推拿并超声波结合中药离子导入治疗髌下脂肪垫劳损临床研究

目的:观察推拿并超声波结合中药离子导入治疗髌下脂肪垫劳损的疗效,探讨治疗该病的较佳方法.方法:2000年12月至2008年12月,采用推拿并超声波结合中药离子导入的方法治疗80例原发性髌下脂肪垫劳损患者,随机分为治疗组和对照组各40例.其中治疗组男22例,女18例;平均年龄(63.15±8.10)岁,平均病程(6.84±3.50)年.对照组男23例,女17例;平均年龄(62.63±8.20)岁,平均病程(6.59±3.70)年.治疗组采用推拿并超声波结合中药离子导入治疗,对照组采用推拿并超声波方法进行治疗,分别于治疗前后采用活动痛(VAS评级法)和压痛记分法进行指标评估,观察比较两组疗效并进行统计学处理.结果:治疗组显效12例,有效17例,好转9例,无效2例;对照组显效8例,有效15例,好转8例,无效9例.治疗组的综合疗效优于对照组(P＜0.05).治疗组治疗前后VAS评分分别为(7.92±2.21)、(2.16±1.87)分,治疗前后压痛评分分别为(3.01±0.63)、(0.86±0.46)分;对照组治疗前后VAS评分分别为(7.71±2.65)、(3.83±2.45)分,治疗前后压痛评分分别为(2.98±0.61)、(1.32±0.52)分.两组治疗前后VAS评分和压痛评分比较差异有统计学意义(P＜0.01),以治疗组更好(P＜0.01).结论:推拿并超声波治疗髌下脂肪垫劳损效果良好,同时进行中药离子导入可以显著提高疗效,三种方法联合应用可以相互促进补益,发挥综合治疗作用,是治疗髌下脂肪垫劳损的一种简便易行、经济实用的有效方法.

Clinical study of the infra-patellar fat pad stain treated by galvanism penetration of traditional Chinese medicine combined with ultrasonic wave and manipulation

Objective: To evaluate the therapeutic effects of galvanism penetration of traditional Chinese medicine combined with ultrasonic wave and manipulation in the treatment of strain of the infrapatellar fat pad,to study an effective approach in the treatment of this diseas. Methods: Eighty patients were divided randomly into treatment group and control group,there were 40 cases in each group. In treatment group 40 cases were treated by galvanism penetration of traditional Chinese medicine,ultrasonic wave and manipulation,included 22 males and 18 females with an average age of (63.15±8.10) years old and a mean disease course of(6.84±3.50) years. In control group,40 cases were treated with ultrasonic wave and manipulation,included 23 males and 17 females with an average age of (62.63±8.20) years old and the course was (6.59±3.70) years. visual analogue scale(VAS) and the scales for pain with finger press were evaluated before and after treatment in two groups. The clinical effects were researched and analysed statistically. Results: In treatment group,12 patients were in remarkable effects,17 in good effective,9 in effective and 2 in ineffective. As well in control group,above data were 8,15,8 and 9 respectively. There was a significant difference in the rate of general effective between treatment group and control group(P<0.05). In treatment group,the scales for VAS before and after treatment were (7.92±2.21) and (2.16±1.87) and the scales for pain with finger press before and after treatment were(3.01±0.63) and(0.86±0.46). As well in control group,above data were (7.71±2.65),(3.83±2.45),(2.98±0.61) and (1.32±0.52) respectively. The comparison of the scales for VAS and pain with finger press before and after treatment in two groups had significant difference(P<0.01). Conclusion: Ultrasonic wave and manipulation have a good effect in the treatment of stain of the infrapatellar fat pad,when the galvanism penetration of traditional Chinese medicine is applied at the same time,the therapeutic efficiency can be improved significantly. Three therapies are used in treatment at the same,it can improve the therapeutic effect,and it is an easy,economic,practical and effective comprehensive approach.