中药熏浴联合PNF治疗ACLR术后膝关节功能障碍的临床疗效研究  

Clinical Efficacy of Traditional Chinese Medicine Fumigation Combined with PNF in the Treatment of Knee Dysfunction after ACLR

作　　者：高松年 李民[1] 王海[1] 孙小星[1] GAO Song-nian;LI Min;WANG Hai;SUN Xiao-xing(The Third Affitiated Hospital of Nantong University,Nantong226000)

机构地区：[1]南通大学附属南通第三医院,江苏南通226000

出　　处：《实用中西医结合临床》2021年第24期1-3,7,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江苏省南通市卫生健康委员会面上课题(编号:MB2019027);江苏省南通市科技局指导性项目(编号:MSZ20197)。

摘　　要：目的:观察中药熏浴联合神经肌肉本体感觉促进技术(PNF)治疗关节镜下前交叉韧带重建(ACLR)术后膝关节功能障碍的临床疗效。方法:将48例ACLR术后膝关节功能障碍患者按随机数字表法分为实验组与对照组,各24例。两组患者均给予常规康复及PNF治疗,实验组另增加中药熏浴疗法。两组患者分别于治疗前、治疗2周、4周时进行视觉模拟评分法(VAS)、肿胀评分,膝关节主动活动度(AROM)、位置觉水平及平衡量表(BBS)、膝关节功能(LKSS)评分,并做比较分析。结果:治疗前两组VAS、肿胀评分,AROM、位置觉水平及BBS、LKSS评分比较,差异无统计学意义(P>0.05);治疗2周后,实验组VAS评分、肿胀评分、AROM水平及LKSS评分优于对照组(P<0.05),而两组位置觉水平、BBS评分比较,差异无统计学意义(P>0.05);治疗4周后,实验组VAS评分、肿胀评分、AROM、位置觉水平及BBS、LKSS评分均优于对照组(P<0.05)。结论:与单纯采用PNF治疗相比,中药熏浴疗法与PNF相结合的康复治疗方法对ACLR术后膝关节障碍的临床疗效更为显著。Objective:To observe the clinical effect of traditional Chinese medicine fumigation combined with neuromuscular proprioception promotion technology(PNF)on knee dysfunction after arthroscopic anterior cruciate ligament reconstruction(ACLR).Methods:48 Patients with knee dysfunction after ACLR were randomly divided into experimental group and control group,with 24 cases in each group.Both groups were given routine rehabilitation and PNF treatment,and the experimental group was added with traditional Chinese medicine fumigation therapy.Before treatment,2 weeks and 4 weeks after treatment,the two groups were evaluated by visual analogue scale(VAS),swelling score,active range of motion(AROM),position perception level and balance scale(BBS),knee function(LKSS)and a comparative analysis was made.Results:There was no significant difference in VAS,swelling score,AROM,position sensation,BBS and LKSS score between two groups before treatment(P>0.05);After 2 weeks of treatment,the scores of VAS,swelling,AROM and LKSS in the experimental group were better than those in the control group(P<0.05),but there was no significant difference in position sensation and BBS score between the two groups(P>0.05);After 4 weeks of treatment,the scores of VAS,swelling,AROM,position sensation,BBS and LKSS in the experimental group were better than those in the control group(P<0.05).Conclusion:Compared with PNF alone,the rehabilitation treatment of traditional Chinese medicine fumigation combined with PNF has a more significant clinical effect on knee dysfunction after ACLR.

关 键 词：膝关节功能障碍 关节镜下前交叉韧带重建 中药熏浴疗法 神经肌肉本体感觉促进技术 

分 类 号：R686.5[医药卫生—骨科学]