肌內效貼力學矯正貼扎改善髕骨軟化癥患者疼痛的即時與短期療效觀察師巧莉，楊艷霞，白 倩，等（126）

師巧莉 楊艷霞 白倩 郝天亮 馮曉東 張效績 雷雨龍 吳智鋼

摘要：目的? 研究肌內效貼力學矯正貼扎改善髕骨軟化癥患者疼痛的即時與短期療效。方法? 選取我院髕骨軟化癥患者46例為研究對象，隨機分研究組與對照組，各23例。研究組給予肌內效布貼扎治療，對照組給予常規理療聯合運動療法。比較兩組疼痛程度、膝關節功能、短期療效與治療效果。結果? 治療前兩組疼痛程度、膝關節功能、抗阻伸膝試驗痛與半蹲試驗痛評分比較，差異無統計學意義（P>0.05）;治療后研究組疼痛程度評分為（1.09±0.34）分低于對照組的（1.84±0.42）分，研究組膝關節功能評分為（92.83±3.52）分高于對照組的（82.84±4.05）分，抗阻伸膝試驗痛與半蹲試驗痛評分低于對照組，研究組治療效果（95.65%）高于對照組（73.91%），差異均有統計學意義（P<0.05）。結論? 對髕骨軟化癥患者采用肌內效貼治療能提高短期療效，促進膝關節功能早期恢復，有效緩解疼痛感，改善預后與生活質量，安全性高，值得借鑒。

關鍵詞：肌內效貼;力學矯正;髕骨軟化癥;疼痛程度;短期療效

中圖分類號：R87? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻標識碼：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2019.08.036

文章編號：1006-1959（2019）08-0126-03

Abstract：Objective? To study the immediate and short-term effects of intramuscular effector mechanics correction and ligation on pain in patients with patellofemoral softening. Methods? 46 patients with patella softening in our hospital were enrolled in the study. They were randomly divided into study group and control group， with 23 cases in each group. The study group was given an intramuscular effect banding treatment， and the control group was given a conventional physiotherapy combined with exercise therapy. The pain level， knee function， short-term efficacy and treatment effect were compared between the two groups. Results? There was no significant difference between the pain level， knee function， anti-obstruction knee pain test and the semi-sputum test pain score before treatment （P>0.05）. The pain degree score of the study group was （1.09±0.34） after treatment. Compared with the control group （1.84±0.42）， the knee joint function score of the study group was （92.83±3.52） higher than that of the control group （82.84±4.05）， and the pain score of the resistance and knee extension test was low. In the control group， the treatment effect of the study group （95.65%） was higher than that of the control group （73.91%），the difference was statistically significant （P<0.05）.Conclusion? Intramuscular therapy for patients with patella softening can improve short-term curative effect， promote early recovery of knee joint function， effectively relieve pain， improve prognosis and quality of life， and have high safety. It is worth learning.

Key words：Intramuscular effect;Mechanical correction;Patella softening;Pain degree;Short-term efficacy