关节镜下半月板切除术后针刺运动疗法同步等速肌力训练康复疗效观察  

Effect of acupuncture exercise therapy synchronizing isokinetic muscle strength training for postoperative rehabilitation of meniscectomy under arthroscopy

作　　者：崔淑仪 王俊辉 赵嘉欣 梁嘉妍 刘广添 严文 CUI Shu-yi;WANG Jun-hui;ZHAO Jia-xin;LIANG Jia-yan;LIU Guang-tian;YAN Wen(Center of Rehabilitation Medicine,Fifth People's Hospital of Foshan,Foshan 52821,Guangdong Province,China;Department of Rehabilitation Medicine,Zhujiang Hospital of Southern Medical University;Department of Rehabilitation Medicine,Third Affiliated Hospital of Sun Yat-Sen University;Department of Occupational Therapy,Dongguan Rehabilitation Hospital;Shishan Community Health Service Center of Nanhai District,Foshan City)

机构地区：[1]佛山市第五人民医院康复医学中心,广东佛山528211 [2]南方医科大学珠江医院康复医学科 [3]中山大学附属第三医院康复医学科 [4]东莞市康复医院作业治疗科 [5]佛山市南海区狮山镇社区卫生服务中心

出　　处：《中国针灸》2023年第10期1118-1122,共5页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药局中医药科研项目:20222211;佛山市“十四五”中医重点专科建设项目:ZDZKJS18。

摘　　要：目的:观察针刺运动疗法同步等速肌力训练对关节镜下半月板切除术后患者膝关节运动功能、稳定性、本体感觉及焦虑情绪的影响。方法:将70例关节镜下半月板切除术后患者随机分为观察组(35例,剔除2例、脱落2例)和对照组(35例,剔除2例、脱落1例)。两组均针刺患侧尺泽、内膝眼、犊鼻、阳陵泉等穴,30 min后膝部穴位起针,肘部穴位继续留针,观察组予针刺运动疗法同步等速肌力训练,对照组予常规针刺运动疗法。两组均每日1次,治疗7 d为一疗程,共治疗4个疗程。分别于治疗前后比较两组患者膝关节Lysholm评分、膝关节等速肌力屈/伸比值(H/Q)、关节位置感觉测定值(JPS)和汉密尔顿焦虑量表(HAMA)评分。结果:治疗后,两组患者膝关节Lysholm评分和H/Q较治疗前升高(P<0.001),且观察组高于对照组(P<0.001);两组患者JPS和HAMA评分较治疗前降低(P<0.001),且观察组低于对照组(P<0.05)。结论:针刺运动疗法同步等速肌力训练可有效提高关节镜下半月板切除术后患者膝关节运动功能,改善患者膝关节稳定性、本体感觉及焦虑情绪。Objective To observe the effect of acupuncture exercise therapy synchronizing isokinetic muscle strength training on the motor function,stability and proprioception of knee joint,as well as the anxiety emotion in patients after meniscectomy under arthroscopy.Methods A total of 70 patients after meniscectomy under arthroscopy were randomized into an observation group(35 cases,2 cases were eliminated,2 cases dropped off)and a control group(35 cases,2 cases were eliminated,1 case dropped off).Acupuncture was applied at Chize(LU 5),Neixiyan(EX-LE 4),Dubi(ST 35),Yanglingquan(CB 34),etc.on the affective side in the two groups.After 30 min,the needles of the knee joint area were withdrew,while the needle at elbow was continuously retained,the observation group was given acupuncture exercise therapy synchronizing isokinetic muscle strength training,and the control group was given conventional acupuncture exercise therapy.The treatment was given once a day,7-day treatment was taken as one course,and totally 4 courses were required in the two groups.Before and after treatment,the knee joint Lysholm score,the knee joint isokinetic muscle strength flexion/extension ratio(H/Q),joint position sense measurement(JPS)and Hamilton anxiety scale(HAMA)score were compared in the two groups.Results Afer treatment,the knee joint Lysholm scores and H/Q were increased compared with those before treatment in the two groups(P<0.001),and the knee joint Lysholm score and H/Q in the observation group were higher than those in the control group(P<0.001);the JPS and HAMA scores were decreased compared with those before treatment in the two groups(P<0.001),the JPS and HAMA score in the observation group were lower than those in the control group(P<0.05).Conclusion Acupuncture exercise therapy synchronizing isokinetic muscle strength training can effectively improve the motor function,stability and proprioception of knee joint,as well as the anxiety emotion in patients after meniscectomy under arthroscopy.

关 键 词：半月板损伤 关节镜下半月板切除术 针刺运动疗法 等速肌力训练 膝关节功能 

分 类 号：R246.2[医药卫生—针灸推拿学]