循经烫疗及穴位刺激对单侧前交叉韧带保残重建术后患者本体感觉康复的影响  

Effect of meridian scalding and acupoint stimulation on proprioception recovery in patients after unilateral anterior cruciate ligament reconstruction with remnant preservation

作　　者：王斌[1] 许建文[2] 秦刚[1] 米琨[1] 蒙延雄[1] 刘鹏飞[1] 惠桂生[1] 陶广林 黄浪 WANG Bi;XU Jian-wen;QIN Gang;MI Kun;MENG Yan-xiong;LIU Peng-fei;HUI Gui-sheng;TAO Guang-lin;HUANG Lang(The Second Department of Orthopedics,Xianhu Branch,the First Affiliated Hospital of Guangxi University of Chinese Medcine,Nanning 530023,China;Department of Rehabilitation Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西中医药大学第一附属医院仙葫院区骨二科,南宁市530023 [2]广西医科大学第一附属医院康复医学科,南宁市530021

出　　处：《广西医学》2018年第10期1145-1148,共4页Guangxi Medical Journal

基　　金：广西医药卫生科研课题(Z2016657)

摘　　要：目的探讨循经烫疗及穴位刺激对单侧关节镜下膝关节前交叉韧带(ACL)保残重建术后患者本体感觉康复的影响。方法选取50例单侧膝关节ACL断裂的患者,随机分为观察组及对照组,每组25例,均在关节镜下利用自体肌腱(股薄肌肌腱和半腱肌肌腱)保残重建ACL。术后对照组采用常规康复训练,观察组采用常规康复训练联合中药循足三阳经、足三阴经烫疗及膝关节周围特定穴位点压刺激治疗。术后4个月行膝关节被动角度重现试验,比较两组患者膝关节屈曲角度与感知角度之间的差值关节位置觉(JPS)。结果术后4个月,两组患者患侧膝关节各屈曲角度JPS均低于术前,且观察组均低于对照组(均P<0.05)。术后4个月,对照组患侧膝关节各屈曲角度JPS均高于健侧(均P<0.05),而观察组双侧膝关节各屈曲角度JPS比较,差异均无统计学意义(均P>0.05)。结论膝关节ACL损伤韧带重建术后采用康复训练联合中药循足三阳经、足三阴经烫疗及膝关节周围特定穴位点压刺激能有效促进膝关节本体感觉的恢复。Objective To explore the effect of meridian scalding and acupoint stimulation on the proprioception recovery in patients after arthroscopic unilateral anterior cruciate ligament（ ACL） reconstruction with remnant preservation. Methods Fifty cases of unilateral knee ACL rupture were selected and randomly divided into observation group and control group,with 25 cases in each group. All patients underwent arthroscopic ACL reconstruction with remnant preservation using autologous tendons（ gracilis tendon and semitendinosus tendon）. After operation,the control group accepted conventional rehabilitation training,while the observation group received conventional rehabilitation training combined with meridian scalding on Zusanyang and Zusanyin using traditional Chinese medicine plus acupressure stimulation therapy applied to surrounding specific acupoints of knee joint. The knee passive angle reproducibility test was performed at 4 months after operation,and the difference between the knee flexion range and the perception angle,joint position sense（ JPS）,was compared between the two groups. Results At 4 months after surgery,the ipsilateral knee JPS of each flexion range was lower than the preoperative in both groups,and the JPS of the observation group was lower than that of the control group（ all P〈0. 05）. At 4 months after operation,the ipsilateral knee JPS of each flexion range was higher than that of the uninjured side in the control group（ all P〈0. 05）,and there was no statistically significant difference in the JPS of each flexion range between the two sides of knee joint in the observation group（ all P〉0. 05）. Conclusion Rehabilitation training combined with meridian scalding on Zusanyang and Zusanyin using traditional Chinese medicine plus acupressure stimulation therapy applied to surrounding specific acupoints of knee joint can effectively promote the knee proprioception recovery after knee ACL reconstruction.

关 键 词：前交叉韧带断裂 保残重建术 循经烫疗 穴位刺激 本体感觉 

分 类 号：R686[医药卫生—骨科学]