基于肌骨超声评价电针对手部肌腱修复术后粘连的效果

目的:利用肌骨超声评估及总主动关节活动度(TAM)、功能独立性评定(FIM)观察电针的应用对手部肌腱损伤修复术后的临床效果。方法:收集符合标准的手部肌腱损伤修复术后患者40例,并随机分为电针组和对照组各20例。两组患者均需接受康复宣教、物理因子治疗、支具配戴等综合治疗,而电针组在此基础上增加电针治疗。在治疗前,治疗后4周和8周分别使用肌骨超声评估肌腱粘连程度,并评估患者TAM和FIM。结果:治疗4周后,2组患者重度粘连所占比例显著低于治疗前(P<0.05),TAM、FIM评分均显著高于治疗前(P<0.05)。治疗后电针组患者重度粘连所占比例低于对照组,TAM高于对照组(P<0.05),但两组患者治疗后FIM评分差异并无显著性意义(P>0.05)。治疗8周后,电针组患者重度粘连所占比例,TAM均显著优于组内治疗后4周及对照组治疗后8周(P<0.05),但电针组FIM评分较组内治疗后4周及对照组治疗后8周不具有显著性差异(P>0.05)。结论:电针治疗对手部肌腱修复术后的粘连是积极有效的,治疗后患者受损手部的运动功能得到了极大的提升。

Effects of electroacupuncture on adhesion after hand tendons injury repair based on musculoskeletal ultrasound exploration

Objective: To explore the effect of electroacupuncture on adhesion after hand tendons injury repair based on musculoskeletal ultrasound examination,total active motion(TAM) and functional independence measure(FIM).Method: Forty patients were assigned randomly into control group(n=20) and electroacupuncture group(n=20).Both groups received rehabilitation education, physical modalities treatment and splint protection. In addition,electroacupuncture group received electroacupuncture treatment. Outcome variables included the degree of tendon adhesion,TAM and FIM before and after 4 and 8 weeks treatment.Result: There was significant difference in the proportion of severe tendon adhesion and TAM within group or between groups after 4 or 8 weeks treatment(P<0.05). There was also significant difference in FIM scores within group after 4 weeks treatment(P<0.05),But no significant difference was found in FIM scores within group between 4 and 8 weeks treatment or between groups after 4 and 8 weeks treatment(P>0.05).Conclusion: The electroacupuncture on adhesion after hand tendons injury repair is effective,which can greatly promote hand function and is worthy of clinical promotion and application.