作　　者： ; (庄珣）;

机构地区： 佛山市第五人民医院广东佛山528211

出　　处： 《广州中医药大学学报》 2020年第10期1918-1924,共7页

摘　　要： 【目的】观察针刺运动疗法对膝关节前交叉韧带(ACL)关节镜下重建术后肌肉力量康复的影响。【方法】将50例膝关节前交叉韧带重建术后的患者随机分为观察组和对照组,每组各25例,对照组给予传统针刺疗法治疗;观察组在对照组治疗的基础上,给予针刺运动疗法治疗,每日1次,7 d为1个疗程,连续治疗2个疗程。治疗后,观察2组患者治疗前后膝关节主动最大屈曲度、Lysholm膝关节评分、国际膝关节文献委员会(IKDC)主观膝关节评分的变化情况,并比较2组患者治疗前后股四头肌总功值和平均功率的变化情况。【结果】(1)治疗后,2组患者膝关节主动最大屈曲度、Lysholm膝关节评分、IKDC主观膝关节评分均明显改善(P<0.05),且观察组在改善膝关节主动最大屈曲度、Lysholm膝关节评分、IKDC主观膝关节评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的股四头肌总功值(STW)和平均功率(AP)均明显改善(P<0.05),且观察组在改善股四头肌总功值和平均功率方面均明显优于对照组,差异有统计学意义(P<0.05)。【结论】针刺运动疗法治疗膝关节前交叉韧带关节镜下重建的术后患者,能够有效地改善膝关节运动功能,促进患者膝关节康复,防止下肢萎缩,提高患者的肌肉力量,疗效显著。 Objective To observe the effect of acupuncture exercise therapy on the recovery of muscle strength after arthroscopic reconstruction of anterior cruciate ligament(ACL). Methods Fifty patients with ACL reconstruction were randomly divided into observation group and control group, 25 cases in each group. The control group received traditional acupuncture,and the observation group received acupuncture exercise therapy on the basis of the treatment of the control group,once a day,7 days constituted one treatment course,the treatment covered 2 continuous courses. After treatment, the changes in active maximum knee flexion, Lysholm knee score and International Knee Documentation Committee(IKDC)subjective knee score were observed in the two groups before and after treatment,and set total work(STW)and average power(AP)were compared before and after treatment.Results(1)After treatment,the active maximum knee flexion,Lysholm knee score and IKDC subjective knee score of the two groups were significantly improved(P<0.05),and the improvement in active maximum knee flexion,Lysholm knee score and IKDC subjective knee score of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the STW and AP of quadriceps femoris in the two groups were significantly improved(P<0.05),and the improvement in STW and AP of quadriceps femoris of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion Acupuncture exercise therapy can effectively improve the movement functions of knee joint,promote the rehabilitation of knee joint,prevent the atrophy of lower limbs,and improve the muscle strength in the patients with ACL reconstruction.

关 键 词： 针刺运动疗法 膝关节 前交叉韧带 重建手术 肌肉力量

领　　域： [医药卫生—针灸推拿学] [医药卫生—中医临床基础] [医药卫生—中医学]