摘要
目的:观察温针灸配合聚焦超声波扶他林乳胶导入治疗运动损伤中常见的软组织损伤的临床效果,探讨软组织损伤治疗的新方法、新思路。方法:研究对象为2018—2019年运动康复医院就诊的部分运动员,参照《临床疾病诊断与国家体检标准》规定中软组织损伤的标准,210例患者随机分为2组:治疗组110例,采用疼痛敏感点(即阿是穴)温针灸15min后,再给予低强度聚焦超声波将扶他林乳胶导入损伤组织局部治疗,输出模式为连续正弦波+脉冲波,依据损伤部位的深浅程度及范围大小不同,选择不同的档位治疗,治疗时间10min/每部位,每天1次;对照组100例,采用低强度聚焦超声波扶他林乳胶导入损伤组织局部治疗,治疗方法、治疗时间与治疗组相同。两组患者均治疗6~18d,6d为一个疗程,总计1~3个疗程,对患者进行疼痛视觉模拟量表(VAS)和压痛指数综合分值评定,观察疗效。两组患者的性别、年龄、病程均无显著差异,具有可比性。结果:两组病例均在治疗1~3个疗程后进行评判,治疗组及对照组综合分值均显著降低(P<0.05),两组均能减轻患者疼痛,且治疗组综合分值较对照组显著降低,疗效显著提高(22.5%)(P<0.05);治疗组在第1、2疗程后改善率明显高于对照组,较对照组见效快,治疗及随访过程中均未出现不良反应。结论:温针灸配合聚焦超声波扶他林乳胶导入疗法能快速、安全、有效治疗运动损伤中的软组织损伤。
Objective:To observe the clinical effects of treating soft tissue injuries which are common in athletic injuries via Warming needle moxibustion,associated with focused ultrasound(FUS)using Voltaren Emulgel,and discuss the new method and path in treating soft tissue injuries.Method:The research objects were selected from the athletes who came to the sports&rehabilitation clinic for treatment during 2018—2019.According to the principles of defining soft tissue injuries in the Clinical Diagnostic Evidence base and National Physical Examination Principles,210 patients were randomly placed into 2 groups where110 individuals were in the treatment group and the other 100 individuals were in the control group.The treatment group After 15minutes of Warming needle moxibustion at the pain-sensitive point(A-Shi point),low-intensity focused ultrasound was used to introduce Voltaren Emulgel into the injured tissue for local treatment.The output mode for treatment group was using continuous sine waves plus impulse waves.Different treatment gears were applied according to the different extents and ranges of injured tissues,the time length of treatment for each injury was 10 minutes per day.The control group Low intensity focused ultrasound was used to introduce Voltaren Emulgel into injured tissue for local treatment.The method,frequency and time length per day were the same as the treatment group.Patients in both groups received treatments for 6 to 18 days where 6 days as a course,3 courses in total.The researcher first visualized the pain using visual analog scale(VAS)and tenderness index,then analyzed and evaluated the patient’s comprehensive score to assess the clinical effects.Both groups had no significant gender,age,progress of disease difference,which made the collected results more comparable.Results(Data analysis):Judgements were made after 1 to 3-courses treatment.Significant drops are observed in both treatment group’s and control group’s comprehensive scores(P<0.05)after the treatment,which means both method
作者
王鸿
徐卫华
WANG Hong;XU Weihua(The Sports Medicine&Rehabilitation Clinic,Nanjing Sport Institute,Nanjing 210014,China)
出处
《南京体育学院学报》
2022年第3期44-47,共4页
Journal of Nanjing Sports Institute
基金
国家自然科学基金项目(31271275)。
关键词
温针灸
聚焦超声波
扶他林乳胶
软组织损伤
warming needle moxibustion
focused ultrasound(fus)
voltaren emulgel
soft tissue injuries
