针刺联合康复训练对髌骨骨折内固定术后患者膝关节活动度及相关功能的影响  

Effects of Acupuncture Combined with Rehabilitation Training on the Motion Range of Knee Joint and Related Functions of Patients with Internal Fixation after Patellar Fracture

作　　者：梁辉[1] 卢英 陈启波[1] 曹湾 吴赞华[1] 郭佳[1] 李荣祝[1] LIANG Hui;LU Ying;CHEN Qibo;CAO Wan;WU Zanhua;GUO Jia;LI Rongzhu(Department of Rehabilitation,The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530021,China;Department of Acupuncture and Moxibustion,Guangxi International Hospital of Zhuang Medicine,Nanning,Guangxi 530021,China)

机构地区：[1]广西壮族自治区人民医院康复科,广西南宁530021 [2]广西国际壮医医院针灸科,广西南宁530021

出　　处：《湖南中医药大学学报》2019年第7期885-888,共4页Journal of Hunan University of Chinese Medicine

基　　金：广西壮族自治区卫生和计划生育委员会科研课题（Z20180762）

摘　　要：目的观察针刺联合康复训练对髌骨骨折内固定术后患者膝关节活动度及相关功能的影响。方法选取本院康复科收治的78例髌骨骨折内固定术后患者,按照随机数字表法将患者分为观察组和对照组,每组39例。对照组给予早期康复治疗,观察组在对照组的基础上给予针刺治疗,观察治疗前后两组患者的膝关节活动度、Bostman膝关节评分以及治疗后的WOMAC骨关节炎指数评分、临床疗效。结果(1)治疗后两组患者的膝关节活动度、Bostman膝关节评分均较治疗前升高(P<0.05),且观察组高于对照组(P<0.05);(2)治疗后观察组的疼痛、关节功能评分及WOMAC总分均低于对照组,差异有统计学意义(P<0.05);(3)治疗后观察组患者的优良率为89.74%,对照组为74.36%,两组比较差异有统计学意义(P<0.05)。结论针刺联合康复训练治疗髌骨骨折内固定术后患者,可提高膝关节活动度、减轻膝关节疼痛并且恢复膝关节功能,疗效优于单纯康复训练,值得推广。Objective To observe the effects of acupuncture combined with rehabilitation training on the motion range of knee joint and related functions of patients with internal fixation after patellar fracture.Methods A total of 78 patients with internal fixation after patellar fracture admitted in the rehabilitation department of our hospital were selected and divided into observation group and control group according to random number table method, with 39 cases in each group.The control group was given early rehabilitation treatment, while the observation group was given acupuncture treatment on the basis of treatment in the control group.The motion range of knee joint and Bostman knee joint score before and after the treatment, as well as the WOMAC osteoarthritis index score and clinical efficacy after the treatment of the 2 groups were observed.Results (1) After the treatment, the motion range of knee joint and Bostman knee score of the 2 groups were improved than those before the treatment (P<0.05), and those in the observation group was higher than those of the control group (P<0.05).(2) After the treatment, the pain, joint function score and WOMAC total score of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05).(3) After the treatment, the excellent and good rate of the patient in the observation group was 89.74%, while that in the control group was 74.36%.There was statistically significant difference between the 2 groups (P<0.05).Conclusion Acupuncture combined with rehabilitation training can improve the motion range of knee joint, relieve the knee pain and restore the knee functions in patients with internal fixation after patellar fracture.The curative effect is better than that of the rehabilitation training alone.It is worth popularizing.

关 键 词：髌骨骨折 内固定术 针刺 康复训练 膝关节活动度 Bostman膝关节评分 WOMAC骨关节炎指数评分 

分 类 号：R245[医药卫生—针灸推拿学] R683.42[医药卫生—中医临床基础]