早期应用经皮穴位电刺激疗法防治ACL重建术后股四头肌萎缩的效果观察  

Effect of early application of percutaneous acupoint electrical stimulati on therapy on quadriceps atrophy after ACL reconstruction

作　　者：李青天 徐振文[1] 连占生 吴建华[1] 李嵩鹏 谢学儒[1] 郑威 骆志成 LI Qingtian;XU Zhenwen;LIAN Zhansheng;WU Jianhua;LI Songpeng;XIE Xueru;ZHENG Wei;LUO Zhicheng(Department of Orthopedics and Traumatology,Huizhou Hospital of Tradit ional Chinese Medicine,Huizhou 516001;Department of Orthopedics and Traumatology,Boluo Bohui Hospital of Tradition al Chinese Medicine,Huizhou 516127)

机构地区：[1]惠州市中医医院骨伤科,广东惠州516001 [2]博罗博惠中医医院骨伤科,广东惠州516127

出　　处：《当代医药论丛》2022年第4期153-155,共3页

基　　金：早期应用经皮穴位电刺激防治ACL重建术后股四头肌萎缩的临床疗效观察(编号:200427154578516,专题编号:20200417)。

摘　　要：目的:探讨早期应用经皮穴位电刺激疗法防治膝前交叉韧带(ACL)重建术后股四头肌萎缩的临床效果。方法:选取2020年2月至12月在惠州市中医医院进行关节镜下ACL重建术的60例ACL损伤患者,将其随机分为穴位电刺激组(30例)和常规功能训练组(30例)。对两组患者均进行关节镜下ACL重建术。在术后,对常规功能训练组患者进行常规的功能训练,在此基础上对穴位电刺激组患者进行经皮穴位电刺激治疗。然后对比两组患者双侧大腿周径的差值和患侧股四头肌的肌力。结果:(1)在术前1 d及术后3 d,两组患者双侧大腿周径的差值相比,差异无统计学意义(P>0.05)。在术后2周及术后4周,穴位电刺激组患者双侧大腿周径的差值均小于常规功能训练组患者,差异有统计学意义(P<0.05)。(2)在术前1 d,两组患者患侧股四头肌肌力分级的分布情况相比,差异无统计学意义(P>0.05)。在术后4周,两组患者患侧股四头肌肌力分级的分布情况均较术前1 d显著改善,相关数据差异有统计学意义(P<0.05);穴位电刺激组患者患侧股四头肌肌力分级的分布情况优于常规功能训练组患者,相关数据差异有统计学意义(P<0.05)。结论:早期应用经皮穴位电刺激疗法防治ACL重建术后股四头肌萎缩可取得良好的临床效果。Objective:To investigate the clinical effect of early application of percutaneous acupoint electrical stimulation therapy in the prevention and treatment of quadriceps atrophy after anterior cruciate ligament(ACL)reconstruction.Methods:A total of 60 patients with ACL injury who underwent arthroscopic ACL reconstruction in Huizhou Hospital of Traditional Chinese Medicine from February to December 2020 were selected and randomly divided into acupoint electrical stimulation group(n=30)and conventional functional training group(n=30).Arthroscopic ACL reconstruction was performed in both groups.After surgery,the patients in the conventional functional training group received routine functional training,and on this basis,the patients in the acupoint electrical stimulation group received percutaneous acupoint electrical stimulation treatment.Then,the difference of bilateral thigh circumference and the muscle strength of affected quadriceps muscle were compared between the two groups.Results:(1)There was no statistical significance in the difference of bilateral thigh circumference between the two groups 1 day before surgery and 3 days after surgery(P>0.05).At 2 weeks and 4 weeks after surgery,the difference of bilateral thigh circumference in the acupoint electrical stimulation group was smaller than that in the conventional functional training group,with statistical significance(P<0.05).(2)1 day before surgery,there was no statistical significance in the distribution of muscle strength grading of affected quadriceps femoris muscle between the two groups(P>0.05).At 4 weeks after surgery,the distribution of muscle strength grade of affected quadriceps femoris muscle in both groups was significantly improved compared with that 1 day before surgery,with statistical significance(P<0.05).The distribution of muscle strength grading of affected quadriceps femoris in the acupoint electrical stimulation group was better than that in the conventional functional training group,and the difference in relevant data was statistically

关 键 词：膝前交叉韧带 损伤 重建 关节镜 股四头肌萎缩 经皮穴位电刺激 

分 类 号：R684[医药卫生—骨科学]