中医正骨2025，Vol.37Issue(1)：51-57,7.
浮针疗法联合推髌手法治疗髌骨软化症的临床研究
A clinical study of fu's acupuncture therapy combined with patella-pushing manipulation for treatment of chondromalacia patellae
摘要
Abstract
Objective:To explore the clinical outcomes and safety of fu's acupuncture therapy combined with patella-pushing manipu-lation for treatment of chondromalacia patellae(CMP).Methods:Ninety-six CMP patients were randomized into 4 groups,with 24 ones in each group,and they were treated with fu's acupuncture therapy combined with patella-pushing manipulation(combination therapy group),fu's acupuncture therapy(fu's acupuncture group),patella-pushing manipulation(manipulation group),and oral application of glu-cosamine hydrochloride tablets(western medicine(WM)group),respectively.The fu's acupuncture therapy was performed once every 2 days for consecutive 14 days;the patella-pushing manipulation was conducted once in the morning and evening,respectively,for consecutive 14 days;and the glucosamine hydrochloride tablets was taken twice a day,1 tablet at a time for consecutive 14 days.Before the treatment and after the end of the treatment,the knee function was assessed by using the Lysholm knee score,the patellofemoral function and the se-verity of the symptoms were evaluated by employing the Kujala patellofemoral score,and the knee pain degree was evaluated by using the visual analogue scale(VAS)score.Three months after the end of treatment,the total clinical outcomes were evaluated according to the thera-peutic effect evaluation standard of CMP which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of tradition-al Chinese medicine syndromes,and the adverse reactions were observed during the treatment and follow-up period.Results:①The Lysholm knee score.The Lysholm knee score increased after the end of the treatment compared to pretreatment in the 4 groups(t=18.620,P=0.000;t=7.378,P=0.000;t=12.658,P=0.000;t=11.028,P=0.000),and it was higher in combination therapy group compared to fu's acupuncture group,manipulation group,and WM group(P=0.000,P=0.000,P=0.000),while,there was no significant differ-ence among fu's acupuncture group,manipulation group,and WM group(P=0.210,P=0.793,P=0.187).②The Kujala patellofemoral score.The Kujala patellofemoral score increased after the end of the treatment compared to pretreatment in the 4 groups(t=10.883,P=0.000;t=13.091,P=0.000;t=13.038,P=0.000;t=11.412,P=0.000),and it was higher in combination therapy group compared to fu's acupuncture group,manipulation group,and WM group(P=0.000,P=0.000,P=0.000),while,there was no significant difference among fu's acupuncture group,manipulation group,and WM group(P=0.547,P=0.320,P=0.096).③The knee pain VAS score.The knee pain VAS score decreased after the end of the treatment compared to pretreatment in the 4 groups(t=7.245,P=0.000;t=3.675,P=0.001;t=5.150,P=0.000;t=3.129,P=0.003),and it was lower in combination therapy group compared to fu's acupuncture group and WM group(P=0.022,P=0.001),while there was no significant difference between combination therapy group and manipula-tion group(P=0.164);furthermore,the differences were not significant among fu's acupuncture group,manipulation group,and WM group(P=0.441,P=0.241,P=0.061).④The total clinical outcomes.Three months after the end of treatment,the difference was not signifi-cant in the total clinical outcomes among the 4 groups(x2=5.935,P=0.115).⑤The safety.Among the 4 groups,1 patient each in the combination therapy group and fu's acupuncture group experienced fainting during the acupuncture treatment process,apart from that,no adverse reactions occurred in the other patients throughout the entire treatment.There was no statistical difference in the incidence of ad-verse reactions among the 4 groups(P=1.000).Conclusion:Combination of fu's acupuncture therapy with patella-pushing manipulation,or exclusive use of fu's acupuncture therapy,patella-pushing manipulation,and oral application of glucosamine hydrochloride tablets all can relieve knee pain,alleviate patellofemoral symptoms and improve knee function in the treatment of CMP.Among the 4 therapies,the fu's acupuncture therapy combined with patella-pushing manipulation is superior to fu's acupuncture therapy or oral application of glucosamine hydrochloride tablets alone,but,comparable to patella-pushing manipulation alone in alleviating knee pain,while,it outperformes the other 3 therapies in alleviating patellofemoral symptoms and improving knee function.However,the 4 therapies are similar to each other in the total clinical outcomes and safety in treatment of CMP.关键词
髌骨软骨软化/浮针疗法/推拿疗法Key words
chondromalacia patellae/Fu's acupuncture therapy/Tui Na therapy引用本文复制引用
吴晓飒,李春峰,刘巍,龙大伟,吴新州..浮针疗法联合推髌手法治疗髌骨软化症的临床研究[J].中医正骨,2025,37(1):51-57,7.基金项目
安徽中医药大学科研基金项目(2023LCTH25) （2023LCTH25）
