[1]张强,朱婵,张鑫,等.“针向病所”针法治疗运动员膝关节肌腱止点周围病23例[J].中国中医骨伤科杂志,2022,30(10):48-51.
 ZHANG Qiang,ZHU Chan,ZHANG Xin,et al.23 Cases Clinical Observation on Oblique Electroacupuncture Based on “Acupuncture onto the Lesion” on the Corresponding Muscles on the Treatment of the Athletes' Tendinopathy around the Knee[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(10):48-51.
点击复制

“针向病所”针法治疗运动员膝关节肌腱止点周围病23例()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年10期
页码:
48-51
栏目:
临床报道
出版日期:
2022-10-15

文章信息/Info

Title:
23 Cases Clinical Observation on Oblique Electroacupuncture Based on “Acupuncture onto the Lesion” on the Corresponding Muscles on the Treatment of the Athletes' Tendinopathy around the Knee
文章编号:
1005-0205(2022)10-0048-04
作者:
张强12朱婵3张鑫12胡锐12文江12刘科4沈海12
1四川省骨科医院(成都,610041)
2国家体育总局中医药防治运动创伤重点实验室
3成都中医药大学
4自贡市疾病预防控制中心
Author(s):
ZHANG Qiang12ZHU Chan3ZHANG Xin12HU Rui12WEN Jiang12LIU Ke4SHEN Hai12
1Sichuan Province Orthopedic Hospital,Chengdu 610041,China;
2Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Sports Injuries of the State Sports General Administration,Chengdu 610041,China;
3Chengdu University of Traditional Chinese Medicine,Chengdu 610041,China;
4Zigong City Center for Disease Control and Prevention,Zigong 643000,Sichuan China.
关键词:
电针 针刺 斜刺 肌肉 肌腱末端病
Keywords:
electroacupuncture acupuncture oblique acupuncture muscle tendinopathy disease
分类号:
R274.3
文献标志码:
B
摘要:
目的:介绍“针向病所”理念下的一种膝关节肌腱止点周围病的针刺治疗新方法。方法:应用毫针斜刺电针受累肌肉法治疗国家队运动员膝关节肌腱止点周围病。采用疼痛视觉模拟量表(VAS)评分、激惹点查体变化、伤病运动员运动表现评价表、运动员膝关节肌腱止点周围病疗效评价标准评价疗效。结果:23例膝关节肌腱止点周围病运动员对应肌肉上均触及激惹点,经斜刺电针法治疗未出现针刺后膝关节止点区域疼痛加重及其他针刺不良反应。首次针刺2周后,对应肌肉激惹点压痛程度、触感异常程度、VAS评分均较前降低,运动表现评分较前升高,差异有统计学意义(P<0.001)。疗效评价显示:显效18例,有效5例,无效0例,总有效率为100%。结论:“针向病所”理念下的斜刺电针受累肌肉法是运动员膝关节肌腱止点周围病的有效治疗手段之一,疗效较好。
Abstract:
Objective:To introduce a new acupuncture treatment method under the concept of “acupuncture onto the lesion” on the treatment of athletes' tendinopathy around the knee.Methods:Based on the concept of “acupuncture onto the lesion”,the oblique electroacupuncture on the corresponding muscles method was used to treat the tendinopathy disease around the knee of athletes.The pain visual analogue scale(VAS)scores,physical examination changes at myofascial trigger points,sports performance evaluation form of injured athletes,and evaluation standard of therapeutic efficacy of athletes' tendinopathy around the knee were used to evaluate the curative efficacy.Results:The myofascial trigger points and tenderness were palpated on the corresponding muscles of all the 23 athletes.There was no pain aggravation and other adverse acupuncture reactions in the knee joint insertion area after acupuncture.2 weeks after the first acupuncture,the level of tenderness and abnormal sense of tension on myofascial trigger points of the corresponding muscle were lower than that before treatment,and the difference was statistically significant(P<0.001).The VAS score was lower than that before treatment,and the difference was statistically significant(P<0.001).The sports performance score was higher than that before,and the difference was statistically significant(P<0.05).Efficacy evaluation showed that: 18 cases were markedly effective,5 cases were effective,0 was ineffective,and the total effective rate was 100%.Conclusion:The oblique electroacupuncture on the corresponding muscles based on the concept of “acupuncture onto the lesion” is one of the treatment methods for athletes' tendinopathy around the keen,and it can achieve good results.

参考文献/References:

[1] 曲绵域,于长隆.实用运动医学[M].4版.北京:北京大学医学出版社,2003.
[2] 张世明.中西医结合运动创伤学[M].北京:北京大学医学出版社,2008.
[3] 王煜,何春江.运动软组织损伤学[M].成都:四川科学技术出版社,2010.
[4] 刘波,虞亚明,马建,等.中西医结合骨伤康复学[M].成都:四川大学出版社,2012.
[5] 徐凤.针灸大全[M].北京:人民卫生出版社,1987.
[6] 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,1994:186-187.
[7] 张乐伟,秦伟,李建平,等.中医牵抖手法治疗腕部三角软骨盘损伤39例临床报道[J].中国运动医学杂志,2018,37(9):785-786.
[8] 白胜超,陈圣菊,尚画雨,等.针刺干预对大鼠离心运动性骨骼肌损伤后线粒体分裂的影响[J].中国运动医学杂志,2020,39(11):878-887.
[9] 张学林,史冀鹏,高晓娟,等.针刺对离心运动性骨骼肌过度使用损伤的治疗研究[J].中国运动医学杂志,2013,32(10):899-909.
[10] 张红娟.长针斜刺结合运动疗法治疗慢性菱形肌损伤的疗效观察[J].中国运动医学杂志,2012,31(7):623-624.
[11] 王墉琦,许磊,孙晴,等.超声引导下针刺治疗腰臀部肌筋膜疼痛综合征的临床研究[J].中国中医骨伤科杂志,2022,30(3):26-29.
[12] 邵岩,邓素玲,史栋梁.邓素玲教授运用针刺运动疗法联合松筋整脊手法治疗腰椎间盘突出症40例[J].中国中医骨伤科杂志,2019,27(12):76-78.
[13] 徐逸生,彭鹏鹏,王道光,等.子午流注纳子法及时开穴针刺治疗急性腰扭伤40例[J].中国中医骨伤科杂志,2018,26(11):55-57.
[14] 路怀民,王泉巅.斜刺、推拿配合运动疗法治疗急性网球腿43例[J].中国运动医学杂志,2011,30(11):1030-1031.
[15] 卢鼎厚,张志廉,段昌平,等.阿是穴斜刺治疗肌肉损伤的研究[J].上海针灸杂志,2000(S1):65-67.

备注/Memo

备注/Memo:
基金项目:国家重点研发计划“科技冬奥”重点专项(2019YFF0301703)
更新日期/Last Update: 2022-10-10