[1]滕金艳 查华荣△ 胡意.电针对膝骨性关节炎关节镜术后康复的影响[J].中国中医骨伤科杂志,2018,26(06):23-26.
　TENG Jinyan ZHA Huarong HU Yi.Clinical Observation on Analgesia and Rehabilitation of Electro-acupuncture Therapy on Knee Osteoarthritis after Arthroscopic Debridement[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(06):23-26.
点击复制

电针对膝骨性关节炎关节镜术后康复的影响()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年06期
页码:
23-26
栏目:
临床研究
出版日期:
2018-06-02

文章信息/Info

Title:
Clinical Observation on Analgesia and Rehabilitation of Electro-acupuncture Therapy on Knee Osteoarthritis after Arthroscopic Debridement
文章编号:
1005-0205(2018)06-0023-04
作者:
滕金艳1; 2 查华荣3△ 胡意3
1湖北省中医院(武汉,430061) 2湖北省中医药研究院 3湖北秭归县中医医院 △通信作者 E-mail:52914608@qq.com
Author(s):
TENG Jinyan1; 2 ZHA Huarong3△ HU Yi3
1Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China; 2Hubei Academy of Traditional Chinese Medicine, Wuhan 430074, China; 3Zigui County Hospital of Traditional Chinese Medicine, Yichang 443600,Hubei China.
关键词:
电针;  膝骨性关节炎;  膝关节镜清理术;  镇痛;  康复
Keywords:
Keywords: electro-acupuncture;  knee osteoarthritis;  arthroscopic debridement;  analgesia;  rehabilitation
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察电针对膝关节炎关节镜清理术后疼痛及功能活动的影响。方法:将70例膝关节骨性关节炎患者随机分为对照组35例和治疗组35例,对照组予以膝关节镜清理术及术后常规功能锻炼,治疗组术后结合电针治疗,观察1个疗程(10 d)的临床疗效并比较两组患者术后疼痛变化及功能活动的差异。结果:1个疗程后,治疗组总有效率94.29%,对照组总有效率77.14%,两组比较,差异有统计学意义(P<0.05); 治疗组术后第1天疼痛评分与对照组比较,差异无统计学意义(P>0.05),术后第4天、第10天及1个疗程内平均疼痛评分较对照组低,差异有统计学意义(P<0.05); 治疗组功能锻炼第1天较对照组比较,差异无统计学意义(P>0.05),第2,10天及10 d总量均较对照组多,差异有统计学意义(P<0.05); 治疗组Lysholm膝关节功能评分1个疗程后明显高于对照组,差异有统计学意义(P<0.05)。结论:电针对膝骨性关节炎患者行膝关节经清理术后镇痛及功能康复具有增效作用。
Abstract:
Abstract Objective:To investigate the effect of electroacupuncture therapy on pain and functional activity after arthroscopic debridement. Methods: 70 patients with knee osteoarthritis were randomly divided into the control group(35 cases)and the treatment group(35 cases). The control group received arthroscopic debridement and postoperative routine functional exercise and the treatment group was treated with electro-acupuncture after operation. The clinical efficacy of one course of treatment(10 days)was compared with the difference in postoperative pain and functional activity between the two groups. Results: After one course of treatment, the total effective rate of treatment group was 94.29%,while the control group was 77.14%, and the difference was statistically significant(P<0.05). The pain score of the treatment group was compared with the control group on the first postoperative day, which showed no statistically significant difference(P>0.05). The average pain scores of the 4th, 10th and 1 course of postoperative days were lower than those in the control group, and the difference was not statistically significant(P<0.05). After the first day of functional exercise, there was no significant difference in the functional score between the treatment group and the control group(P>0.05). The functional score of the second day and the tenth day, and total functional score of 10 days were significantly higher in the treatment group than those in the control group(P<0.05). After one course of treatment, the joint function score of Lysholm knee in the treatment group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05).Conclusion: Electroacupun-cture has a synergistic effect on analgesia and functional rehabilitation after knee joint cleanup in patients with knee osteoarthritis.

参考文献/References:

[1] 王晓滨,尹自龙,薛庆云.关节液中脂联素水平与膝关节骨关节炎严重程度的相关性研究[J].中国骨与关节外科,2014,4(7):96-100.
[2] 刘强,洪加源,胡维界.膝骨性关节炎治疗进展[J].医学综述,2015,21(3):474-476.
[3] 陈江湖,丘春华,郑晓春,等.连续隐神经阻滞对老年患者膝关节镜手术后股四头肌肌力的影响[J].临床麻醉学杂志,2015,31(1):53-56.
[4] 付纳新,马超,孙劲,等.臭氧联合关节镜对膝关节骨关节炎滑膜IL1RⅠ、CXCL13与IL 24的影响[J].实用医学杂志,2017,33(18):3055-3059.
[5] 徐秋玲,刘涛.电针镇痛累积效应的疗效评价[J].上海针灸杂志,2013,32(4):289-290.
[6] 徐卫东,吴岳嵩,张春才.骨关节炎的诊断与治疗[M].上海:第二军医大学出版社,2004:140-142.
[7] 国家中医药管理局.中医病证诊断疗效标准南京[S].南京:南京大学出版社,1994:190.
[8] Jensen MP,Karoly P,Braver S.The measurement of clinical pain intensity:a comparison of six methods[J].Pain,1986,27(1):117-126.
[9] Lysholm J,Gillquist J.Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J sports med,1982,10(3):150-154.
[10] 秦燕,何崎,蒋婷.关节镜下膝关节韧带重建术后针灸联合静脉镇痛的应用及对IL-1和IL-8水平的影响[J].针灸临床杂志,2017,33(2):1-4.
[11] 邱恒,马天洪,黄勇.关节镜清理术配合左归丸加减治疗膝关节骨性关节炎疗效观察[J].实用中医药杂志,2017,33(9):1067-1069.
[12] 陈得胜,刘牧.针灸及其联合中药离子导入法治疗膝骨关节炎临床比较[J].辽宁中医药大学学报,2016,17(7):471-472.
[13] 尹毅,赵燕.电针在膝骨性关节炎关节镜清理术后增效作用的病例对照研究[J].中国骨伤,2014,27(4):287-290.
[14] 程桯,温建民,林新晓,等.关节镜联合电针治疗膝骨性关节炎的分子机制研究[J].中国中医骨伤科杂志,2014,12(22):17-19.
[15] 李萌,贾叙锋,周玉,等.膝关节镜清理术联合中药离子导入治疗膝骨性关节炎的临床研究[J].中国中医骨伤科杂志,2017,25(3):25-28.
[16] 朱兵.系统针灸学-复兴“体表医学”[M].北京:北京人民卫生出版社,2015:220-323.
[17] 韩济生.针刺镇痛的神经化学基础(第三卷)[M].北京:北京大学医学出版社,2008:672.
[18] Han JS.Acupuncture:neuropeptide release produced by electrical stimulation of different frequencies[J].Trends Neurosci,2003,26(1):17-22.
[19] 北京医学院针麻原理研究组.针刺人体某些穴位对皮肤痛阈的影响[J].中华医学杂志,1973,3:152-157.

更新日期/Last Update: 2018-06-02