超早期中医介入对前交叉韧带重建术后本体感觉恢复的影响  

Influence on Proprioception Recovery of TCM Intervention in Super Early Rehabilitation after ACL Reconstruction

作　　者：苏尚贤[1] 叶英文[1] 谢海莲[1] 

机构地区：[1]广东省江门市新会区中医院,广东江门529100

出　　处：《中国医学创新》2017年第5期97-100,共4页Medical Innovation of China

摘　　要：目的:探讨超早期中医介入对前交叉韧带重建术后本体感觉恢复的影响。方法:选择本院2013年1月-2016年6月收治的经前交叉韧带重建手术治疗的患者140例作为研究对象,根据干预方法不同分为对照组和观察组,每组70例。对照组行常规康复训练法,观察组在其基础上行超早期中医介入法,参照视觉模拟评分法(VAS)对患者术前及术后3个月的主观疼痛感进行评分,分析患者膝关节活动度及肿胀度。并对两组患者术后3个月的被动位置觉及被动感知阂进行评价。结果:观察组与对照组术前休息、术前活动时疼痛视觉模拟评分比较,差异均无统计学意义(P>0.05);观察组患者术后3个月休息及活动时疼痛视觉模拟评分明显低于对照组,差异均有统计学意义(P<0.05);观察组患者膝关节术后1周肿胀度与对照组比较,差异无统计学意义(P>0.05);观察组患者术后1周活动度明显低于对照组,差异有统计学意义(P<0.05);而术后3个月膝关节活动度和肿胀度均明显优于对照组,差异均有统计学意义(P<0.05);两组患者健侧的本体感觉误差和被动感知阈比较,差异均无统计学意义(P>0.05);观察组治疗后患侧本体感觉误差和被动感知阈明显低于对照组,差异有统计学意义(P<0.05)。结论:经前交叉韧带重建手术患者超早期行中医介入治疗可明显改善和恢复患者膝关节功能及本体感觉能力。Objective： To study the influence on proprioception recovery of traditional Chinese medicine （ TCM ） intervention in super early rehabilitation after anterior cruciate ligament （ ACL ） reconstruction.Method： A total of 140 cases of ACL reconstruction who were admitted in our hospital from Jan 2013 to Jun 2016 were selected as the research subjects, they were divided into the control group and the observation group according to different intervention methods, 70 cases in each group.The control group underwent routine rehabilitation training method, the observation group underwent TCM intervention in super early rehabilitation based on roution.Used visual analogue scales （ VAS ） scored on subjective pain preoperative and postoperative three months, knee joint swelling degree and mobility of two groups were analysed.Evaluated the passive topesthesia and passive perception threshold at postoperative 3 months.Result： The differences of rest and activities pain VAS at preoperative between two groups were no statistic significant （ P〉0.05 ） .Rest and activities pain VAS at postoperative three month of the observation group were lower than those of the control group, the differences were statistic significant （P〉0.05） .The difference of knee joint swelling degree at postoperative one week between two groups was statistically significant （ P〈0.05 ） .Knee mobility at postoperative three month in the observation group was obviously lower than that of the control groups, and the difference was statistic significant （ P〈0.05 ） .Knee joint swelling degree and mobility at postoperative three month in the observation group were obviously lower than those of the control groups, and the differences were statistic significant （ P〈0.05 ） .The differences of proprioceptive error and passive perceived threshold in healthy side between two groups had no statistic significant （ P〉0.05 ） .Proprioceptive error and passive perceived threshold after treatment in the observation were obvi

关 键 词：中医介入 早期 前交叉韧带重建术 本体感觉恢复 康复 

分 类 号：R687.4[医药卫生—骨科学]