[1]谢平金 卢启贵△ 郭艳幸 黄东红 郑英慧.循足阳明经筋体外冲击波治疗髌骨软化症临床研究[J].中国中医骨伤科杂志,2022,30(04):10-13.
　XIE Pingjin LU Qigui GUO Yanxin HUANG Donghong ZHENG Yinghui.Clinical Study of Efficacy of Extracorporeal Shock Wave on the Function of Foot-Yangming Meridian Muscle in Patients with Chondromalacia Patellae[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(04):10-13.
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循足阳明经筋体外冲击波治疗髌骨软化症临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年04期
页码:
10-13
栏目:
临床研究
出版日期:
2022-04-15

文章信息/Info

Title:
Clinical Study of Efficacy of Extracorporeal Shock Wave on the Function of Foot-Yangming Meridian Muscle in Patients with Chondromalacia Patellae
文章编号:
1005-0205(2022)04-0010-04
作者:
谢平金1; 2 卢启贵1; 2△ 郭艳幸1; 2 黄东红1; 2 郑英慧1; 2
1深圳市罗湖医院集团/深圳市罗湖区中医院(广东 深圳,518002)2上海中医药大学深圳医院
Author(s):
XIE Pingjin1; 2 LU Qigui1; 2△ GUO Yanxin1; 2 HUANG Donghong1; 2 ZHENG Yinghui1; 2
1Shenzhen Luohu Hospital Group,Shenzhen 518002, Guangdong China; 2Shenzhen Hospital, Shanghai University of Traditional Chinese Medicine, Shenzhen 518002, Guangdong China.
关键词:
髌骨软化症; 足阳明经; 体外冲击波; 筋结点; 随机对照研究
Keywords:
chondromalacia patellae;  foot Yangming meridian;  extracorporeal shock wave;  reinforcement node;  randomized controlled study
分类号:
R681.3
文献标志码:
A
摘要:
目的:观察足阳明经筋循经体外冲击波治疗髌骨软化症的近远期临床疗效。方法:将76例患者随机分成治疗组和对照组(各38例),治疗组予循足阳明经筋体外冲击波治疗,对照组髌股关节周围散发冲击波治疗,每3 d一次,共治疗8次。观察两组治疗前、治疗后及治疗后3个月VAS疼痛评分、WOMAC功能评分及3个月后满意度。结果:治疗后两组疼痛VAS评分及 WOMAC 评分均较治疗前降低,差异有统计学意义(P<0.05),且治疗组优于对照组,差异有统计学意义(P<0.05); 3个月后随访时治疗组疼痛VAS评分、WOMAC评分、患者满意度均优于对照组,差异有统计学意义(P<0.05)。结论:循足阳明经筋体外冲击波治疗髌骨软化症可减轻患者的疼痛程度,改善膝关节功能评分,且较髌股关节周围散发冲击波治疗有更好的近远期疗效。
Abstract:
Objective:To observe the short-term, long-term clinical efficacy and safety of the treatment of chondromalacia patellae by external shock wave along the meridians of foot Yangming meridian.Methods:76 cases were randomly divided into treatment group(38 cases)and control group(38 cases).The treatment group was treated by external shock wave through tendon.The control group was treated by shock wave around patellofemoral joint once per 3 d with 8 times in all.Visual analogue scale(VAS), WOMAC function score(WOMAC)and satisfaction degree after 3 months were observed before, after treatment and 3 months after treatment.Results:After treatment, both VAS and WOMAC scores of the two groups were lower than those before treatment(P<0.05), and the treatment group was better than the control group(P<0.05).After 3 months follow-up, VAS score, WOMAC score and patient satisfaction in the treatment group were better than those in the control group(P<0.05).Conclusion:The foot Yangming extracorporeal shock wave therapy for chondromalacia patellae can reduce the pain level of anterior knee region and improve the physiological function of knee joint.

参考文献/References:

