综合康复疗法治疗运动性膝关节损伤临床观察  

Clinical study of Comprehensive Rehabilitation Therapy on Exercise-Induced Knee Joint Injury

作　　者：侯建鹏[1] 高俊虎[1] 刘建伟[1] 王博仑 孟佳珩[1] 刘巍[1] 张燕丽[1] HOU Jianpeng;GAO Junhu;LIU Jianwei;WANG Bolun;MENG Jiaheng;LIU Wei;ZHANG Yanli(Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2020年第4期36-39,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金项目,编号:LH2019H057。

摘　　要：目的:观察综合康复疗法对运动性膝关节损伤临床疗效及对疼痛评分(VAS评分)、Lysholm评分和关节腔中C反应蛋白的影响。方法:选择符合纳入标准的运动性膝关节损伤患者100例,按照随机数字表随机分为两组,分别为综合康复组50例与对照组50例。对照组采用关节腔注射玻璃酸钠进行治疗,综合康复组在对照组的基础上采用综合康复疗法(包括电针、按摩及中药贴敷疗法),两组患者均治疗8周。比较治疗后两组患者的临床疗效,观察关节腔中C反应蛋白水平的变化情况,采用VAS评分量表对治疗前后的疼痛情况、Lysholm膝关节评分量表对治疗前后膝关节功能进行评分并比较。结果:治疗后综合康复组总有效率98%(49/50),对照组总有效率88%(44/50),两组总有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后疼痛评分(VAS评分)和C反应蛋白均降低,且综合康复组优于对照组(P<0.05);Lysholm评分均升高,且综合康复组优于对照组(P<0.05)。结论:综合康复疗法能够有效缓解运动性膝关节的疼痛程度,更好地促进运动性膝关节功能的恢复,其机制可能与降低关节腔内炎症反应相关。Objective:To observe the effect of comprehensive rehabilitation therapy on the clinical efficacy,VAS scores,Lysholm scores and C-reactive protein of articular cavity in the treatment of exercise-induced knee joint injury.Methods:100 cases met the inclusion criteria were randomly divided into the treatment group(n=50)and the control group(n=50).The control group was treated with intra-articular injection of sodium hyaluronate;on which basis,the treatment group was also treated with the comprehensive rehabilitation therapy,such as acupuncture,massage and TCM external application.Both groups were treated for 8 weeks.The clinical efficacy and C-reactive protein level of the joint cavity were compared after the treatment between the two groups.VAS scores and Lysholm scores were used to evaluate the pain and knee function before and after the treatment in the two groups.Results:The total effective rate of the treatment group was 98%and it was 88%in the control group.The differences in clinical efficacy were statistical significance between the two groups(P<0.05).The VAS scores and levels of C-reactive protein were decreased in the two groups after the treatment,and the decreases in the treatment group were more significant(P<0.05).The Lysholm scores were increased in both groups after the treatment,and the increase in the treatment group was more obvious(P<0.05).Conclusion:Comprehensive rehabilitation therapy can effectively alleviate the pain degree of exercise-induced knee joint and promote the recovery of knee joint function.Its mechanism may be related to the reduction of intra-articular inflammatory responses.

关 键 词：膝关节 运动损伤 电针 康复 综合疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]