征的治疗作用[J].中国运动医学杂志，2015，34（12）：1202-1203.