作　　者： ; (庄珣）;

机构地区： 佛山市第五人民医院广东佛山528200

出　　处： 《康复学报》 2020年第4期275-279,共5页

摘　　要： 目的:观察针刺运动疗法对前交叉韧带(ACL)关节镜下重建术后患者等速肌力和运动能力的影响。方法:选择2019年1月—12月佛山市第五人民医院收治的膝关节ACL完全断裂患者50例,采用随机数字表法分为对照组和观察组,每组25例。2组均接受膝关节镜下重建ACL手术。对照组术后给予传统运动疗法,包括主动屈膝训练、等长收缩训练、闭链静蹲练习;每组训练后休息1 min,完成3组训练后休息2 min,每次训练做3个循环。观察组术后给予针刺运动疗法,针刺患者健侧膝痛穴,进针行捻转平补平泻法(频率为120次/min,以患者耐受为度,1 min/次),得气后进行主动屈膝训练、等长收缩训练、闭链静蹲练习,训练方法同对照组。针刺得气后进行下一组训练,完成3组训练后休息2 min,每次训练做3个循环,最后1个循环训练完成后行针得气出针。以上2组均每日训练1次,30 min/次,每周训练7 d,7 d为1个疗程,共持续训练4个疗程。在治疗前及治疗4个疗程后,采用量角器测量膝关节主动关节活动度;采用Lysholm膝关节评分、国际膝关节评分委员会(IKDC)主观膝关节评分评价膝关节功能;采用等速肌力测试系统采集患侧膝关节伸膝运动时股四头肌峰力矩(PT)、平均功率(AP)和总功(TW)。结果:治疗前,2组膝关节最大屈曲度、Lysholm评分、IKDC评分、股四头肌PT、AP、TW比较无明显区别,差异无统计学意义(P>0.05)。与治疗前比较,治疗4个疗程后2组膝关节最大屈曲度、Lysholm评分、IKDC评分、股四头肌PT、AP、TW均明显改善,差异具有统计学意义(P<0.05)。与对照组比较,观察组膝关节最大屈曲度、Lysholm评分、IKDC评分、股四头肌PT、AP、TW均明显改善,差异具有统计学意义(P<0.05)。结论:针刺运动疗法可有效改善ACL重建术后患者膝关节主动关节活动度,提高膝关节运动功能和股四头肌肌肉力量,防止肌肉萎缩,值得临床推广。 Objective:To observe the effect of acupuncture and exercise therapy on isokinetic muscle strength and exercise ability of patients after arthroscopic reconstruction of anterior cruciate ligament(ACL).Methods:A total of fifty patients with complete ACL rupture of knee joint treated in the fifth People's hospital of Foshan from January to December 2019.The patients were randomly divided into the control group and the observation group according to the method of random number table,with 25 cases in each group.Both groups received arthroscopic reconstruction of ACL.The control group was given traditional exercise therapy after operation,including active knee flexion training,isometric contraction training,closed-chain squatting training;each item rest one minute after training,and rest two minutes after training for three items,each training for three cycles.After operation,the observation group was given acupuncture exercise therapy,acupuncture at the knee pain points on the healthy side of the patients,and then the acupuncture was performed with the method of twirling,smoothing,toning and catharsis(the frequency was 120 times a minute,with the tolerance of the patients as the degree,one minute a time).After getting Qi(bring about the desired sensation),the patients were given active knee flexion training,isometric contraction training and closed-chain squat training,and the training method was the same as that of the control group.After acupuncture,the next training was carried out.After the training for three items,the patients took a rest for two minutes,and each training was done for three cycles.After the completion of the last cycle training,the needle was pulled out from the skin.The two groups were trained 30 minutes a time,once a day,7 days a week and 7 days per course,continuous training for four courses.Before and after four courses of treatment,the range of motion of knee active joint was measured by protractor,the knee function was evaluated by Lysholm knee joint score and IKDC subjective knee score,and

关 键 词： 前交叉韧带 重建术 膝关节 针刺运动疗法 等速肌力 运动能力

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]