“三七片结合运动”疗法创新干预MTSS的研究-东南大学学报医学版

“三七片结合运动”疗法创新干预MTSS的研究

单位：1. 南京森林警察学院特警学院, 江苏南京 210023;
2. 南京中医药大学医学与生命科学学院病理生理学系, 江苏南京 210023

分类号：R684;R681.2

出版年·卷·期（页码）：2018·37·第二期（225-228）

摘要：

目的：研究三七片结合运动疗法对特警学员胫骨疲劳性骨膜炎（MTSS）的疗效。方法：MTSS患者154例，随机分为三七片组、运动组和结合干预组3组。运动组采用维持原有训练的方法，三七片组应用口服三七片并停止训练的方法，结合干预组采用边维持训练边口服三七片的方法。对比3组学员在学期末MTSS愈合率和干预前后的胫骨平均骨密度、腰椎T评分、左右腿肌肉量、疼痛评分等指标的变化。结果：3组愈合速度由快到慢依次为结合干预组、三七片组和运动组；结合干预组的干预后主观疼痛数字等级评分（NRS）学期均值显著低于其他两组（P<0.05），下肢肌肉量显著高于其他两组（P<0.05）。结论：三七片结合运动干预降低训练过程NRS、促进MTSS愈合的效果最佳，可达到更好的训练效果。

Objective:To test the effects of the therapy of Sanqi tablets combining exercise on medial tibial stress syndrome(MTSS) of the SWAT trainees. Methods:154 participants with MTSS were divided into 3 groups randomly, including Sanqi tablets group, exercise group and combining intervention group. Participants in exercise group maintained the original training, while the Sanqi tablets group used oral Sanqi tablets without training, and combining intervention group adopted the method of maintaining training with oral Sanqi tablets.The MTSS healing rate of three groups were compared at the end of the semester.The tibia bone mineral density and average lumbar T score, left and right leg muscle mass, subjective pain numerical ratings scale (NRS) were tested before and after the intervention. Results:The healing rates of three groups (from fast to slow) were those of combining intervention group, the Sanqi tablets group and exercise group; the semester average NRS in combining intervention group after the intervention was significantly lower than that in the other two groups (P<0.05), and the lower limb muscle mass was significantly higher than that in the other two groups (P<0.05). Conclusion:Sanqi tablets combining exercise intervention can reduce the NRS during training process, achieve the best healing effect of MTSS.

参考文献：

[1] FRANKLY M,OAKES B.Aetiology and mechanisms of injury in medial tibial stress syndrome:current and future developments[J].World J Orthop,2015,6(8):577-589.
[2] KBLER W B,CHANDLER T J,STRACENER E S.Musculoskeletaladaption and injuries dueto overtraining[J].Exerc Sport Sci Rev,1992,20:99-126.
[3] TAYLOR L,HARRIS J,EPPS C,et al.Psychometric valuation of selected pain intensity scales for use with cognitively impaired and cognitively intact older adults[J].Rehab Nurs,2005,30(2):55-61.
[4] HJERMSTAD M J,FAYERS P M,HAUGEN D F,et al.European Palliative Care Research Collaborative (EPCRC).Studies comparing numerical rating scales,verbal rating scales,and visual analogue scales for assessment of pain intensity in adults:a systematic literature review[J].J Pain Symptom Manage,2011,41(6):1073-1093.
[5] 邢小平,孟迅吾,李文慧,等.胫骨超声速率与两种骨密度测定方法的比较[J].中国医学科学院学报,1998,20(1):28-34.
[6] WINTERS M,BAKKER E W,MOEN M H,et al.Medial tibial stress syndrome can be diagnosed reliably using history and physical examination[J/OL].Br J Sports Med,2017,pii:bjsports-2016-097037.doi:10.1136/bjsports-2016-097037.
[7] 陈文鹤.健身运动处方[M].北京:高等教育出版社,2014:3-6.
[8] CRAIG D I.Medial tibial stress syndrome evidence-based prevention[J].J Athl Train,2008,43(3):316-318.
[9] HUANG G,LV J,LI T,et al.Notoginsenoside R1 ameliorates podocyte injury in rats with diabetic nephropathy by activating the PI3K/Akt signaling pathway[J].Int J Mol Med,2016,38(4):1179-1189.
[10] GE Z R,XU M C,HUANG Y U,et al.Cardioprotective effect of notoginsenoside R1 in a rabbit lung remote ischemic postconditioning model via activation of the TGF-β1/TAK1 signaling pathway[J].Exp Ther Med,2016,11(6):2341-2348.
[11] 陈忠,曾金美,马智会,等.新建"大学城"学生最新心肺复苏急救技能知识调查及科普培训活动效果评价[J].现代医学,2017,45(10):1479-1482.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录