中医推拿联合运动康复训练治疗膝关节半月板损伤临床研究  

Clinical Study on Tuina Combined with Exercise Rehabilitation Training for Meniscus Injury of Knee Joint

作　　者：张莹[1] 孟蓓毅 ZHANG Ying;MENG Beiyi

机构地区：[1]安吉县人民医院,浙江安吉313300

出　　处：《新中医》2021年第20期135-138,共4页New Chinese Medicine

摘　　要：目的:观察中医推拿联合运动康复训练治疗膝关节半月板损伤的临床疗效。方法:选取膝关节半月板损伤患者80例,按照随机数字表法分为观察组和对照组各40例。对照组采用运动康复训练进行干预,观察组在对照组的基础上给予中医推拿治疗。治疗2个月后,观察比较2组临床疗效,采用Lysholm膝关节功能评分量表评估2组治疗前后的膝关节功能变化,采用视觉模拟评分法(VAS)评估2组治疗前后疼痛情况,记录2组患者恢复正常生活的时间。结果:观察组临床总有效率为82.50%,对照组为55.00%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组Lysholm膝关节评分比较,差异无统计学意义(P>0.05);治疗后,2组Lysholm膝关节评分均较治疗前升高(P<0.05),且观察组评分高于对照组(P<0.05)。治疗前,2组疼痛VAS评分比较,差异无统计学意义(P>0.05);治疗后,2组VAS评分均较治疗前降低(P<0.05),且观察组VAS评分低于对照组(P<0.05)。观察组恢复正常生活时间为(32.17±4.97) d,对照组为(39.85±5.93) d,2组比较,差异有统计学意义(P<0.05)。结论:中医推拿疗法联合运动康复训练治疗膝关节半月板损伤具有较好的临床疗效,可减轻患者关节疼痛,促进膝关节功能恢复,缩短患者康复时间。Objective:To observe the clinical effect of tuina combined with exercise rehabilitation training for patients with meniscus injury of knee joint. Methods:A total of 80 cases of patients with meniscus injury of knee joint were divided into the observation group and the control group according to the random number table method,40 cases in each group. The control group was intervened with exercise rehabilitation training, and the observation group was additionally treated with tuina based on the treatment of the control group. After two-month treatment,the clinical effect in the two groups was observed and compared. The changes in knee joint function before and after treatment were evaluated by Lysholm Knee Scale,and the degree of pain in the two groups before and after treatment by Visual Analogue Scale(VAS) scores. The time of returning to normal life in the two groups was recorded. Results:The total clinical effective rate was 82.50% in the observation group and55.00% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of Lysholm Knee Scale(P>0.05). After treatment,the scores of Lysholm Knee Scale in the two groups were increased when compared with those before treatment(P<0.05), and the score in the observation group was higher than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the VAS scores(P>0.05). After treatment, the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the score in the observation group was lower than that in the control group(P<0.05). The time of returning to normal life was 32.17±4.97 days in the observation group and 39.85±5.93 days in the control group, the difference being significant(P<0.05). Conclusion: Tuina combined with exercise rehabilitation training for patients with meniscus injury of knee joint has better clinical effect,which can relieve articular p

关 键 词：膝关节半月板损伤 中医推拿 运动康复训练 Lysholm膝关节功能评分量表 

分 类 号：R684.7[医药卫生—骨科学]