中药熏蒸在髌股外侧高压综合征患者中的疗效

目的探讨中药熏蒸在髌股外侧高压综合征患者中的疗效。 方法以2016年8月至2019年8月于河北省沧州中西医结合医院骨科收治的120例患者髌股外侧高压综合征患者为研究对象，按随机数字表法分为对照组(60例，给予单纯关节镜下松解髌股外侧支持带治疗)和研究组(60例，在对照组治疗的基础上给予中药熏蒸治疗)。观察记录治疗前、治疗6个月后膝关节功能、影像学检查指标、步态、等速肌力的变化情况，评价治疗6个月后临床疗效。计量资料采用独立样本t检验，计数资料采用卡方检验。 结果治疗6个月后，研究组临床疗效明显高于对照组(χ²＝4.227，P<0.05)，两组膝关节功能均较治疗前改善，其中研究组膝关节功能高于对照组(t＝4.201，P<0.05)。两组髌骨轴位X线片对髌骨外移度(PLS)、髌骨倾斜角(PTA)及髌骨适合角(CA)均较治疗前降低，其中研究组PLS、PTA及CA均低于对照组(t＝-7.287、-11.901、-14.717，均为P<0.05)。两组步长、步速及步幅均较治疗前上升，其中研究组步长、步速及步幅均高于对照组(t＝8.593、4.201、3.643，均为P<0.05)。两组伸肌峰力矩及屈肌峰力矩均较治疗前上升，其中研究组伸肌峰力矩及屈肌峰力矩均高于对照组(t＝4.959、5.951，均为P<0.05)。 结论中药熏蒸可有效治疗髌股外侧高压综合征，可恢复患者膝关节功能，值得临床推广使用。

Effect of traditional Chinese medicine fumigation on knee function in patients with lateral patellofemoral hypertension syndrome

Objective To investigate the effect of traditional Chinese medicine fumigation in patients with lateral patellofemoral hypertension syndrome.Methods From August 2016 to August 2019 in orthopedic department of Cangzhou Combine Traditional Chinese and Western Medicine Hospital treated 120 cases of patellofemoral lateral pressure syndrome.According to random number table method the patients were divided into the control group and the study group,60 cases in each group.The control group were given simple release patellofemoral lateral retinaculum therapy under arthroscope,and the study group were given traditional Chinese medicine fumigation treatment on the basis of the same surgical treatment.The changes in knee joint function,imaging examination indexes,gait,and isokinetic muscle strength were observed before and after six months of treatment,and the clinical efficacy after six months of treatment was evaluated.The independent sample t test and the chi-square test were performed.Results After six months of treatment,the clinical efficacy of the study group was significantly better than that of the control group(χ²=4.227,P<0.05).The knee joint function of the two groups was better than that before treatment,and the study group was better than the control group(t=4.201,P<0.05).The patella displacement(PLS),patella tilt angle(PTA)and congruence angle(CA)of the two groups on the patella axial X-ray films were all lower than those before the treatment.PLS,PTA and CA of the study group were lower than the control group(t=-7.287,-11.901,-14.717,all P<0.05).The step length,pace,and stride length of the two groups all increased compared with those before the treatment,and the study group all were higher than those of the control group(t=8.593,4.201,3.643,all P<0.05).The peak extensor torque and peak flexor torque of the two groups increased compared to those before treatment,and the study group were higher than the control group(t=4.959,5.951,both P<0.05).Conclusion Traditional Chinese medicine fumigation can effectively treat lateral patellofemoral hypertension syndrome and restore the knee function of patients,which is worthy of clinical applicationn.