[1]杨俊锋,邵阳,吴格安,等.刘氏手法联合关节腔注射臭氧治疗髌骨软化症[J].中国中医骨伤科杂志,2024,32(06):35-38.[doi:10.20085/j.cnki.issn1005-0205.240607]
　YANG Junfeng,SHAO Yang,WU Gean,et al.Clinical Research of Liu's Manipulation Combined with Ozone on the Treatment of Chondromalacia Patellae[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(06):35-38.[doi:10.20085/j.cnki.issn1005-0205.240607]
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刘氏手法联合关节腔注射臭氧治疗髌骨软化症()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年06期
页码:
35-38
栏目:
临床研究
出版日期:
2024-06-15

文章信息/Info

Title:
Clinical Research of Liu's Manipulation Combined with Ozone on the Treatment of Chondromalacia Patellae
文章编号:
1005-0205(2024)06-0035-04
作者:
杨俊锋1; 邵阳1; 吴格安1; 毛银枫1
1无锡市中医医院(江苏 无锡,214000)
Author(s):
YANG Junfeng1; SHAO Yang1; WU Gean1; MAO Yinfeng1
1Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214000,Jiangsu China.
关键词:
手法;  刘氏骨伤;  髌骨软化症;  臭氧
Keywords:
manipulation;  Liu's bone injury;  chondromalacia patellae;  ozone
分类号:
R591.44
DOI:
10.20085/j.cnki.issn1005-0205.240607
文献标志码:
A
摘要:
目的:观察刘氏手法联合关节腔注射臭氧治疗髌骨软化症的有效性和安全性。方法:将90例髌骨软化症患者随机分为刘氏手法组、臭氧组及刘氏手法联合臭氧组,每组 30 例,观察三组患者经治疗后视觉模拟量表(VAS)评分、膝关节Lysholm功能评分、髌骨匹配角及血清肿瘤坏死因子-α(TNF-α)的变化。结果:三组患者治疗后第3周和第6周VAS评分和Lysholm功能评分均优于治疗前,差异有统计学意义(P<0.05)。刘氏手法联合臭氧组在治疗后第3周和第6周,VAS评分和Lysholm功能评分均优于臭氧组和刘氏手法组,差异有统计学意义(P<0.05)。刘氏手法组在治疗后第3周和第6周,VAS评分和Lysholm功能评分均优于臭氧组,差异有统计学意义(P<0.05)。三组患者治疗后第6周髌骨匹配角及血清TNF-α均稍好于治疗前,但差异均无统计学意义(P>0.05)。结论:刘氏手法联合关节腔注射臭氧能缓解髌股关节疼痛,改善关节功能,但对髌股关节力线改变及血清炎性因子表达影响不大。
Abstract:
Objective:To observe the clinical efficacy of Liu's manipulation combined with intra-articular ozone injection on the treatment of chondromalacia patellae,in order to explore new idea of combining traditional Chinese and Western medicine in the treatment of patellomalacia.Methods:90 patients with chondromalacia patellae were randomly divided into ozone group,Liu's manipulation group and Liu's manipulation combined with ozone group,visual analogue scale(VAS),knee Lysholm function score,patella matching angle and serum tumor necrosis factor were measured.Results:The VAS scores and Lysholm function scores of the three groups were significantly better than those before treatment at 3 and 6 weeks after treatment(P<0.05).The VAS score and Lysholm function score in the group of Liu's manipulation combined with ozone were significantly better than those in the group of ozone and Liu's manipulation at 3 and 6 weeks after treatment(P<0.05).The VAS score and Lysholm function score in the Liu's manipulation group were significantly better than those in the ozone group at 3 and 6 weeks after treatment(P<0.05).The patella fit angle and serum tumor necrosis factor were slightly better than those before treatment,but there was no significant difference between the three groups at 6 weeks after treatment(P>0.05).Conclusion:Liu's manipulation combined with intra-articular injection of ozone can effectively relieve patellofemoral joint pain and improve joint function,but has little efficacy on the change of patellofemoral joint force line and the expression of serum inflammatory factors.

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备注/Memo

备注/Memo:
基金项目:无锡市卫健委中青年拔尖人才资助计划项目(BJ2020066)
无锡市中医医院院内重点项目(ZYYZD21008)
江苏省中医药科技发展计划项目(YB2020042)
无锡市科学技术局医疗卫生指导性项目(SKJJZD19)
更新日期/Last Update: 2024-06-15