摘要
目的评估超声波联合联苯乙酸凝胶治疗创伤后骨化性肌炎的临床效果,旨在探讨骨化性肌炎康复的有效方法。方法回顾性分析2015年9～2017年9月在西安交通大学附属红会医院诊治骨化性肌炎的32例患者(试验组)和同期16例无骨化性肌炎患者(对照组)的临床资料。通过超声波联合联苯乙酸凝胶渗透的方法,观察X线表现与临床症状、碱性磷酸酶、疼痛评分、关节活动度与功能及患者满意度。结果超声波联合联苯乙酸凝胶治疗后患者的临床症状与X线表现好转,碱性磷酸酶在治疗后1个月明显降低,治疗后疼痛评分降低(P<0.05);治疗后肘、膝关节活动度与关节功能评分均优于治疗前,患者满意度提高(P<0.05)。结论超声波联合联苯乙酸凝胶能有效促进创伤后骨化性肌炎患者的关节功能康复并减轻疼痛,是一种安全、有效、无副作用的康复手段,值得推广。
Objective To evaluate the clinical efficacy of combining ultrasound with Felbinac Gel in myositis ossificans traumatica, and to explore the effective rehabilitation approaches of myositis ossificans. Methods Clinical data of 32 patients with myositis ossification（experimental group） and 16 patients with non-myositis ossification during the same period（control group） in Honghui Hospital, Xi′ an Jiaotong University from September 2015 to September 2017 were retrospectively analyzed. The X-ray and clinical symptoms, alkaline phosphatase, pain scores, joint activity and patient satisfaction were observed respectively by way of combining ultrasound with Felbinac Gel penetration method. Results After the treatment of ultrasound combined with Felbinac Gel, the clinical symptoms and X-ray of patients were improved, and alkaline phosphatase was reduced significantly 1 month after treatment, as well as the pain scores（P〈0.05）. Meanwhile, the joint activity and joint function scores were superior to those of pre-therapy, and patients′ satisfaction was improved（P〈0.05）. Conclusion The method of ultrasound combined with Felbinac Gel can effectively promote the recovery of joint function and relieve pain of patients with myositis ossificans traumatica. The rehabilitation approach is safe, effective and without side effect. It is worthy of wide application.
作者
宋依芯
吕向伟
刘西纺
吴龙昌
王航辉
SONG Yixin;LV Xiangwei;LIU Xifang;WU Longchang;WANG Hanghui(The Second Ward of Traditional Chinese Medicine Orthopedics,Honghui Hospital,Xi＇an Jiaotong University,ShaarLxi Province,Xi＇an 710054,China;Xi＇an International University,Shaanxi Province,Xi＇an 710077,China;Depart-ment of Orthopedics,Qishan Traditional Chinese Medicine Hospital,Shaanxi Province,Qishan 722499,China;De-partment of Orthopedics,Xi＇an Weiyang District Hospital of Traditional Chinese Medicine,Shaanxi Province,Xi＇an 710016,China)
出处
《中国医药导报》
CAS
2018年第19期8-11,共4页
China Medical Herald
基金
中国博士后科学基金资助项目(2016M600804)
陕西省博士后科研项目(2016BSHEDZZ92)
陕西省西安市卫计委卫生科研人才培养项目(J201602023)
陕西省西安市科技计划项目[2017115SF/YX009(16)]
关键词
超声波
联苯乙酸凝胶
创伤性骨化性肌炎
康复
Ultrasound
Felbinac Gel
Myositis ossificans traumatica
Rehabilitation
作者简介
共同第一作者:宋依芯;共同第一作者:吕向伟;通讯作者:吴龙昌;通讯作者:王航辉
