针刺运动结合局部针刺疗法对训练性膝关节损伤的疗效观察  

Therapeutic effect of acupuncture exercise combined with local acupuncture therapy on training-induced knee joint injury

作　　者：宋晓琳 苏布衣 刘思妤 马新平 马新英 SONG Xiaolin;SU Buyi;LIU Siyu;MA Xinping;MA Xinying(Department of Traditional Chinese Medicine,Air Force Medical Center,PLA,Beijing 100142,China)

机构地区：[1]空军特色医学中心中医科,北京100142

出　　处：《北京中医药》2025年第4期440-444,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：空军特色医学中心2021年青年博士助推项目(21ZT18)。

摘　　要：目的观察针刺运动结合局部针刺疗法治疗训练性膝关节损伤的临床疗效。方法选择2020年10月—2023年11月就诊于空军特色医学中心中医科门诊的因军事训练或运动不慎导致膝关节损伤的患者,以随机数字表法将患者分为结合组、针刺组和对照组。针刺组给予针刺治疗,1次/d,治疗5 d休息2 d,为1个疗程,共治疗2个疗程;结合组给予局部针刺治疗后(方法同针刺组)加针刺运动疗法,1次/d,治疗5 d休息2 d,为1个疗程,共治疗2个疗程;对照组给予扶他林乳膏外用,3~4次/d,7 d为1个疗程,共治疗2个疗程。对比各组疗效,治疗前后膝关节主观评价量表(IKDC)评分、视觉模拟量表(VAS)评分、Lyshlom膝关节评分,不良反应。结果结合组和针刺组总有效率均高于对照组(P<0.05),结合组总有效率与针刺组比较差异无统计学意义(P>0.05)。治疗后,3组IKDC评分均较治疗前升高(P<0.01),VAS评分均较治疗前降低(P<0.01);结合组和针刺组的IKDC评分均高于对照组(P<0.01,P<0.05);结合组的VAS评分低于对照组(P<0.01);结合组IKDC、VAS评分与针刺组比较差异均无统计学意义(P>0.05)。治疗后,3组Lysholm评分总分均较治疗前升高(P<0.01),结合组和针刺组Lysholm评分总分,结合组疼痛评分均高于对照组(P<0.01);对照组不稳定、疼痛、爬楼梯、下蹲评分均较治疗前升高(P<0.05);针刺组不稳定、疼痛、肿胀评分均较治疗前升高(P<0.01);结合组各项Lysholm膝关节评分均较治疗前升高(P<0.01)。结合组Lysholm膝关节评分与针刺组比较差异无统计学意义(P>0.05)。针刺组和结合组在研究过程中均未出现晕针、弯针、滞针、断针、针孔感染、神经损伤、皮肤严重过敏等针刺相关不良反应。结论针刺运动结合局部针刺疗法与单独局部针刺疗法治疗训练性膝关节损伤均有效,可改善训练性膝关节损伤症状,减轻疼痛,提高日常活动能力,但前者止痛效果更好。Objective To observe the clinical efficacy of acupuncture exercise combined with local acupuncture therapy in the treatment of training-induced knee joint injury.Methods Patients with knee joint injuries caused by military training or sports accidents were enrolled and randomly divided into the combination group,the acupuncture group,and the control group using a random number table method.The acupuncture group received acupuncture treatment once per day for 5 days,followed by 2 days of rest,with a total of 2 treatment courses.The combination group received local acupuncture therapy(same method as the acupuncture group)followed by acupuncture exercise therapy,20 min per session,once per day for 5 days,with 2 days of rest,for a total of 2 treatment courses.The control group was treated with external application of Voltaren cream,3~4 times per day for 7 days,with a total of 2 treatment courses.The efficacy was compared across groups,as well as the subjective evaluation scores for knee joint function(IKDC),visual analog scale(VAS),and Lysholm knee joint score,as well as adverse reactions before and after treatment.Results The total effective rates in the combination group and the acupuncture group were higher than that of the control group(P<0.05),with no significant difference between the combination group and acupuncture group(P>0.05).After treatment,the IKDC and VAS scores of all three groups were significantly improved compared to those before treatment(P<0.01).The IKDC scores in the combination group and the acupuncture group were higher than that of the control group(P<0.01,P<0.05),and the VAS score in the combination group was lower than the control group(P<0.01).There was no significant difference in the IKDC and VAS scores between the combination group and the acupuncture group(P>0.05).After treatment,the total Lysholm scores of all three groups were significantly increased compared to those before treatment(P<0.01).The Lysholm scores in the combination group and the acupuncture group,as well as the pain sc

关 键 词：针刺运动疗法 针刺疗法 训练性膝关节损伤 膝关节功能 

分 类 号：R246.9[医药卫生—针灸推拿学]