指压阳明经穴为主治疗膝关节置换术后功能康复疗效观察  

Effect of Thumb Pressing at Yangming Meridian on Function Rehabilitation After Total Knee Arthroplasty

作　　者：顾钧青 梁永瑛 吕瑛[4] 肖涟波 Gu Jun-qing;LIANG Yong-ying;Lü Ying;XIAO Lian-bo(Medical College of Yangzhou University, Yangzhou 225001, China;Shanghai Changning Tianshan Traditional Chinese Medicine Hospital, Shanghai 200051, China;Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 200052, China;Tongren Hospital Affiliated to School of Medicine of Shanghai Jiaotong University, Shanghai 200336, China)

机构地区：[1]扬州大学医学院,扬州225001 [2]上海市长宁区天山中医医院,上海200051 [3]上海市光华中西医结合医院,上海200052 [4]上海交通大学医学院附属同仁医院,上海200336

出　　处：《上海针灸杂志》2017年第11期1348-1351,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市长宁区卫生和计划生育委员会科研基金项目(20164Z003)

摘　　要：目的观察指压阳明经穴为主对于膝骨关节炎全膝关节置换术后(TKA)功能康复的临床疗效。方法将60例膝骨关节炎全膝关节置换术后患者随机分为治疗组(指压阳明法配合常规康复)和对照组(单纯常规康复),每组30例。治疗组采用拇指按揉法按压足阳明经和足太阴经的穴位,并配合CPM机被动屈伸康复训练,对照组采取CPM机被动屈伸康复训练的治疗方法。观察两组治疗前后膝关节美国特种外科医院评分(HSS评分)、膝骨关节炎美国膝关节协会评分(KSS评分)以及膝骨关节炎WOMAC评分。结果两组治疗后HSS评分、KSS评分和WOMAC评分改善程度与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组HSS评分、KSS评分和WOMAC评分改善程度均优于对照组,差异均有统计学意义(P<0.05)。结论指压阳明经穴为主配合常规康复治疗膝骨关节炎全膝关节置换术后的疗效优于单纯常规康复治疗。Objective To observe the effect of thumb pressing at Yangming Meridian on the function rehabilitation after total knee arthroplasty （TKA） for knee osteoarthritis （KOA）. Method Sixty KOA patients after TKA were randomized into a treatment group （thumb pressing at Yangming Meridian plus conventional rehabilitation） and a control group （single conventional rehabilitation）, 30 cases each. The treatment group was intervened by thumb pressing and kneading manipulation at the acupoints of Foot Yangming Meridian and Foot Taiyin Meridian plus rehabilitation training of passive flexion and extension by CPM machine, while the control group was intervened by rehabilitation training of passive flexion and extension by CPM machine. The American Hospital for Special Surgery （HSS） for knee joint, the American Knee Society score （KSS） and the Western Ontario and the McMaster Universities Osteoarthritis Index （WOMAC） of KOA were used to evaluate the function. Result After the treatment, the HSS, KSS and WOMAC scores were changed significantly in both groups （P〈0.05）. The improvements of HSS, KSS and WOMAC scores in the treatment group were superior to those in the control group, and the differences were statistically significant （P〈0.05）. Conclusion The efficacy of thumb pressing at Yangming Meridian plus conventional rehabili- tation for post-TKA KOA is superior to single conventional rehabilitation.

关 键 词：穴位疗法 膝关节置换术 点穴疗法 阳明经 功能康复 

分 类 号：R246.2[医药卫生—针灸推拿学]