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摘要 目的 探索放散状体外冲击波治疗髌腱炎的时效性,同时评价其临床疗效。方法 搜集2016年4月至2018年12月间在我院接受放散状体外冲击波治疗或局部封闭治疗的髌腱炎患者资料,筛选出符合入选标准的患者共84例,按照接受的治疗方案分别纳入体外冲击波组(A组)和局部封闭治疗组(B组)。A组38例,其中男性20例,女性18例,年龄21~40岁,平均(29.6±5.5)岁;B组46例,其中男性22例,女性24例,年龄22~39岁,平均(29.6±5.3)岁。通过对比两组患者治疗前后不同时间点的视觉模拟评分(visual analogue score,VAS)和临床疗效,探索治疗可能存在的时效性。结果 治疗前,两组患者的VAS评分差异无统计学意义(P>0.05)。治疗结束1周时及治疗结束1个月时两组患者的VAS评分差异无统计学意义(P>0.05),而治疗结束3个月时A组的VAS评分明显低于B组(P<0.05)。两组患者治疗后各时间点的VAS评分均较治疗前降低(P<0.01)。与治疗结束1周时相比,A组治疗结束1个月及治疗结束3个月时的VAS评分均有所降低(P<0.05),而B组的VAS评分无明显变化(P>0.05)。与治疗结束1个月时相比,A组治疗结束3个月时的VAS评分有所降低,但差异无统计学意义(P>0.05);B组治疗结束3个月时的VAS评分则有所增高(P<0.05)。两组在治疗后各时间点的临床疗效差异无统计学意义(P>0.05)。结论 放散状体外冲击波对髌腱炎疼痛的缓解具有明显的时效性,疗效较局部封闭治疗持久可靠。但两种治疗方法对疼痛的缓解在时间上各有特点,临床上应根据患者需求灵活选用。
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关键词 :
髌腱炎,
体外冲击波疗法,
时效性,
局部封闭治疗
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基金资助:2018年度苏州市体育局体育科研局管课题(TY2018-205) |
通讯作者:
董启榕
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作者简介: 范志英(1986- ),女,主治医师,苏州大学附属第二医院骨科,215004。 |
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