“开通玄府、养血柔筋”中药结合MTT医学训练式治疗对前交叉韧带重建术后康复疗效观察  

Therapeutic Effect of "Opening Xuanfu, Nourishing Blood and Softening Tendons" Prescription Combined withMTT Medical Training Therapy on Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction

作　　者：庄晨[1] 林映欣[1] 朱立 林月青 黄伟松 ZHUANG Cheng;LIN Yingxin;ZHU Li;LIN Yueqing;HUANG Weisong(Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou,Fujian 363000)

机构地区：[1]漳州市中医院,福建漳州363000

出　　处：《中医康复》2024年第12期49-54,共6页Traditional Chinese Medicine Rehabilitation

基　　金：福建省卫健委科技计划项目(2020QNB041)。

摘　　要：目的:分析在前交叉韧带重建术后应用“开通玄府、养血柔筋”中药结合MTT医学训练式治疗的疗效。方法:纳入2021年1月~2023年6月漳州市中医院骨伤科收治的180例接受前交叉韧带重建术治疗的患者作为研究对象,应用随机数字表法分为对照组、MTT组和试验组各60例,分别行传统康复治疗、MTT医学训练式治疗和MTT医学训练式治疗+“开通玄府、养血柔筋”中药,比较三组康复治疗前后疼痛情况、膝关节主动关节活动度和肌肉力量情况、Tegner Lysholm膝关节评分。结果:康复治疗2周、4周、8周和16周后,三组疼痛VAS评分差异有统计学意义(P<0.05),其中试验组最低,其次为MTT组,对照组最高;三组膝关节主动关节活动度差异具有统计学意义(P<0.05),其中试验组最大,其次为MTT组,对照组最小。康复治疗16周后,三组慢速测试和快速测试两个模式下的膝关节屈伸肌峰力矩、平均功率、总功、主动肌与拮抗肌峰力矩比值差异有统计学意义(P<0.05),其中试验组慢速测试和快速测试两个模式下的膝关节屈伸肌峰力矩、平均功率和总功最大,其次为MTT组,对照组最小;试验组慢速测试和快速测试两个模式下的主动肌与拮抗肌峰力矩比值最小,其次为MTT组,对照组最大;三组Tegner Lysholm膝关节评分差异有统计学意义(P<0.05),其中试验组最高,其次为MTT组,最低为对照组。结论:“开通玄府、养血柔筋”中药结合MTT医学训练式治疗对前交叉韧带重建术后康复疗效提升明显,可更好地缓解患者疼痛症状,促进其膝关节主动关节活动度和肌肉力量的恢复。Objective:To analyze the therapeutic efficacy of"Opening Xuanfu,Nourishing Blood and Softening Tendons"prescription combined with MTT medical training training on postoperative rehabilitation of anterior cruciate ligament reconstruction.Methods:180 patients who received ACL reconstruction treatment in the Department of Orthopedics and Traumatology of Zhangzhou Hospital of Traditional Chinese Medicine from January 2021 to June 2023 were included in the study,and were divided into control group,MTT group,and experimental group by randomized numerical table method with 60 cases in each group,and were treated with traditional rehabilitation therapy,MTT medical training therapy,and MTT medical training therapy+"Opening Xuanfu,Nourishing Blood and Softening Tendons"prescription respectively,and compare the pain,active joint mobility and muscle strength of the knee,and Tegner Lysholm knee score before and after rehabilitation treatment in the three groups.Results:After 2,4,8 and 16 weeks of rehabilitation treatment,the differences in VAS scores among the three groups were statistically significant(P<0.05),with the lowest in experimental group,followed by MTT group,and the highest in control group;and the differences in active joint mobility of the knee joints among the three groups were statistically significant(P<0.05),with the largest in experimental group,followed by MTT group,and the smallest in control group.After 16 weeks of rehabilitation treatment,the differences between the peak knee flexor and extensor moments,average power,total work,and the ratio of the peak moments of the active and antagonist muscles in the two modes of slow test and rapid test of the three groups were statistically significant(P<0.05),of which the peak knee flexor and extensor moments,average power,and total work of the two modes of slow test and rapid test of the experimental group were the largest,followed by that of MTT group,and that of control group the smallest;the ratio of the peak moments of the active and antagonist muscles was t

关 键 词：前交叉韧带重建术 术后康复 开通玄府 养血柔筋 MTT医学训练式治疗 

分 类 号：R687.4[医药卫生—骨科学]