针药结合治疗髌骨软化症临床研究

目的:观察浮针结合筋骨痛消丸治疗髌骨软化症(chondromalacia patella,CP)的临床疗效。方法:将符合标准的82例患者按随机数字法分为观察组和对照组各41例,观察组采用浮针结合筋骨痛消丸治疗,对照组采用双氯芬酸钠结合玻璃酸钠关节腔注射治疗;2组治疗时间4周,分别于治疗前、治疗4周和12周随访时进行疼痛视觉模拟量表(VAS)评分,西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分,及膝关节活动度和髌韧带软硬度测量。结果:治疗前2组在WOMAC、VAS及关节活动度及髌韧带硬度的比较无差异,无统计学意义(P>0.05)。随着时间推移,2组患者的关节活动度评分显著增高,差异有统计学意义(P<0.05),疼痛评分显著降低,差异有统计学意义(P<0.05),关节活动度显著改善,差异有统计学意义(P<0.05),髌韧带硬度显著降低,差异有统计学意义(P<0.05),同时期比较观察组各项指标均优于对照组,差异有统计学意义(P<0.05)。结论:浮针结合筋骨痛消丸治疗髌骨软化症,能够缓解疼痛,降低髌韧带硬度,改善关节活动度,效果优于双氯芬酸钠配合玻璃酸钠的治疗。

Clinical Study on Acupuncture Combined with Medicine for Treatment of Chondromalacia Patella

Objective:To observe the clinical efficacy of floating needle combined with Jin Gu Tong Xiao Pills in the treatment of chondromalacia patella (CP).Methods:The 82 patients who met the standard were randomly divided into observation group and control group with 41 cases each.The observation group was treated with floating needles combined with Jingutongxiao pills,and the control group was treated with diclofenac sodium combined with sodium hyaluronate injection in the joint cavity;The treatment time of the two groups was 4 weeks,and the pain visual analog scale (VAS) score,the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores were performed before treatment,4 weeks of treatment,and 12 weeks of follow-up.Measurement of joint mobility and patellar ligament softness.Results:Before treatment,the two groups had no difference in WOMAC,VAS,joint range of motion and patellar ligament stiffness,and there was no statistical significance (P>0.05).Over time,the joint range of motion scores of the two groups of patients increased significantly,the difference was statistically significant (P<0.05),the pain score was significantly reduced,the difference was statistically significant (P<0.05),the joint range of motion was significantly improved,the difference It is statistically significant (P<0.05),the patellar ligament stiffness is significantly reduced,and the difference is statistically significant (P<0.05).In the same period,all indicators of the observation group are better than those of the control group,and the difference is statistically significant (P<0.05)).Conclusion:Floating needle combined with Jingu Tongxiao pills can treat patellar softness,which can relieve pain,reduce patellar ligament stiffness,and improve joint mobility.The effect is better than that of diclofenac sodium combined with sodium hyaluronate.