凌雁

[摘要] 目的 探討肌内效贴在肌肉骨骼损伤康复中对患者运动功能的促进效果。 方法 选取2015年11月至2019年1月于我科就诊并诊断为肌肉骨骼损伤的患者86例，随机分为两组。对照组给予常规的康复治疗，观察组在给予常规的康复治疗的同时配合肌内效贴治疗，分析两组患者治疗24 h、48 h后白细胞介素-6（IL-6）及血清肌酸激酶（CK）水平，两组治疗前后徒手肌力（MMT）评分、Berg平衡量表（BBS）评分、计时起立行走测试（TGUT）评分及护理满意度。 结果 两组治疗前IL-6、CK水平组间比较，差异无统计学意义（P>0.05）。观察组治疗24 h、48 h后IL-6水平[（1.68±0.29）pg/mL、（1.87±0.31）pg/mL）]及CK水平[（352.63±94.74）U/L、（296.89±80.78）U/L]均低于对照组（P<0.05）。两组治疗前徒手肌力（MMT）评分、Berg平衡量表（BBS）评分、计时起立行走测试（TGUT）组间比较，差异无统计学意义（P>0.05）。观察组治疗后MMT评分为（4.25±0.59）分、BBS评分为（39.26±5.87）分高于对照组，TGUT[（20.45±6.14）s]时间短于对照组（P<0.05）。观察组康复满意度（95.35%）高于对照组（81.40%），差异有统计学意义（P<0.05）。 结论 肌内效贴用于肌肉骨骼损伤康复可降低患者血清IL-6、CK的表达水平，促进下肢肌力和平衡能力的恢复，患者满意度高。

[关键词] 肌内效贴;肌肉骨骼损伤;康复;平衡能力

[中图分类号] R873          [文献标识码] A          [文章编号] 1673-9701（2021）07-0013-04

The promoting effect of intramuscular patch on motor function of patients with musculoskeletal injury in rehabilitation

LING Yan

Department of Rehabilitation， Shandong Sports Rehabilitation Research Center， Ji′nan   250102， China

[Abstract] Objective To explore the promoting effect of intramuscular patch on motor function of patients with musculoskeletal injury in rehabilitation. Methods A total of 86 patients admitted to Department of Rehabilitoc and diagnosed with musculoskeletal injuries from November 2015 to January 2019 were randomly divided into the control group and the observation group. The control group was given conventional rehabilitation， while the observation group was given conventional rehabilitation with intramuscular patch. The levels of interleukin-6 （IL-6） and creatine kinase （CK）， the scores of manual muscle test（MMT）， Berg balance scale （BBS） and time up and go test （TGUT）， and nursing satisfaction were analyzed before and after treatment in the two groups of patients were analyzed within 24 hours and 48 hours after treatment. Results Before treatment， there were not statistically significant differences in the levels of IL-6 and serum CK between the two groups （P>0.05）. The levels of IL-6  and CK in the observation group were lower than those in the control group （[1.68±0.29] pg/mL vs. [1.87±0.31] pg/mL， [352.63±94.74] U/L vs. [296.89±80.78] U/L， P<0.05）]. Before treatment， there was no significant difference in MMT score， BBS score and TGUT between the two groups， and the differences were statistically significant（P>0.05）. After treatment， MMT score （[4.25±0.59] points） and BBS score （[39.26± 5.87] points）  in the observation group were higher than those in the control group， and TGUT time （[20.45±6.14]s） was shorter than that in the control group（P<0.05）. The rehabilitation satisfaction of the observation group was 95.35%，which was higher than 81.40% of the control group， and the difference was statistically significant（P<0.05）. Conclusion Intramuscular patch of musculoskeletal injury in rehabilitation can reduce the expression level of serum IL-6 and CK， promote the recovery of muscle strength and balance ability of lower extremity， and achieve high patient satisfaction.

[Key words] Intramuscular patch; Musculoskeletal injury; Rehabilitation; Balance ability

肌肉骨骼损伤是临床常见的外伤性疾病，以下肢肌肉骨骼损伤较为常见，与运动负荷过大、用力不当、重复性动作、作业时间较长或强制体位有关，可引起疼痛、肿胀、活动受限等症状，需要接受康复治疗以缓解疼痛、减轻肿胀、恢复肌张力和运动模式[1]。但常规康复训练的效果与患者的治疗配合度、运动要领掌握程度有关，康复效果参差不齐，有部分患者治疗效果并不理想，疼痛、肿胀、活动受限等症状改善不佳，甚至遗留肢体运动受限而致残[2]。肌内效贴是一种用于体表的弹力绷带，与传统贴布相比具有延展性好、非侵入性的优点，可改善血液循环、淋巴回流，有效缓解伤处疼痛、肿胀程度，还可调整关节稳定性，改善关节活动度，并对皮肤产生刺激，增加肌肉条件反射，进而促进肌力恢复，在竞技体育和康复临床应用较多[3]。本研……