针刺配合物理疗法治疗髂胫束摩擦综合症29例

摘要

Objective:To observe the therapeutic efficacy of acupuncture combined with physiotherapy on pa-tients with iliotibial band friction syndrome ( ITBFS ) .Methods:58 patients who met the diagnostic criteria for ITBFS patients were randomly divided into a treatment group and a control group .The treatment group received acupuncture combined with physiotherapy and the control group received physiotherapy .Results:There was no statistical difference in the LEFS score between 2 groups after 2 weeks of treatment(P=0.79);there was a sta-tistical difference in the VAS score between 2 groups after 2 weeks of treatment(P=0.00);there was no statis-tical difference in the LEFS score or VAS score between 2 groups after 4 weeks of treatment.(PLEFS =0.66, PVAS =0.35).Conclusion:The therapy of acupuncture combined with physiotherapy on ITBFS has a definitely curative effect , but on the other hand acupuncture combined with physiotherapy can relieve pain more quickly ( in 2 weeks ) than the treatment of pure physiotherapy .And the therapy is worth expanding .%目的:观察针刺配合物理疗法治疗髂胫束摩擦综合症的疗效. 方法:将58例髂胫束摩擦综合症( ITBFS)患者按就诊顺序随机分成治疗组与对照组,治疗组(针灸加物理疗法)与对照组(物理疗法)各29例. 结果:治疗2周后,两组下肢功能量表( LEFS)得分较治疗前均有明显改善且两组比较无统计学差异( P=0.79);两组视觉模拟评分系统( VAS评分)治疗组明显优于对照组,有高度统计学差异( P=0.00);治疗4周后LEFS得分和VAS得分两组均较治疗前提高无明显差异(PLEFS =0.66,PVAS =0.35).结论:针刺配合物理治疗和单纯物理治疗在改善髂胫束摩擦综合症患者膝关节功能疗效肯定,但在短期内(2周)缓解膝痛方面针刺配合物理治疗有明显优势,较单纯物理疗法能够缩短病程,值得推广.