密集温针灸联合推拿治疗寒湿型髌下脂肪垫损伤的临床疗效观察

密集温针灸联合推拿治疗寒湿型髌下脂肪垫损伤的临床疗效观察密集温针灸联合推拿治疗寒湿型髌下脂肪垫损伤的临床疗效观察

摘要：目的：探讨密集温针灸联合推拿治疗寒湿型髌下脂肪垫损伤的临床疗效。方法：选择80例寒湿型髌下脂肪垫损伤患者进行随机分组治疗，治疗组采用密集温针灸联合推拿治疗，对照组采用常规推拿治疗，观察两组患者治疗前后VAS评分、Lequesne指数、活动度、肌力等指标，并进行统计学分析。结果：治疗后，治疗组患者VAS评分、Lequesne指数、活动度、肌力等指标均明显改善，与对照组比较差异有统计学意义(P<0.05)。结论：密集温针灸联合推拿治疗寒湿型髌下脂肪垫损伤可以缓解患者疼痛、减少关节炎症和肌肉萎缩等不良反应，具有较好的临床疗效和安全性。

关键词：密集温针灸；推拿；髌下脂肪垫损伤；寒湿型；临床疗效观察

Abstract:Objective:Toinvestigatetheclinicalefficacyofintensivemoxibustionacupuncturecombinedwithmassageforcoldanddampnesstypepatellarsubcutaneousfatpadinjury.Methods:Atotalof80patientswithcoldanddampnesstypepatellarsubcutaneousfatpadinjurywererandomlyassignedtothetreatmentgroupandthecontrolgroup.Thetreatmentgroupreceivedintensivemoxibustionacupuncturecombinedwithmassagetherapy,whilethecontrolgroupreceivedconventionalmassagetherapy.TheVASscore,Lequesneindex,activityandmusclestrengthofthetwogroupsofpatientswereobservedbeforeandaftertreatment,andstatisticalanalysiswasperformed.Results:Aftertreatment,theVASscore,Lequesneindex,activityandmusclestrengthofthetreatmentgroupweresignificantlyimproved,andthedifferencecomparedwiththecontrolgroupwasstatisticallysignificant(P<0.05).Conclusion:Intensivemoxibustionacupuncturecombinedwithmassagetherapycanalleviatepain,reducejointinflammationandmuscleatrophy,andhasgoodclinicalefficacyandsafetyforcoldanddampnesstypepatellarsubcutaneousfatpadinjury.

Keywords:Intensivemoxibustionacupuncture;massage;patellarsubcutaneousfatpadinjury;coldanddampnesstype;clinicalefficacyobservatio。Introduction:

Patellarsubcutaneousfatpadinjuryisacommonconditionthataffectsmanypeople,especiallyathletesandthosewhoperformactivitiesthatrequirerepetitivekneemotions.Thepatellarsubcutaneousfatpadisasofttissuelocatedbetweenthepatellaandtheskin.Thisareaissusceptibletoinjuryduetoitsproximitytothepatellaandtheconstantpressureandfrictionthatitexperiencesduringactivitiesthatinvolvetheknee.

Thecoldanddampnesstypeofpatellarsubcutaneousfatpadinjuryischaracterizedbypain,swelling,andstiffnessinthekneejoint.TraditionalChinesemedicine(TCM)believesthatthistypeofinjuryiscausedbytheaccumulationofcoldanddampnessinthebody.IntensivemoxibustionacupunctureandmassagetherapyaretwoTCMtreatmentsthathavebeenusedtotreatthistypeofinjury.

Methods:

Atotalof60patientswithcoldanddampnesstypepatellarsubcutaneousfatpadinjurywereenrolledinthisstudy.Theywererandomlydividedintotwogroups:thetreatmentgroupandthecontrolgroup.Thetreatmentgroupreceivedintensivemoxibustionacupunctureandmassagetherapy,whilethecontrolgroupreceivedconventionaltreatment.Thetreatmentlastedforfourweeks.

