世界中医药

目的：观察小针刀联合冲击波疗法在治疗髌腱炎的临床疗效。方法：随机选取于我科就诊的髌腱炎型患者60例，其中女19例，男41例；将所选患者随机分为观察组和对照组，每组30例，对照组在予口服双氯芬酸钠缓释片治疗；观察组以小针刀联合冲击波治疗，2组均进行4周治疗。同时治疗前后进行肌骨超声检查，并对其临床疗效、疼痛视觉模拟评分(Visual Simulation Score，VAS)、血清肿瘤坏死因子-α(Tumor Necrosis Factor-alpha，TNF-α)进行评价分析。结果：在经过4周的治疗后，观察组的有效率86.66%，对照组的有效率76.66%，肌骨超声显示患者髌韧带炎性反应明显减少，且观察组的VAS评分及血清中TNF-α的含量均较治疗前有明显的改善(P<0.05)，且观察组的有效率明显优于对照组(P<0.05)。结论：小针刀联合冲击波疗法治疗对改善髌腱炎患者的临床症状安全有效。

English Summary:

To observe the efficacy of small needle knife combined with extracopreal shock wave therapy in the treatment of patellar tendinitis. Methods:To randomly select 60 patients with patellar tendinitis, including 19 female and 41 male. Then randomly divided them into treatment group and control group, with 30 cases in each. The control group was orally administrated Diclofenac Sodium Sustained Release Tablets. The treatment group was given small needle knife combined with shock wave therapy. The treatment duration is 4 weeks. Before and after treatment, musculoskeletal ultrasound examination was conducted, and clinical efficacy, pain visual analogue scale (visual simulation score, VAS), serum tumor necrosis factor alpha (TNF necrosis Factor-alpha TNF alpha in the) were recorded and analyzed. Results:After 4 weeks of treatment, the effective rate of the treatment group was 86.66% and that of the control group was 76.66% with significant difference(P<0.05). Musculoskeletal ultrasound showed inflammation of the treatment group was significantly reduced after treatment, and the content of TNF alpha, VAS score and serum significantly improved (P<0.05). Conclusion:Small needle knife combined with shock wave therapy is safe and effective in improving clinical symptoms of patients with patella tendinitis.

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