[1] YE Q B,WU Z H,WANG Y P,et al.Preliminary investigation on the pathogeny,diagnosis and treatment of chondromalacia patella[J].Acta Acad Med Sin,2001,23(2):181-183.
[2] GLAVIANO N R,KEW M,HART J M,et al.Demographic and epidemiological trends in patellofemoral pain [J].Int J Sports Phys Ther,2015,10(3):281-290.
[3] 郭开今,叶启彬,曾祥华,等.2743名普通人群髌骨软化症患病率的调查[J].中国医学科学院学报,1998,20(3):213-215.
[4] 中国研究型医院学会冲击波医学专业委员会.骨肌疾病体外冲击:波疗法中国专家共识(第2版)[J].中国医学前沿杂志(电子版),2017(2):25-33.
[5] MCALINDON T E,BANNURU R R,SULLIVAN M C,et al.OARSI guidelines for the non-surgical management of knee osteoarthritis[J].Osteoarthritis Cartilage,2014,22(3):363-388.
[6] 杨艳芬,杨丹,陈奔.对压痛点、激痛点、阿是穴的国内外认识[J].黔南民族医专学报,2016,29(2):126-128.
[7] 周彦吉,刘长信,万颖,等.膝关节疼痛患者穴位敏化与体表压痛点分布及相关性[J].中华中医药杂志,2021,36(7):4273-4278.
[8] 苏鑫童,马晓晶,薛立功,等.论经筋痹痛[J].中国中医基础医学杂志,2015,21(4):381-382.
[9] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:202.
[10] 席飞凤,李坚,赵丰丽.膝周痛点体外冲击波治疗膝骨性关节炎疼痛的临床观察[J].中国疼痛医学杂志,2019,25(12):924-927.
[11] 薛立功,张海荣.经筋理论与临床疼痛诊疗学[M].北京:中国中医药出版社,2002.
[12] 马碧涛,金立伦,滕蔚然,等.急慢性膝骨关节炎的红外热像图特征及与VAS评分的相关性研究[J].中国中医骨伤科杂志,2017,25(2):28-31.
[13] 李威,徐云梁,何兴川.髌骨软化症病因及治疗的相关研究进展[J].中国骨与关节损伤杂志,2017,31(6):114.
[14] BELLAMY N,WILSON C,HENDRIKZ J.Population-based normative values for the Western Ontario and McMaster(WOMAC)Osteoarthritis Index:part Ⅰ[J].Semin Arthritis Rheum,2011,41(2):139-148.
[15] BRECHTER J H,POWERS C M.Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain[J].Gait Posture,2002,16(2):115-123.
[16] COSTIGAN P A,DELUZIO K J,WYSS U P.Knee and hip kinetics during normal stair climbing[J].Gait Posture,2002,16(1):31-37.
[17] GOUDAKOS I G,KONIG C,SCHOTTLE P B,et al.Stair climbing results in more challenging patellofemoral contact mechanics and kinematics than walking at early knee flexion under physiological-like quadriceps loading[J].J Biomech,2009,42(15):2590-2596.
[18] CHEN Y J,POWERS C M.Comparison of three-dimensional patello-femoral joint reaction forces in persons with and without patello-femoral pain[J].J Appl Biomech,2014,30(4):493-500.
[19] 高建红,朱小烽,郑洁皎,等.髌股疼痛综合征的病因机制及运动干预研究进展[J].中国康复医学杂志,2019,34(2):237-242.
[20] 裴倩,姜旭,黄强,等.个性化康复治疗对原发性膝骨性关节炎疗效的影响[J].康复学报,2019,29(3):17-21.
[21] 谢平金,史桐雨,柴生颋,等.“骨、筋、肌肉”三位一体对膝骨关节炎的防治作用[J].中国骨质疏松杂志,2018,24(7):959-965.
[22] 李西海,刘献祥.基于筋骨理论探讨膝骨关节炎筋骨失衡的治疗策略[J].中华中医药杂志,2017,32(8):3344-3346.
[23] 杨晨,邢龙飞,秦丽娜.经筋理论应用于脏腑辨病初探[J].北京中医药,2019,38(12):1211-1212.
[24] 周游,廖俊城,曾子腾,等.针刺肌筋膜疼痛触发点联合肌肉牵张治疗早中期膝骨关节炎[J].中医正骨,2018,30(10):40-44.
[25] LEE J H,LEE S,CHOI S,et al.The effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis[J].J Phys Ther Sci,2017,29(3):536-538.
[26] SCHMITZ C,CSASZAR N B,MILZ S,et al.Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions:a systematic review on studies listed in the PEDro database[J].Br Med Bull,2015,116(1):115-138.
[27] WANG C J,CHENG J H,HUANG C Y,et al.Medial tibial subchondral bone is the key target for extracorporeal shock wave therapy in early osteoarthritis of the knee[J].Am J Transl Res,2017,9(4):1720-1731.
[28] LI W,PAN Y,YANG Q,et al.Extracorporeal shock wave therapy for the treatment of knee osteoarthritis:a retrospective study[J].Medicine(Baltimore),2018,97(27):e11418.
[29] WANG C J,CHENG J H,CHOU W Y,et al.Changes of articular cartilage and subchondral bone after extracorporeal shock wave therapy in osteoarthritis of the knee[J].Int J Med Sci,2017,14(3):213-223.
[30] ONDRESIK M,MAIA F R AMORAIS A D S,et al.Management of knee osteoarthritis:current status and future trends[J].Biotechnol Bioeng,2017,114(4):717-739.

备注/Memo

备注/Memo:
基金项目:广东省中医药管理局科研项目(20201312)深圳市科创委2020年基础研究面上项目(JCYJ20190812170815559)
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更新日期/Last Update: 1900-01-01