摘要
目的:比较传统温灸疗法与炎症治疗机对运动员髌腱末端病的疗效差异。方法:将80例髌腱末端病患者随机分为温灸组和理疗组,每组40例。温灸组采用传统灸疗法,根据患者具体情况使用艾条对患膝髌腱末端痛点及髌周的犊鼻、足三里、阳陵泉、梁丘、血海等穴位施行温和悬灸,每次30min,每日1次,结合冰敷、牵拉放松以及基础力量针对性练习等运动处方;理疗组采用现代理疗设备,将炎症治疗机的微波探头对准髌腱末端的痛点进行治疗,每次20 min,每日1次,并行与温灸组同样的运动处方。两组患者均7次为一疗程,治疗2个疗程后观察两组患者膝关节疼痛视觉模拟量表(VAS)评分及临床疗效。结果:两组患者治疗后疼痛VAS评分均较治疗前降低(均P<0.01),温灸组较理疗组VAS评分降低更明显(P<0.05);温灸组总有效率为97.5%(39/40),优于理疗组的82.5%(33/40,P<0.05)。结论:温灸疗法配合运动处方治疗方法对运动员髌腱末端病的疼痛症状有显著改善功效,临床疗效优于炎症治疗机的现代康复理疗。
Objective To compare the effects between moxibustion and inflammation therapy apparatus for patella tendinopathy of athlete.Methods Eighty patients were randomly assigned into a moxibustion group and a naturopathy group,40 cases in each one.According to conditions,moxibustion was applied at the pain points of the terminal patellar tendon,Dubi（ST 35）,Zusanli（ST 36）,Yanglingquan（GB 34）,Liangqiu（ST 34）and Xuehai（SP 10）,etc.,once a day and 30 min a time.Besides,exercise prescription was used,including ice compress,pull relaxation and targeted common strength exercise,etc.While in the naturopathy group,the microwave probe of inflammation therapy apparatus was aimed at the pain points of the terminal patellar tendon,once a day and 20 min a time.Also,the same exercise prescription was implemented as the moxibustion group.Seven treatments were taken as a course and 2courses were required.Visual analogue scale（VAS）for knee joint pain and clinical effects were observed.Results After treatment,the VAS scores decreased compared with those before treatment in the two groups（both P〈0.01）,with more apparent one in the moxibustion group（P〈0.05）.The total effective rate of the moxibustion group was 97.5%（39/40）,which was better than 82.5%（33/40）of the naturopathy group（P〈0.05）.Conclusion Moxibustion combined with exercise prescription can effectively improve the pain induced by patella tendinopathy of the athletes,which is better than inflammation therapy apparatus.
出处
《中国针灸》
CAS
CSCD
北大核心
2016年第9期927-930,共4页
Chinese Acupuncture & Moxibustion
基金
河南省科技攻关计划项目:142300410297
关键词
髌腱末端病
温灸疗法
运动处方
随机对照试验
patella tendinopathy
moxibustion
exercise prescription
randomized controlled trial（RCT）
作者简介
通信作者：李沛（1960-），男，教授。研究方向：中医药防治骨关节病的研究。E-mail：hnszyygsxk@126．com
