肌内效贴力学矫正贴扎改善髌骨软化症患者疼痛的即时与短期疗效观察师巧莉，杨艳霞，白 倩，等（126）

师巧莉 杨艳霞 白倩 郝天亮 冯晓东 张效绩 雷雨龙 吴智钢

摘要：目的  研究肌內效贴力学矫正贴扎改善髌骨软化症患者疼痛的即时与短期疗效。方法  选取我院髌骨软化症患者46例为研究对象，随机分研究组与对照组，各23例。研究组给予肌内效布贴扎治疗，对照组给予常规理疗联合运动疗法。比较两组疼痛程度、膝关节功能、短期疗效与治疗效果。结果  治疗前两组疼痛程度、膝关节功能、抗阻伸膝试验痛与半蹲试验痛评分比较，差异无统计学意义（P>0.05）;治疗后研究组疼痛程度评分为（1.09±0.34）分低于对照组的（1.84±0.42）分，研究组膝关节功能评分为（92.83±3.52）分高于对照组的（82.84±4.05）分，抗阻伸膝试验痛与半蹲试验痛评分低于对照组，研究组治疗效果（95.65%）高于对照组（73.91%），差异均有统计学意义（P<0.05）。结论  对髌骨软化症患者采用肌内效贴治疗能提高短期疗效，促进膝关节功能早期恢复，有效缓解疼痛感，改善预后与生活质量，安全性高，值得借鉴。

关键词：肌内效贴;力学矫正;髌骨软化症;疼痛程度;短期疗效

中图分类号：R87                                     文献标识码：A                                 DOI：10.3969/j.issn.1006-1959.2019.08.036

文章编号：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