威枫骨科外洗散薰洗联合神经肌肉电刺激对前交叉韧带重建术后膝关节功能恢复的影响  

Effects of steaming and washing therapy with Weifeng Guke(威枫骨科)external washing powder combined with neuromuscular electrical stimulation on knee function recovery after anterior cruciate ligament reconstruction

作　　者：林晓彤 吴宇峰[1] 彭杰威 LIN Xiaotong;WU Yufeng;PENG Jiewei(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528401,Guangdong,China)

机构地区：[1]中山市中医院,广东中山528401

出　　处：《中医正骨》2023年第5期8-13,共6页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察威枫骨科外洗散薰洗联合神经肌肉电刺激(neuromuscular electrical stimulation,NMES)对前交叉韧带(anterior cruciate ligament,ACL)重建术后膝关节功能恢复的影响。方法:将60例拟接受单侧ACL重建术的患者随机分为联合组和常规组。由同一团队医生实施ACL重建术后,常规组采用常规康复训练联合NMES治疗,联合组在常规组干预措施基础上采用威枫骨科外洗散薰洗。比较2组患者的膝关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、膝关节主动活动度、大腿周径萎缩指数、Lysholm膝关节评分及综合疗效。结果:①膝关节疼痛VAS评分。术后1 d时,2组患者膝关节疼痛VAS评分的差异无统计学意义[(6.00,1.25)分,(6.00,3.00)分,Z=-0.241,P=0.809];术后4周和术后8周时,联合组的膝关节疼痛VAS评分均低于常规组[术后4周:(3.00,1.00)分,(4.00,2.00)分,Z=-2.710,P=0.007;术后8周:(2.00,1.00)分,(3.00,1.00)分,Z=-3.294,P=0.001]。2组患者术后4周和术后8周时的膝关节疼痛VAS评分均较术后1 d时降低(联合组:χ^(2)=1.067,P=0.000;χ^(2)=1.833,P=0.000;常规组:χ^(2)=0.900,P=0.001;χ^(2)=1.800,P=0.000),术后8周时的膝关节疼痛VAS评分均较术后4周时降低(联合组:χ^(2)=0.767,P=0.009;常规组:χ^(2)=0.900,P=0.001)。②膝关节主动活动度。术前1 d时,2组患者膝关节主动活动度的差异无统计学意义[(100.50°,28.25°),(104.50°,22.50°),Z=0.015,P=0.988];术后4周和术后8周时,联合组的膝关节主动活动度均大于常规组[术后4周:(116.50°,5.00°),(110.00°,10.00°),Z=5.057,P=0.000;术后8周:(135.00°,4.25°),(135.00°,5.00°),Z=1.990,P=0.047]。2组患者术后4周和术后8周时的膝关节主动活动度均较术前1 d时增大(联合组:χ^(2)=0.967,P=0.011;χ^(2)=2.183,P=0.000;常规组:χ^(2)=0.933,P=0.016;χ^(2)=1.900,P=0.000),术后8周时的膝关节主动活动度均较术后4周时增大(联合组:χ^(2)=1.217,P=0.001;常规组:χ^(2)=1.267,P=0.001)。③大腿周径萎缩�Objective:To observe the effects of steaming and washing therapy with Weifeng Guke(威枫骨科,WFGK)external washing powder combined with neuromuscular electrical stimulation(NMES)on knee function recovery after anterior cruciate ligament reconstruction(ACLR).Methods:Sixty patients who would undergo unilateral ACLR were selected as the subjects and were randomly divided into combination treatment group and conventional treatment group by using random digits table,30 cases in each group.All patients in the 2 groups were treated with unilateral ACLR by the same surgeons,followed by the same conventional rehabilitation training and NMES,moreover,the patients in combination treatment group were further treated with steaming and washing therapy with WFGK external washing powder.The knee pain visual analogue scale(VAS)score,active range of motion(ROM)of knee,atrophy index of thigh circumference,Lysholm knee score(LKS)and total clinical outcome were compared between the 2 groups.Results:①There was no statistical difference in knee pain VAS score between the 2 groups at postoperative day 1((6.00,1.25)vs(6.00,3.00)points,Z=-0.241,P=0.809).The knee pain VAS score was lower in combination treatment group compared to conventional treatment group at postoperative week 4 and 8(postoperative week 4:(((3.00,1.00)vs(4.00,2.00)points,Z=-2.710,P=0.007;postoperative week 8:(2.00,1.00)vs(3.00,1.00)points,Z=-3.294,P=0.001),and it decreased in the 2 groups at postoperative week 4 and 8 compared to postoperative day 1(combination treatment group:χ^(2)=1.067,P=0.000;χ^(2)=1.833,P=0.000;conventional treatment group:χ^(2)=0.900,P=0.001;χ^(2)=1.800,P=0.000),and it was lower at postoperative week 8 compared to postoperative week 4 in the 2 groups(combination treatment group:χ^(2)=0.767,P=0.009;conventional treatment group:χ^(2)=0.900,P=0.001).②There was no statistical difference in knee active ROM between the 2 groups at preoperative day 1((100.50,28.25)vs(104.50,22.50)degrees,Z=0.015,P=0.988).The knee active ROM was greater in co

关 键 词：前交叉韧带重建术 薰洗疗法 神经肌肉电刺激疗法 康复 关节功能 

分 类 号：R687.4[医药卫生—骨科学]