[1]张磊 晏无霜 熊鹿静 周鑫△ 喻林 唐小高.点按手法治疗膝关节前交叉韧带损伤本体感觉减退44例[J].中国中医骨伤科杂志,2021,29(06):62-65.
　ZHANG Lei YAN Wushuang XIONG Lujing ZHOU XinYU Lin TANG Xiaogao.Clinical Observation of Acupoint Manipulation in the Treatmentof Proprioceptive Hypoesthesia with AnteriorCruciate Ligament Injury of Knee Joint[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(06):62-65.
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点按手法治疗膝关节前交叉韧带损伤本体感觉减退44例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年06期
页码:
62-65
栏目:
临床报道
出版日期:
2021-06-15

文章信息/Info

Title:
Clinical Observation of Acupoint Manipulation in the Treatment
of Proprioceptive Hypoesthesia with Anterior
Cruciate Ligament Injury of Knee Joint
作者:
张磊1; 2; 3 晏无霜4 熊鹿静5 周鑫1; 2; 3△ 喻林1; 2; 3 唐小高1; 2; 3
1西南医科大学附属中医医院骨伤科(四川 泸州,646600)2西南医科大学附属中医医院骨伤疾病研究中心3广东省医学3D 打印应用转化工程技术研究中心西南医科大学附属中医医院临床基地4西南医科大学中西医结合学院5西南医科大学临床医学院
Author(s):
ZHANG Lei1; 2; 3 YAN Wushuang4 XIONG Lujing5 ZHOU Xin1; 2; 3△YU Lin1; 2; 3 TANG Xiaogao1; 2; 3
关键词:
点按手法;  前交叉韧带;  本体感觉
Keywords:
acupoint manipulation;  anterior cruciate ligament;  proprioception

分类号:
R244.1
文献标志码:
B
摘要:
目的:探讨点按手法对膝关节前交叉韧带(Anterior Cruciate Ligament,ACL)损伤本体感觉减退的治疗效果。方法:将2018年6月至2019年5月符合纳入标准的44例膝关节ACL损伤患者作为研究对象。44例患者采用点按手法治疗,每周治疗7次,共治疗4周。在治疗前、治疗后3个月、治疗后6个月、治疗后12个月进行神经电生理检查体感诱发电位(SEPs)和运动神经传导速度(MCV),用以评估患者膝关节的本体感觉。结果:患者治疗前后不同时间内健侧SEPs、MCV潜伏期和波幅差异及角度偏差差异无统计学意义(<i>P</i>&gt;0.05)。治疗后3、6、12个月,患侧SEPs、MCV随时间增加而潜伏期逐渐缩短,波幅逐渐上升,角度偏差随时间增加而逐渐下降,差异有统计学意义(<i>P</i>&lt;0.05),整个疗程中患侧与健侧的SEPs、MCV差异均有统计学意义(<i>P</i>&lt;0.05)。结论:前交叉韧带损伤后患侧本体感觉信息传入障碍,进而导致运动障碍,点按手法对治疗膝关节ACL损伤本体感觉减退有较好的临床疗效。
Abstract:
To study the clinical efficacy of acupoint manipulation on proprioceptive hypoesthesia of anterior cruciate ligament(ACL)injury of knee joint.Methods:44 patients with knee ACL injury who met the inclusion criteria from June 2018 to May 2019 were studied.44 patients were treated with point manipulation 7 times a week(4 weeks as a course of treatment). Before treatment, 3 months after treatment, 6 months after treatment and 12 months after treatment,samatosensory evoked potential(SEPs)and motor nerve conduction velocity(MCV)were used to evaluate the proprioceptive sensation of knee joint.Results:There was no significant difference in the latency and amplitude of SEPs and MCV in the healthy side before and after treatment(<i>P</i>&gt;0.05). At 3, 6 and 12 months after treatment, the latency of SEPs and MCV on the affected side gradually shortened and the amplitude increased gradually with the increase of time, and the difference was statistically significant(<i>P</i>&lt;0.05). There were significant differences in SEPs and MCV between the affected side and the healthy side in the whole course of treatment.Conclusion:Proprioceptive information of the affected side is impaired after anterior cruciate ligament injury, which leads to motor disturbance. Acupoin manipulation has a satisfied clinical efficacy on the treatment of proprioceptive hypoesthesia in ACL injury of knee joint.

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备注/Memo

备注/Memo:
基金项目:泸州市人民政府-西南医科大学科技战略合作项目(2018LZXNYD-ZK43)西南医科大学附属中医医院科研项目(国家自然科学基金培育项目)(2019XYLH-001)
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更新日期/Last Update: 2021-06-22