Thevisualanalogscale(VAS)wasusedtoassessthelevelofpainexperiencedbythepatientsbeforeandafterthetreatment.Thecircumferenceofthekneejointandthecross-sectionalareaofthepatellarsubcutaneousfatpadweremeasuredbeforeandafterthetreatment.

Results:

Theresultsshowedthatthepainlevelinthetreatmentgroupdecreasedsignificantlyaftertreatmentcomparedtothecontrolgroup(P<0.05).Thecircumferenceofthekneejointinthetreatmentgroupalsodecreasedsignificantlyaftertreatment(P<0.05).Furthermore,thecross-sectionalareaofthepatellarsubcutaneousfatpadinthetreatmentgroupalsodecreasedsignificantlyaftertreatment(P<0.05).

Conclusion:

Intensivemoxibustionacupuncturecombinedwithmassagetherapycanalleviatepain,reducejointinflammationandmuscleatrophy,andhasgoodclinicalefficacyandsafetyforcoldanddampnesstypepatellarsubcutaneousfatpadinjury.ThisstudysuggeststhatTCMtreatmentscanbeeffectiveintreatingthistypeofinjuryandmaybeconsideredasanalternativeorcomplementarytreatmentoptionforpatientswithpatellarsubcutaneousfatpadinjury。Inconclusion,patellarsubcutaneousfatpadinjuryisacommonconditionthatcancausepersistentpain,inflammation,andmuscleatrophyintheaffectedarea.WhilestandardWesternmedicationcanhelpmanagesymptoms,itoftenfailstoaddresstherootcauseoftheinjury.TraditionalChineseMedicine,includingmoxibustionacupunctureandmassagetherapy,canprovideacomplementaryandeffectivetreatmentoptionforindividualswiththistypeofinjury.

Thefindingsofthisstudysuggestthatusingintensivemoxibustionacupunctureandmassagetherapycanalleviatepain,reducejointinflammationandmuscleatrophy,andcanbeconsideredasafeandeffectivetreatmentoptionforcoldanddampnesstypepatellarsubcutaneousfatpadinjury.Furthermore,unlikesomeWesterntreatments,TCMtreatmentsdonotpresentadversesideeffects,makingthemapotentiallymoreattractiveoptionforsomepatients.

Whilethisstudyprovidespromisingfindings,itisessentialtonotethatadditionalresearchisstillneededtofurthervalidatetheefficacyofTCMtreatmentsforpatellarsubcutaneousfatpadinjury.Furtherstudiescouldexaminethelong-termeffectsofTCMtreatments,evaluateadditionaltherapiesanddosages,andexploretheirefficacyfordifferenttypesofpatellarsubcutaneousfatpadinjury.Nonetheless,thefindingsofthisstudydemonstratethatTCMtreatmentshavethepotentialforsupportingthewell-beingandrecoveryofpatientswithpatellarsubcutaneousfatpadinjury。Inaddition,futurestudiescouldalsoinvestigatethemechanismsofactionunderlyingTCMtreatmentsforpatellarsubcutaneousfatpadinjury.ThecurrentstudydidnotexaminethespecificmechanismsbywhichTCMtreatmentsexerttheireffectsonsubcutaneousfatpadinjury.Understandingthesemechanismswillprovideinsightsintothephysiologicalprocessesinvolvedinthehealingofpatellarsubcutaneousfatpadinjuryandmayleadtothedevelopmentofmoretargetedandeffectivetreatments.

Moreover,itisimportanttonotethatTCMtreatmentsarenotareplacementforconventionalWesternmedicinetreatments.Instead,theyshouldbeusedasacomplementarytherapytoconventionaltreatments.PatientswithpatellarsubcutaneousfatpadinjuryshouldconsultwiththeirhealthcareproviderbeforetryinganyTCMtreatmentstoensurethattheyaresafeandappropriatefortheircondition.

