针刺在治疗膝关节前交叉韧带断裂中的应用  

Combination of traditional Chinese medicine and western medicine for treatment of anterior cruciate ligament rupture

作　　者：潘孝云[1] 温宏[1] 刘忠堂[2] 杨星光[2] 张瑞峰[1] 张宇[1] 

机构地区：[1]温州医学院附属第二医院,浙江温州325027 [2]上海市第六人民医院,上海200211

出　　处：《中医正骨》2012年第11期11-13,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：浙江省医学会临床科研基金项目(2011ZYC-A024);温州市科技计划项目(Y20120027)

摘　　要：目的:探讨关节镜下前交叉韧带重建术后行针灸治疗对膝关节功能康复的作用。方法:将关节镜下前交叉韧带重建手术的患者分为2组,第1组术后用非甾体类消炎药镇痛,第2组术后用非甾体类消炎药加针刺内麻点穴位镇痛。评价术后膝关节疼痛程度和屈曲锻炼的进度。结果:术后第24、48、72 h,两组患者卧床时疼痛程度相似。术后首次屈曲到30°时两组患者疼痛程度相似。术后首次屈曲到60°、90°时第2组疼痛程度明显低于第1组。术后屈曲达到90°所需要的时间,第2组明显短于第1组。结论:针刺内麻点穴位在前交叉韧带重建术后具有较理想的镇痛作用,能够促进膝关节功能康复。Objective：To explore the role of acupuncture in rehabilitation of knee joint after arthroscopic operation of ACL reconstruc-tion. Methods：Patients underwent ACL reconstruction were divided into two groups. The drug of NSAIDs was used for analgesia in the first group. The drug of NSAIDs and acupuncture were used for analgesia in the second group. The postoperative pain and the progress of exercise of flexion were evaluated. Results：At the 24th,48th and 72ud hour after operation, the degree of pain was similar between two groups at rest. The degree of pain was similar between two groups when flexion to 30 degrees at the first time. When flexion to 60 and 90 degrees at the first time, the pain was more severe in the second group than the first group. More time was spended for achieving 90 degree flexion in the first group than the second group. Conclusion：Acupuncture at Neimadian after ACL reconstruction can get good analgesic effect, and can promote the functional rehabilitation of knee joint.

关 键 词：前交叉韧带重建 功能锻炼 镇痛 针灸 内麻点穴位 

分 类 号：R246.2[医药卫生—针灸推拿学]