毫火针与针推治疗TKA术后疼痛及关节运动障碍的疗效观察  

Comparative Observation on the Effects of Using Fire Needle or Acupuncture and Massage Treatment Postoperative Pain and Joint Dyskinesia after TKA

作　　者：钟世荣[1] 陈铃 黄福茂 陈岗[4] ZHONG Shi-rong;CHEN Ling;HUANG Fu-mao;CHEN Gang(The Department of Rehabilitation,Jiangxi Provincial People's Hospital,Nanchang330006;The Department of General,the Eighth Hospital of Nanchang City Jiangxi Province,Nanchang330006;Wanli Branch of Jiangxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Nanchang330004;The Fourth Department of Orthopaedics,Jiangxi Provincial Hospital of Traditional Chinese Medicine,Nanchang330006)

机构地区：[1]江西省人民医院康复科,南昌330006 [2]江西省南昌市第八医院全科,南昌330006 [3]江西省中西医结合医院湾里区分院,南昌330004 [4]江西省中医院骨四科,南昌330006

出　　处：《实用中西医结合临床》2019年第11期4-6,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省卫生计生委中医学科研课题(编号：2016A129)

摘　　要：目的:对比毫火针与针推治疗全膝关节置换术后疼痛及关节障碍等并发症的临床疗效。方法:选取2016年8月~2018年8月收治的已行单膝全膝关节置换治疗的患者60例,随机分为观察组和对照组,各30例,分别采用常规康复训练+毫火针治疗和常规康复训练+普通针刺及推拿治疗。对比两组疗效,治疗前后视觉模拟评分、骨关节炎指数评分及骨关节炎指数量表各项评分,治疗安全性。结果:观察组治疗总有效率96.7%,对照组为90.0%,两组总有效率比较,差异无统计学意义(P>0.05)。两组治疗1周、2周后疼痛评分、骨关节炎指数评分均较治疗前有明显降低(P<0.05),且观察组治疗1周后、2周后疼痛评分、骨关节炎指数评分均明显低于对照组,差异有统计学意义(P<0.05)。两组治疗后骨关节炎指数量表各项评分均较治疗前明显下降(P<0.05),且观察组治疗1周及2周后骨关节炎指数量表各项评分低于对照组,差异有统计学意义(P<0.05)。两组在治疗过程中均未出现生理指标的异常变化,无针刺不良事件的发生。结论:采用毫火针与针推治疗全膝关节置换术后疼痛及关节运动障碍疗效相当,但毫火针在改善全膝关节置换术后患者的疼痛、肿胀及僵硬感方面的效果优于针推。Objective:To compared the clinical efficacy of the treatment of pain and joint dyskinesia after TKA with fire needle or acupuncture and massage.Methods:Sixty patients who underwent single-knee TKA treatment from August 2016 to August 2018 were divided into observation group(conventional rehabilitation training+fire needle,30 cases)and control group(conventional rehabilitation training+acupuncture and massage,30 cases).The efficacy of the two groups was compared after treatment.Visual analogue score,WOMAC score and WOMAC scale scores were used to evaluation the safety.Results:The total therapeutic eificiency rate was 96.7%in the observation group and 90.0%in the control group,there was no significant difference in the two groups(P>0.05).The VAS and WOMAC scores of the two groups were significantly lower than those before treatment after 1 week and 2 weeks(P<0.05),and the observation group were significantly lower than those in the control group(P<0.05).After treatment,the WOMAC of the two groups were significantly lower than those before treatment(P<0.05),and the observation group were lower than those of the control group after 1 week and 2 weeks(P<0.05).There were no abnormal changes in physiological indexes in the two groups during the treatment,and there was no adverse event of acupuncture.Conclusion:The effect of fire needle or acupuncture and massage on the treatment of postoperative pain and joint dyskinesia after TKA is equivalent.But the effect of fire needle on relieving the pain,tumidness and stiffness of patients after TKA is better than that of acupuncture and massage.

关 键 词：全膝关节置换术 疼痛 关节运动障碍 毫火针 针推 

分 类 号：R684.2[医药卫生—骨科学]