Additionally,itiscrucialtoeducatepatientsabouttheimportanceofpreventivemeasuresinthemanagementofpatellarsubcutaneousfatpadinjury.Thisincludesmaintainingahealthyweight,engaginginregularphysicalactivity,usingproperergonomics,andtakingstepstopreventfallsandotherinjuries.

Inconclusion,thefindingsofthisstudysuggestthatTCMtreatmentsmaybeasafeandeffectivecomplementarytherapyforpatellarsubcutaneousfatpadinjury.However,furtherresearchisneededtovalidatetheseresults,exploreadditionaltreatmentoptionsanddosages,andinvestigatethemechanismsofactionunderlyingthesetherapies.HealthcareproviderscanplayanimportantroleineducatingpatientsaboutpreventivemeasuresandincorporatingTCMtreatmentsintoacomprehensivetreatmentplanforpatellarsubcutaneousfatpadinjury。InadditiontoTCMtreatments,thereareothercomplementarytherapiesthatmaybebeneficialforpatellarsubcutaneousfatpadinjury.Forexample,physicaltherapycanhelpimproverangeofmotionandreducepainandinflammation.Thismayincludestretchingexercises,manualtherapy,andmodalitiessuchasultrasoundorelectricalstimulation.

Insomecases,bracingortapingmaybeusedtosupportandprotectthepatelladuringactivity.Thiscanalleviatestressonthesubcutaneousfatpadandpreventfurtherdamage.

Assistivedevicessuchascrutchesorkneescootersmayalsoberecommendedtoreduceweight-bearingontheinjuredkneeandallowforproperrestandhealing.

It'simportanttonotethatwhilecomplementarytherapiescanbehelpful,theyshouldbeusedinconjunctionwithtraditionalmedicaltreatmentsandundertheguidanceofahealthcareprovider.Patellarsubcutaneousfatpadinjuriescanvaryinseverityandrequireindividualizedtreatmentplansbasedonthepatient'suniqueneedsandmedicalhistory.

Inconclusion,patellarsubcutaneousfatpadinjuriescanbeachallengingconditionforpatientstomanage.However,withproperdiagnosis,treatment,andself-carestrategies,patientscanrecoverfromtheirinjuriesandreturntotheirdailyactivities.TCMtreatments,physicaltherapy,bracing,andothercomplementarytherapiescanbeeffectiveinrelievingpainandinflammationandpromotinghealing.It'sessentialforhealthcareproviderstoeducatepatientsabouttheimportanceofpreventivemeasuresandincorporateacomprehensivetreatmentplantoensurethebestpossibleoutcome。Inadditiontotraditionaltreatmentmethods,incorporatingself-carestrategiesintoapatient'srecoveryplancanalsobehighlyeffective.Thisincludesthingslikerest,physicalactivitymodification,andpropernutritiontoaidinhealing.It'simportantforpatientstolistentotheirbodiesandtakethenecessarytimetorestandrecover,whilealsograduallyincreasingactivitylevelsundertheguidanceoftheirhealthcareprovider.

Otherself-carestrategiesmayincludetheuseofheatorcoldtherapy,massage,andstretching.Heattherapycanhelptoincreasebloodflowtotheaffectedareaandpromotemusclerelaxation,whilecoldtherapycanhelptoreduceinflammationandswelling.Massageandstretchingcanalsohelptoimproveflexibilityandreducemuscletension.

Forpatientswithchronicpainorongoingdiscomfort,complementarytherapiessuchasacupunctureandherbalmedicinemayalsobebeneficial.Acupuncture,inparticular,hasbeenshowntobeeffectiveintreatingawiderangeofmusculoskeletalconditions,includinginjuriestotheknee.

Preventionisalsokeyinmanagingkneeinjuries.Maintainingahealthyweight,usingpropertechniqueandequipmentduringphysicalactivity,andwearingappropriatefootwearcanallhelptoreducetheriskofkneeinjuries.Additionally,incorporatingexercisesthatfocusonstrengtheningthemusclesaroundthekneecanhelptoprovideaddedsupportandstability.

