针刺联合中药熏蒸治疗髌下脂肪垫损伤的临床观察

Clinical Observation on the Combined Acupuncture and Herbal Fumigation in Treating Infrapatellar Fat Pad Injury

摘要: 目的：研究针刺联合中药熏蒸治疗髌下脂肪垫损伤患者的临床疗效。方法：选取符合纳入标准的66例髌下脂肪垫损伤患者，随机分为3组，针刺组给予针刺治疗，熏蒸组给予中药熏蒸治疗，联合治疗组给予针刺及中药熏蒸治疗。比较三组治疗前后的VAS评分及Lysholm功能评分。结果：三组在治疗后的VAS疼痛评分均具有显著的下降，Lysholm膝关节功能评分有十分显著的上升，联合治疗组与其他两组比较差异均有统计学意义(P < 0.05)。三组有效率比较，针刺组有效率63.6%，熏蒸组有效率72.7%，联合治疗组有效率95.5％，联合治疗组有效率明显高于其他两组。结论：通过针刺联合中药熏蒸治疗髌下脂肪垫损伤的患者临床症状缓解明显，安全性高，操作可行性高，患者容易接受，值得临床推广使用。

Abstract: Objective: To investigate the clinical efficacy of combined acupuncture and herbal fumigation in treating patients with infrapatellar fat pad injury. Methods: Sixty-six patients meeting the inclusion criteria for infrapatellar fat pad injury were randomly divided into three groups: the acupuncture group (receiving acupuncture treatment), the fumigation group (receiving herbal fumigation therapy), and the combination therapy group (receiving both acupuncture and herbal fumigation). Visual Analog Scale (VAS) pain scores and Lysholm knee function scores were compared before and after treatment across the three groups. Results: All three treatment groups demonstrated significant reductions in post-treatment VAS pain scores (P < 0.05) and marked improvements in Lysholm knee function scores. The combination therapy group showed statistically significant differences compared to the other two groups (P < 0.05). Regarding clinical efficacy rates, the acupuncture group achieved 63.6%, the fumigation group 72.7%, and the combination therapy group 95.5%, with the latter showing significantly higher efficacy than the other two groups. Conclusion: The combined use of acupuncture and herbal fumigation significantly alleviates clinical symptoms in patients with infrapatellar fat pad injury. This approach demonstrates high safety, feasibility, and patient acceptance, making it worthy of clinical promotion.