| 摘要: |
| 评价早期中医疗法配合渐进式康复运动锻炼对关节镜前交叉韧带重建术后膝关节功能恢复的作用。方法：将70例前交叉韧带损伤患者随机分为治疗组和对照组各35例，对照组行关节镜术后给予渐进式康复运动锻炼，治疗组在对照组基础上给予中药内服、针刺，3个月为1疗程，并随访12个月。分别采用Lysholm膝关节功能评分、VAS评分、Lachman试验、主动伸膝角度（AAKE）及等速肌力测试，观察术后3月、6月膝关节功能，并进行对比分析。结果：治疗组术后3月和6月Lysholm评分分别为（68.76±5.2）分、（83.78±8.52）分，均明显高于对照组[分别为（54.62±4.57）分、（72.16±7.33）分，P<0.05]；治疗组术后3月和术后6月VAS评分分别为（2.05±0.34）分、（1.98±0.22）分，均明显低于对照组[分别为（2.67±0.45）分、（2.24±0.31）分，P<0.05]；治疗组术后3月和术后6月Lachman试验值分别为（2.01±0.31）mm、（1.75±0.06）mm，均低于对照组值[分别为（2.36±0.42）mm、（2.05±0.08）mm，P<0.05]；治疗组术后3月和术后6月AAKE分别为（–1.84±0.82）°、（–0.57±0.12）°，均明显低于对照组[分别为（–2.06±0.87）°、（–0.84±0.21）°，P<0.05]。结论：早期中医介入配合渐进式康复运动锻炼，能够明显改善膝关节功能及维持膝关节稳定性，安全性高，其可能的机制为增加腘绳肌等屈膝肌力。 |
| 关键词: 前交叉韧带重建 关节镜 中医疗法 康复锻炼 膝关节功能 |
| DOI：10.3969/j.issn.1007-6948.2019.01.001 |
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| 基金项目:陕西省中医药管理局项目（2017-LCMS034） |
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| Application of Traditional Chinese Medicine Combined with Exercise in Anterior Cruciate Ligament Reconstruction after Arthroscopy |
| FAN Ji-kang,GE Yin-li,HUA Rui,CUI Jing |
| Rehabilitation Department of Acupuncture and Moxibustion in Traditional Chinese Medicine, Xi' an Daxing Hospital, Xi' an (710016), China |
| Abstract: |
| Objective To evaluate the clinical curative effect of early intervention with traditional Chinese medicine (TCM) combined with progressive rehabilitation exercise on the functional recovery of knee joint after anterior cruciate ligament reconstruction under arthroscope, and explore the mechanism. Methods In this study, 70 patients selected according to the inclusion criteria were randomly divided into treatment group and control group, 35 cases in each group. The patients in control group were given progressive rehabilitation exercise after arthroscopic surgery, and the patients in treatment group were given internal medicine and acupuncture on the basis of the control group, 3 months for one course and they were followed up for 12 months. Lysholm knee function score, VAS score, Lachman test, AAKE test and isokinetic muscle strength test were used to observe the knee function after 3 months and 6 months of surgery, and comparative analysis was conducted. Results Lysholm scores in the treatment group after 3 months and 6 months of surgery were (68.76±5.2) and (83.78±8.52) score, which were higher than those of the control group [(54.62±4.57) and (72.16±7.33) score] (P<0.05); VAS scores in the treatment group after 3 months and 6 months of surgery were (2.05±0.34) and (1.98±0.22) score, which were lower than those of the control group [(2.67±0.45) and (2.24±0.31) score] (P<0.05); Lachman test values in the treatment group after 3 months and 6 months of surgery were [(2.01±0.31) and (1.75±0.06) mm, which were lower than those of the control group [(2.36±0.42) and (2.05±0.08) mm] (P<0.05); AAKE in the treatment group after 3 months and 6 months of surgery were (–1.84±0.82)? and (–0.57±0.12)?, which were lower than those of the control group [(–2.06±0.87)? and (–0.84±0.21)?] (P<0.05). Conclusion The early intervention using TCM combined with progressive rehabilitation exercise can improve knee function and maintain knee stability obviously, with high safety and worthy of clinical promotion, and the possible mechanism is to increase the knee muscle strength such as hamstring muscle. |
| Key words: Anterior cruciate ligament reconstruction arthroscopy traditional Chinese medicine therapy reconditioning knee joint function |
