中药循经烫疗联合穴位刺激对膝关节前交叉韧带保残重建术后本体感觉的影响  

Effect of acupoint stimulation by hot compress with traditional Chinese medicine along related meridian on proprioception after anterior cruciate ligament reconstruction with remnant preservation

作　　者：王斌[1] 许建文[2] 米琨[1] 秦刚[1] 蒙延雄[1] 刘鹏飞[1] 惠桂生[1] 黄莉[1] 宁波 陶广林 WANG Bin;XU Jianwen;MI Kun;QIN Gang;MENG Yanxiong;LIU Pengfeng;HUI Guisheng;HAUNG Li;NING Bo;TAO Guanglin(the Second Department of Orthopedics,Xianhu District of the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning,Guangxi 530200,China;Department of Rehabilitation,the First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 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530200 [2]广西医科大学第一附属医院康复医学科,南宁市530021

出　　处：《微创医学》2018年第3期293-296,共4页Journal of Minimally Invasive Medicine

基　　金：广西区卫计委医药卫生科研课题(编号:Z2016657)

摘　　要：目的探讨中药循经烫疗联合膝关节周围穴位刺激对膝关节前交叉韧带保残重建术后本体感觉的影响。方法选取75例膝关节前交叉韧带断裂患者为观察对象,利用随机数字表法将患者随机分为3组(对照1组、对照2组及观察组),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)重建前交叉韧带。术后对照1组采取常规康复方法,对照2组采取常规康复加本体感觉训练方法,观察组采取常规康复加中药循经烫疗及膝关节周围穴位刺激方法。术后4个月,应用CPM机完成测试及Lysholm评分。结果所有患者均获得随访。观察组、对照2组Lysholm评分均高于对照1组,差异均有统计学意义(P<0.05);观察组与对照2组比较,差异无统计学意义(P>0.05)。在膝关节被动角度重现差异方面,对照1组患侧膝关节三阶段偏差与健侧比较,差异有统计学意义(P<0.05);对照2组患侧膝关节三阶段偏差与健侧比较,差异无统计学意义(P>0.05);观察组患侧膝关节三阶段偏差与健侧比较,差异无统计学意义(P>0.05)。结论中药循经烫疗联合膝关节周围特定穴位的按压能促进膝关节前交叉韧带重建术后早期本体感觉的恢复。Objective To investigate the effect of hot compress with traditional Chinese medicine along related meridian and acupoint stimulation around knee joint on proprioception after anterior cruciate ligament reconstruction with remnant preservation. Methods Seventy-five patients with anterior cruciate ligament rupture were selected as the subjects. The patients were divided into control group 1, control group 2 and observation group using random number table, with 25 cases in each group. All patients underwent The anterior cruciate ligament reconstruction with autogenous tendon （gracilis tendon and semitendinosus tendon） under arthroscopy. After operation, the routine rehabilitation was conducted in the control group 1, the 2 the routine rehabilitation combined with proprioception training in the control group 2, and hot compress with traditional Chinese medicine along related meridian and acupoint stimulation around knee joint in the observation group on the basis of routine rehabilitation. After 4 months of operation, the test using CPM machine and Lysholm score assessment were performed. Results All patients were followed up. The Lysholm score assessment of the knee joint was performed in all cases, Significant difference in the Lysholm score was found between the observation group and the control group 2（ P 〈0.05）. But there was no significant difference in the score between the observation group and the control group 2 （ P 〉0.05）. In terms of the knee joint passive angle passive angle reproduction, there was no significant difference in the three-stage deviation between the affected knee joint and normal side in the control group 1 （ P 〈0.05）. But in the control group 2 and the observation group, there were no significant difference in the three-stage deviation between the affected knee joint and normal side （ P 〉0.05）. Conclusion Hot compress with traditional Chinese medicine along related meridian and acupoint stimulation around knee joint can improve the proprioception after ant

关 键 词：前交叉韧带 关节镜 重建术 本体感觉 中药 烫疗 穴位刺激 

分 类 号：R658.3[医药卫生—外科学]