针刺联合中药外敷治疗训练性膝关节损伤的疗效观察  

Observation on the efficacy of acupuncture plus external application of Chinese herbal medicine for exercise induced knee injury

作　　者：宋晓琳 刘思妤 马新平 苏布衣 马新英 SONG Xiaolin;LIU Siyu;MA Xinping;SU Buyi;MA Xinying(Chinese People's Liberation Army Air Force Characteristic Medical Center,Beijing 100142,China)

机构地区：[1]中国人民解放军空军特色医学中心,北京100142

出　　处：《上海针灸杂志》2025年第4期458-463,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：空军特色医学中心青年博士助推项目(21ZT18)。

摘　　要：目的 观察针刺联合中药外敷治疗训练性膝关节损伤的临床疗效。方法 将96例训练性膝关节损伤患者随机分为针药组、针刺组和对照组,每组32例。治疗过程中针药组脱落1例,针刺组脱落2例;最终纳入针药组31例,针刺组30例,对照组32例。针刺组采用膝关节局部针刺治疗,针药组在针刺组相同的针刺治疗后当晚行中药外敷治疗,对照组采用外用双氯芬酸二乙胺乳胶剂治疗。观察3组治疗前后国际膝关节文献委员会主观膝关节形态(International Knee Documentation Committee subjective knee form, IKDC)评分、Lysholm膝关节评分和疼痛视觉模拟量表(visual analog scale, VAS)评分的变化,比较3组的临床疗效。结果 治疗后,3组IKDC评分、Lysholm膝关节评分和VAS评分均较治疗前改善(P<0.05),针药组和针刺组IKDC评分和Lysholm膝关节评分均高于对照组(P<0.05),针药组VAS评分低于对照组(P<0.05)。针药组总有效率为87.1%,针刺组为83.3%,均高于对照组的59.4%,差异具有统计学意义(P<0.05)。结论 针刺联合中药外敷和单纯针刺均可改善训练性膝关节损伤的临床症状,提高日常活动能力和临床疗效,针刺联合中药外敷的止痛效果优于单纯针刺。Objective To observe the clinical efficacy of acupuncture plus external application of Chinese herbal medicine for exercise induced knee injury.Method Ninety-six patients with exercise induced knee injury were randomized to an acupuncture plus medicine group,an acupuncture group and a control group,with 32 cases in each group.During treatment,one case dropped out in the acupuncture plus medicine group and two cases,in the acupuncture group.Finally,31 cases included in the acupuncture plus medicine group;30 cases,in the acupuncture group;32 cases,in the control group.The acupuncture group received localized acupuncture of the knee;the acupuncture plus medicine group,external application of Chinese herbal medicine at the evening of the day when localized acupuncture of the knee was performed;the control group,external application of Diclofenac Diethylamine emulgel.The International Knee Documentation Committee(IKDC)subjective knee evaluation form score,the Lyshom knee scoring scale score and the visual analog scale(VAS)score were recorded in the three groups before and after treatment.The clinical therapeutic effects were compared between the three groups.Result After treatment,the IKDC subjective knee evaluation form score,the Lyshom knee scoring scale score and the VAS score improved in the three groups compared with before(P<0.05);the IKDC subjective knee evaluation form score and the Lyshom knee scoring scale score were higher in the acupuncture plus medicine and acupuncture groups than in the control group(P<0.05);the VAS score was lower in the acupuncture plus medicine group than in the control group(P<0.05).The total efficacy rate was 87.1%in the acupuncture plus medicine group,83.3%in the acupuncture group and 59.4%in the control group with statistically significant differences(P<0.05).Conclusion Both acupuncture plus external application of Chinese herbal medicine and acupuncture alone can relieve the clinical symptoms of exercise induced knee injury and improve the activities of daily living and the clini

关 键 词：针刺疗法 中药外敷 针药并用 电针 膝关节损伤 运动损伤 镇痛 

分 类 号：R246.2[医药卫生—针灸推拿学]