Inconclusion,kneeinjuriescanbeapainfulanddebilitatingcondition,butwithproperdiagnosis,treatment,andself-carestrategies,patientscanrecoverandreturntotheirdailyactivities.Byincorporatingacomprehensivetreatmentplanthatincludestraditionalmedicaltreatments,self-carestrategies,andcomplementarytherapies,patientscanbettermanagetheirpainandpromotehealing.Additionally,practicingpreventivemeasurescanhelptoreducetheriskoffuturekneeinjuries。TraditionalMedicalTreatments:

Traditionalmedicaltreatmentsforkneeinjuriesdependonthetypeandseverityoftheinjury.Somecommontreatmentsincludemedications,physiotherapy,andsurgery.Formildkneeinjuries,doctorsmayprescribepain-relievingmedicationssuchasacetaminophen,nonsteroidalanti-inflammatorydrugs(NSAIDs),ortopicalcreams.Incasesofmoresevereinjuriesorchronicpain,prescriptionmedicationssuchasopioids,corticosteroidsorhyaluronicacidinjectionsmayberecommended.

Physiotherapyinvolvesusingexercisesandstretchestostrengthenthemusclesaroundtheknee,reduceinflammation,andimprovemobility.Physiotherapistsmayalsousemodalitiessuchasheat,ice,orultrasoundtomanagepainandimproverecovery.

Inseverecases,surgerymaybenecessarytorepairdamagedtissuesorreplacethekneejoint.Kneesurgeriescanrangefromminimallyinvasivearthroscopicsurgeriestototalkneereplacementsurgery,dependingontheextentoftheinjury.

Self-CareStrategies:

Self-carestrategiesareimportantformanagingkneepainandpromotinghealing.Thesestrategiesincluderest,ice,compression,andelevation(RICE)therapy,weightmanagement,andexercise.

Restiscrucialduringtheinitialstagesofakneeinjury.Patientsshouldavoidactivitiesthatputunnecessarystrainontheknee,suchasrunningorjumping.Instead,theyshouldrestandelevatethelegtoreduceswelling.

Iceandcompressionhelptoreduceswellingandinflammation.Patientscanapplyanice-packtothekneefor10-15minutesatatime,severaltimesaday.Compressioncanbeachievedthroughtheuseofacompressionbandageorbrace.

Weightmanagementisimportantforreducingtheloadonthekneejoint.Excessiveweightcancausemorestressontheknee,increasingthelikelihoodofinjuryormakingrecoverymoredifficult.

Exerciseisimportantforstrengtheningthemusclesaroundthekneejoint.Low-impactexercisessuchasswimming,cycling,andyogacanhelpmaintainmobility,reducestiffness,andpreventfurtherinjuries.Consultingaphysiotherapistorexerciseprofessionalcanhelpdevelopanexerciseprogramtailoredtoindividualneeds.

ComplementaryTherapies:

Complementarytherapiescanhelptorelievepainandimproverecoveryinconjunctionwithtraditionalmedicaltreatments.Somepopularcomplementarytherapiesforkneeinjuriesincludeacupuncture,massagetherapy,andherbalremedies.

Acupunctureinvolvestheinsertionofthinneedlesatspecificpointsinthebodytostimulatehealingandrelievepain.Manypatientsreportareductioninpainandimprovedjointmobilityafteracupuncturetreatments.

Massagetherapycanpromoterelaxation,reducemuscletension,andimprovebloodflowtotheaffectedarea.Differentmassagetechniquescanbeused,dependingonthetypeofinjuryandindividualpreference.

Herbalremediessuchasturmeric,ginger,andBoswelliahaveanti-inflammatorypropertiesandmayhelptoreducepainandswelling.Itisimportanttoconsultahealthcareprofessionalbeforestartinganyherbalremediestoensuretheydonotinterferewithanyothermedications.

PreventiveMeasures:

Preventivemeasurescanhelptoreducetheriskoffuturekneeinjuries.Thesemeasuresincludemaintainingahealthybodyweight,usingpropertechniqueduringphysicalactivity,usingappropriat