| 摘要: |
| 目的 观察超声引导下针刺联合功能康复治疗运动训练引起的鹅足滑囊炎的临床疗效。方法 纳入我院康复医学科门诊2019年5月至2020年5月收治的运动训练所致膝关节鹅足滑囊炎患者50例，随机分为观察组（25例）和对照组（25例），其中观察组患者采用超声引导下针刺联合功能康复治疗，对照组采用盲法穿刺局部封闭联合功能康复治疗。采用视觉模拟量表（VAS）评价患者治疗前后疼痛情况，采用国际通用膝关节评分（Lysholm评分）量表评价膝关节功能，采用生活质量测定量表（QOL）评估生活质量，通过超声影像及远红外线热成像观察病变区域炎症反应的变化。结果 治疗前两组患者的性别、年龄、病程等一般资料及VAS、Lysholm、QOL评分差异均无统计学意义（P均＞0.05）。治疗后两组VAS评分均较治疗前降低（P均＜0.05），Lysholm、QOL评分均较治疗前升高（P均＜0.05）。治疗后观察组VAS评分低于对照组（P＜0.05），Lysholm和QOL评分均高于对照组（P均＜0.05）。观察组患者治疗后声像图可见病变区血流信号明显减少或消失，远红外线热成像显示胫骨内髁处体表温度恢复正常。治疗后观察组总有效率高于对照组[96%（24/25）vs 68%（17/25），P＜0.05]。结论 对于运动训练所致鹅足滑囊炎患者，超声引导下针刺联合功能康复治疗能有效减轻患者疼痛、促进膝关节功能恢复，且临床可行性、安全性好。 |
| 关键词: 运动训练伤 鹅足滑囊炎 超声引导 针刺 功能康复 |
| DOI：10.16781/j.CN31-2187/R.20220007 |
| 投稿时间：2022-01-05修订日期：2022-07-08 |
| 基金项目:军队后勤科研训练伤防治专项(21XLS35) |
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| Ultrasound-guided acupuncture combined with functional rehabilitation in treating pes anserinus bursitis caused by athletic training: a clinical efficacy analysis |
| LIU Si-xi1,ZHONG Yu-xian1,MA Guang-hao1,LIU Feng1,CHEN Ting-ting1,YANG Zhao-qiang2,FU Ben-sheng1* |
(1. Department of Rehabilitation Medicine, TCM Clinical Unit, The Sixth Medical Center of PLA General Hospital, Beijing 100048, China;
2. Department of Orthopaedics, TCM Clinical Unit, The Sixth Medical Center of PLA General Hospital, Beijing 100048, China
*Corresponding author) |
| Abstract: |
| ObjectiveTo observe the clinical efficacy of ultrasound-guided acupuncture combined with functional rehabilitation in the treatment of pes anserinus bursitis caused by athletic training.MethodsA total of 50 outpatients with pes anserinus bursitis of knee joint caused by athletic training who visited Department of Rehabilitation Medicine of our hospital from May 2019 to May 2020 were enrolled, and then they were randomly divided into observation group (25 cases) and control group (25 cases). The patients in the observation group were treated with ultrasound-guided acupuncture combined with functional rehabilitation, and those in the control group were treated with blind puncture local block combined with functional rehabilitation. The pain of patients before and after treatment was evaluated by visual analogue scale (VAS), the knee joint function was evaluated by international general Lysholm score, the quality of life was assessed by quality of life scale (QOL), and the changes of inflammatory reaction in the lesion area were observed by ultrasonography and far-infrared thermal imaging.ResultsThere were no significant differences in the general data (such as gender, age, or course of disease), VAS score, Lysholm score, or QOL score between the 2 groups before the treatment (all P > 0.05). After treatment, the VAS scores of both groups were significantly lower than those before treatment (both P < 0.05), and the Lysholm and QOL scores were significantly higher than those before treatment (all P < 0.05). After treatment, the VAS score of the observation group was significantly lower than that of the control group (P < 0.05), and the Lysholm and QOL scores were significantly higher than those of the control group (both P < 0.05). After treatment, the sonogram showed that the blood flow signal in the lesion area of the observation group was reduced or disappeared, and the far-infrared thermal imaging showed that the body surface temperature at the medial condyle of tibia returned to normal. After treatment, the total efficiency of the observation group was significantly higher than that of the control group (96% [24/25] vs 68% [17/25], P < 0.05).ConclusionUltrasound-guided acupuncture combined with functional rehabilitation can effectively relieve the pain and promote the recovery of knee joint function of patients with pes anserinus bursitis caused by athletic training, with good clinical feasibility and safety. |
| Key words: athletic training injuries pes anserinus bursitis ultrasound-guided acupuncture functional rehabilitation |
