电针对膝关节前交叉韧带重建术后膝关节运动功能康复的影响

目的:观察电针疗法对膝关节前交叉韧带重建术后患者膝关节功能康复的作用。方法:将140例前交叉韧带重建术后患者随机分为观察组(58例,脱落12例)和对照组(65例,脱落5例)。对照组行常规康复治疗;观察组在对照组治疗基础上行电针治疗,穴取患侧风市、伏兔、足三里、上巨虚、丰隆、悬钟、地机、三阴交,疏密波(2Hz/100Hz),2～5mA。每次治疗20～30min,每日2次,共治疗7d。分别于术后1d、1个月、3个月、6个月、1年5个时间点观察两组患者患膝的肿胀值d、疼痛视觉模拟量表(VAS)评分、膝关节活动度(ROM)、国际膝关节评分委员会(IKDC)主观膝关节评分表评分、Lysholm评分变化。结果:术后1、3个月观察组患膝肿胀值d、VAS评分低于对照组(P<0.05),术后6个月、1年两组患膝肿胀值d、VAS评分比较差异无统计学意义(P>0.05);观察组术后1个月、3个月、6个月、1年4个时间点膝关节ROM均大于对照组(P<0.05),IKDC评分、Lysholm评分均高于对照组(P<0.05)。1年内两组患者均未出现松弛断裂等相关并发症,轴移试验、前抽屉试验...

Effect of electroacupuncture on rehabilitation of knee joint movement after anterior cruciate ligament reconstruction

Objective To observe the effect of electroacupuncture(EA) on the rehabilitation of knee joint function after anterior cruciate ligament(ACL) reconstruction. Methods A total of 140 patients with ACL reconstruction were randomly divided into an observation group(58 cases recruited, 12 cases dropped out) and a control group(65 cases recruited,5 cases dropped out). The patients in the control group were treated with routine rehabilitation treatment. The patients in the observation group, on the basis of the treatment in the control group, were treated with EA at Fengshi(GB 31), Futu(ST 32), Zusanli(ST 36), Shangjuxu(ST 37), Fenglong(ST 40), Xuanzhong(GB 39), Diji(SP 8) and Sanyinjiao(SP 6) on the affected side(2 Hz/100 Hz of dilatational wave, 2-5 mA). Each EA treatment lasted 20-30 min, twice a day for 7 days. The swelling degree(d), pain visual analogue scale(VAS), knee joint range of motion(ROM), scores of International Knee Documentation Committee(IKDC) subjective short form and scores of Lysholm were observed in the two groups 1 day, 1 month, 3 months, 6 months and 1 year after operation. Results One month and 3 months after operation, the swelling degree(d) and VAS scores in the observation group were lower than those in the control group(P<0.05);6 months and 1 year after operation, there was no significant difference between the two groups on the swelling degree(d) and VAS scores(P>0.05). One month, 3 months, 6 months and 1 year after operation, the ROM of the knee joint in the observation group was higher than that in the control group(P<0.05), the IKDC score and Lysholm score were higher than those in the control group(P<0.05). Within one year, there were no relaxations, fractures and other related complications in the two groups. The pivot shift test, anterior drawer test and the Lachman test were all negative. Conclusion EA combined with routine rehabilitation training could obviously reduce the pain of knee joint, improve the swelling degree, increase the ROM of knee joint, promote the functional recovery in patients with ACL reconstruction, which are superior to rehabilitation training alone.