康复训练联合改良输刺法治疗半月板缝合修复术后关节功能障碍临床研究

发布时间：2017-12-27 18:02

本文关键词：康复训练联合改良输刺法治疗半月板缝合修复术后关节功能障碍临床研究　出处：《中国针灸》2017年09期 　论文类型：期刊论文

【摘要】：目的:比较康复训练联合改良输刺法与单纯康复训练治疗半月板缝合修复术后关节功能障碍的临床疗效。方法:将71例半月板缝合修复术后患者随机分为观察组(36例)和对照组(35例),观察组采用康复训练联合改良输刺法治疗,针刺穴取足通谷、束骨、内庭、陷谷、侠溪、足临泣、大都、太白、行间、太冲,每日1次,连续针刺6 d,休息1 d,共治疗8周。对照组采用单纯康复训练治疗,包括股四头肌锻炼、膝关节活动度康复、患肢行走训练,连续治疗8周。于治疗前后记录患者日本骨科学分会(JOA)半月板损伤治疗后效果判定标准评分和视觉模拟量表(VAS)评分,并对比两组疗效。结果:两组患者治疗后JOA评分较治疗前明显提高、VAS评分较治疗前明显降低(均P0.05);且治疗后观察组均优于对照组(均P0.05)。治疗后观察组有效率为91.7%(33/36),优于对照组的80.0%(28/35),差异有统计学意义(P0.05)。结论:康复训练联合改良输刺法治疗半月板缝合修复术后临床疗效优于单纯康复训练治疗。
[Abstract]:Objective: To compare the clinical efficacy of rehabilitation training combined with improved puncture and simple rehabilitation training in the treatment of joint dysfunction after meniscus suture repair. Methods: 71 cases were randomly divided into meniscal suture repair after the patients into the observation group (36 cases) and control group (35 cases), the observation group received rehabilitation training combined with modified infusion needling treatment, acupuncture acupoints foot bone, beam Valley, Neiting, Rift Valley, creek, zulinqi, mostly, Taibai, Xingjian, Taichong, 1 times daily, 6 consecutive needle D, rest 1 D, a total of 8 weeks of treatment. The control group was treated with simple rehabilitation training, including four muscle exercises of femoral head, rehabilitation of knee joint activity, and walking training of the affected limbs for 8 weeks. Before and after treatment, we recorded the efficacy criteria and visual analogue scale (VAS) score of meniscus injury in Japanese Orthopaedic Association (JOA), and compared the efficacy between the two groups. Results: two groups of patients after treatment JOA score increased significantly before treatment, VAS score was significantly lower than before treatment (P0.05), and after treatment, the observation group was better than the control group (P0.05). After treatment, the effective rate of the observation group was 91.7% (33/36), which was better than that of the control group (80% (28/35)), and the difference was statistically significant (P0.05). Conclusion: the clinical efficacy of rehabilitation training combined with improved puncture method in the treatment of meniscus suture repair is better than that of simple rehabilitation training.
【作者单位】：唐山市第二医院康复科;
【基金】：全国名老中医专家孙光荣中和医派学术经验传承工作室项目河北省高层次人才资助项目:A 201500157; 唐山市科学技术研究与发展指导计划项目:13130245 b
【分类号】：R246.9
【正文快照】： 膝关节半月板损伤是膝关节常见损伤之一。膝关节半月板为纤维软骨,无血液供应,其营养主要来自滑膜,对膝关节软骨起保护、承重作用,是膝关节内的缓冲装置,因此一旦破裂,很难自行恢复[1]。膝关节半月板损伤后,由于肿胀、制动等原因,关节周围韧带、肌腱发生纤维性粘连、挛缩,进

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