摘要
目的探讨髌骨内推治疗单纯性髌股关节炎的临床疗效。方法选取2013年3月—2016年3月笔者所在医院收治的门诊患者,按照诊断标准诊断为单纯性髌股关节炎,共120例165个膝关节,采用髌骨内推治疗1~3个月,治疗前后均采用视觉模拟评分法(VAS)评估平地行走膝痛分值、测量膝关节非负重状态下屈曲度、WOMAC膝关节功能评分表评价膝关节功能,探究临床治疗效果。结果行髌骨内推治疗后,患者VAS疼痛分值降低,膝关节非负重状态下屈曲度增加,WOMAC评分分值治疗后低于治疗前,三项指标差异均有统计学意义(P<0.05)。结论髌骨内推作为物理疗法,治疗单纯性髌股关节炎疗效确切,无明显不良反应,宜长期坚持使用,以延缓退化、改善膝关节疼痛及功能。
Objective To analyze the clinical effect of patellar inward pushing in the treatment of patellofemoral arthritis. Methods The 120 cases with 165 knees of outpatients of patellofemoral arthritis admitted in author＇s hospital according to the diagnostic standard from March 2013 to March 2016 were selected as the research objects,who received patellar inward pushing in the treatment in 1-3 months;their clinical effect was evaluated,after assessment of the ground walk knee pain score by-using visual analogue scale（VAS）,measurement of the knee buckling degree of non load conditions,and assessment of knee joint function by using WOMAC knee joint function scale,between before and after the treatment. Results After treatment of patellar inward pushing, the knee flexion degree of non load conditions were increased,the patient＇s pain VAS scores and WOMAC score were lowered,these three indicator＇s differences were statistically significant （P〈0.05）. Conclusion Patellar inward pushing as physical therapy,it＇s clinical effect on patellofemoral arthritis is sure,with no obvious adverse reaction, should be insisted to use for a long time so that to slow degradation,improve knee pain and function.
出处
《实用医药杂志》
2017年第4期312-313,317,共3页
Practical Journal of Medicine & Pharmacy
基金
2016年新乡市重点科技攻关计划项目(CXGG16055)
关键词
单纯性髌股关节炎
髌骨内推
疗效
Patellofemoral arthritis
Patellar inward pushing
Curative effect
