摘要
目的观察经筋排刺治疗髂胫束综合征的临床疗效。方法将70例髂胫束综合征患者作为研究对象,按照随机数字表法分为试验组(35例)和对照组(35例)。试验组予经筋排刺治疗,对照组予口服双氯芬酸钠缓释片治疗。比较两组临床疗效、治疗后1月内复发率以及不良反应发生情况。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、下肢功能量表(lower extremity function scale,LEFS)评分、美国膝关节外科学会膝关节(Ameican Knee Society knee score,KSS)评分和血液流变学指标的变化。结果试验组总有效率明显优于对照组(P<0.05),治疗后1个月内复发率明显低于对照组(P<0.05)。治疗后,两组VAS评分、LEFS各单项评分和总分以及KSS各单项评分和总分均优于同组治疗前(P<0.05),且试验组以上各项评分均明显优于对照组(P<0.05)。治疗后,两组全血黏度、血浆黏度、红细胞压积、红细胞沉降率明显降低(P<0.05),且试验组上述血液流变学指标均明显低于对照组(P<0.05)。试验组不良反应发生率低于对照组(P<0.05)。结论经筋排刺治疗髂胫束综合征疗效优于口服双氯芬酸钠缓释片治疗,能更有效地缓解疼痛,改善下肢功能和血液流变学,且不良反应发生率更低。
Objective To observe the clinical effect of fascia needling on iliotibial band syndrome.Method Seventy patients with iliotibial band syndrome were randomly divided into an experimental group(35 cases)and a control group(35 cases).The experimental group was treated with fascia needling,and the control group was treated with Diclofenac sodium sustained-release tablets.The clinical efficacy,recurrence rate within 1 month after treatment and adverse reactions were compared between the two groups.The visual analog scale(VAS)score,lower extremity function scale(LEFS)score,Ameican Knee Society knee score(KSS)and hemorheological parameters were observed before and after treatment in the two groups.Result The total response rate of the experimental group was significantly better than that of the control group(P<0.05),and the recurrence rate within 1 month after treatment was significantly lower than that of the control group(P<0.05).After treatment,the VAS score,each item score and total score of LEFS and each item score and total score of KSS in the two groups were better than those before treatment(P<0.05),and the above scores in the experimental group were significantly better than those in the control group(P<0.05).After treatment,the whole blood viscosity,plasma viscosity,hematocrit,and erythrocyte sedimentation rate in the two groups were significantly decreased(P<0.05),and the above hemorheological indexes in the experimental group were significantly lower than those in the control group(P<0.05).The incidence of adverse reactions in the experimental group was lower than that in the control group(P<0.05).Conclusion The effect of fascia needling on iliotibial band syndrome is better than oral Diclofenac sodium sustained-release tablets.It can more effectively relieve pain,improve lower limb function and hemorheology,and has a lower incidence of adverse reactions.
作者
吴强
张锦华
吴和熙
杨家富
颜宇轩
张红梅
李琴
潘畅
WU Qiang;ZHANG Jinhua;WU Hexi;YANG Jiafu;YAN YuXuan;ZHANG Hongmei;LI Qin;PAN Chang(Chengdu Shuangliu Hospital of Traditional Chinese Medicine,Chengdu 610200,China;Ningnan County Hospital of Traditional Chinese Medicine,Liangshan 615400,China;Gongxing Community Health Service Center,Shuangliu District,Chengdu 610200,China;Pengzhen Health Center,Shuangliu District,Chengdu 610200,China)
出处
《上海针灸杂志》
CSCD
2023年第10期1086-1091,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
四川省中医药管理局科研课题(2020LC0045)
国家中医药管理局全国基层名老中医药专家传承工作室项目[国中医药人教函(2021)44号]。
关键词
针刺疗法
经筋排刺
电针
髂胫束综合征
疼痛
下肢功能障碍
Acupuncture therapy
Fascia needling
Electroacupuncture
Iliotibial band syndrome
Pain
Lower limb dysfunction
