针刺联合康复训练治疗前交叉韧带重建术后股四头肌萎缩的疗效观察  

Efficacy observation of acupuncture combined with rehabilitation training for quadriceps atrophy after anterior cruciate ligament reconstruction

作　　者：范喜良 王元新 曹晓强 于远东 FAN Xiliang;WANG Yuanxin;Cao Xiaoqiang;Yu Yuandong(Henan No.3 Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省直第三人民医院,郑州450000

出　　处：《上海针灸杂志》2023年第3期294-299,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河南省医学科技攻关计划项目(LHGJ20200235)。

摘　　要：目的观察针刺联合康复训练治疗前交叉韧带(anterior cruciate ligament,ACL)重建术后股四头肌萎缩的临床疗效。方法将92例ACL重建术后股四头肌萎缩的患者随机分为治疗组和对照组,每组46例。对照组采用康复训练,治疗组在康复训练基础上联合针刺治疗。观察两组治疗后视觉模拟量表(visual analog scale,VAS)评分、Lysholm评分、膝关节活动度、大腿周径萎缩指数、股四头肌厚度及伸膝肌力的变化,并比较两组临床疗效及治疗安全性。结果治疗组总有效率为93.5%,对照组为76.1%,两组比较差异有统计学意义(P<0.05)。两组治疗后Lysholm评分、VAS评分、膝关节活动度、大腿周径萎缩指数、股四头肌厚度、伸膝肌力分级与治疗前比较,差异有统计学意义(P<0.05);治疗组治疗后上述指标与对照组比较,差异有统计学意义(P<0.05)。两组治疗期间均未出现与治疗有关的不良事件。结论针刺联合康复训练能够有效改善ACL重建术后股四头肌萎缩,提高股四头肌厚度和肌力,增强患者膝关节功能。Objective To observe the clinical efficacy of acupuncture plus rehabilitation training for quadriceps atrophy after anterior cruciate ligament(ACL)reconstruction.Method Ninety-two patients with quadriceps atrophy after ACL reconstruction were randomly divided into a treatment group and a control group,with 46 cases in each group.The control group was offered rehabilitation training,and the treatment group was given rehabilitation training and acupuncture treatment.Changes in the visual analog scale(VAS)score,Lysholm score,knee joint range of motion,atrophy index of thigh circumference,quadriceps thickness,and knee extension muscle strength were observed after treatment.Clinical efficacy and treatment safety rating were also compared between the two groups.Result The total effective rate was 93.5%in the treatment group versus 76.1%in the control group,and the between-group difference was statistically significant(P<0.05).After treatment,the Lysholm score,VAS score,knee joint range of motion,atrophy index of thigh circumference,quadriceps thickness,and knee extension muscle strength grading changed significantly in both groups(P<0.05);the above measures in the treatment group were significantly different from those in the control group after treatment(P<0.05).There found no treatment-related adverse events during the intervention in either group.Conclusion Acupuncture plus rehabilitation training can effectively improve quadriceps atrophy after ACL reconstruction,increase quadriceps thickness and strength,and enhance the patient’s knee joint function.

关 键 词：针刺疗法 康复训练 前交叉韧带重建术 肌萎缩 大腿周径 股四头肌厚度 膝关节功能 肌力 

分 类 号：R246.2[医药卫生—针灸推拿学]