低强度聚焦超声波结合运动治疗髌骨软化症的临床疗效.docxVIP

低强度聚焦超声波结合运动治疗髌骨软化症的临床疗效 Abstract： Objective： To determine the clinical effect of low-intensity focused ultrasound （LFU） combined with exercise therapy on chondromalacia patellae. From July to December 2018， 60 outpatients in the Department of Rehabilitation， Third Hospital of Peking University were selected and divided into three groups according to the order of visiting time. Treatment： 1）Conventional group： use the ultrasonic therapy of conventional physical therapy on the affected part， for 4 weeks; 2）Treatment Group： The affected part was treated with low intensity focused ultrasound for 4 weeks; 3）exercise therapy group： use low-intensity focused ultrasound to treat the affected part， and at the same time cooperate with exercise rehabilitation， for 4 weeks. The NRS pain score and Lysholm score were evaluated before treatment， in the middle of treatment， after treatment， 15 days after treatment and 30 days after the treatment. The long-term efficacy was evaluated by the follow-up data of 15 days and 30 days after the treatment. Results： The NRS score and Lysholm score of the three groups on the day after the end of treatment were significantly better than those before treatment ， and the differences were statistically significant（P0.05）; the NRS score and Lysholm score of the treatment group and the combined exercise treatment group at the middle of the course were significantly better than those of the conventional group， and the differences were statistically significant（P0.05）; the total effective rate of combined exercise therapy group was 90% on the 15th day and 85% on the 30th day after the end of the course of treatment（P0.05）. All three treatments were effective at the end of the course， where the total effective rate of low intensity focused ultrasound combined with exercise therapy was improved， and the difference was significant. Conclusion： Low intensity focused ultrasound solves the problems of treatment dose， fi