摘要
目的:比较恢刺配合康复训练与单纯康复训练治疗膝关节内侧副韧带损伤的临床疗效差异。方法:将60例膝关节内侧副韧带损伤患者随机分为观察组(30例,脱落1例)和对照组(30例,脱落2例)。对照组采用康复训练的方法;观察组在对照组康复训练基础上加用恢刺法,穴取患处局部阿是穴、鹤顶、内膝眼、犊鼻、阳陵泉、梁丘等,均每日1次,6次为一疗程,共行4个疗程。观察两组治疗前后视觉模拟评分(visual analogue scale,VAS)、Lysholm膝关节功能评分及临床疗效,同时对安全性进行评价。结果:两组患者治疗后VAS评分显著降低(均P<0.001),Lysholm膝关节功能评分显著提高(均P<0.001);治疗后观察组VAS评分、Lysholm膝关节功能评分的改善均优于对照组(均P<0.05)。观察组有效率为93.1%(27/29),优于对照组的71.4%(20/28)(P<0.05)。治疗过程中两组无不良反应事件发生。结论:恢刺配合康复训练可有效改善膝关节内侧副韧带损伤患者膝关节肿胀、疼痛等症状,疗效优于单纯康复训练。
Objective To compare the clinical efficacy differences between relaxing needling combined with rehabilitation training and rehabilitation training alone for medial collateral ligament（MCL）injury of knee joint.Methods Sixty cases of MCL injury were randomly assigned into an observation group（30cases,one case dropping out）and a control group（30cases,two cases dropping out）.Patients in the control group were treated with rehabilitation training;based on the treatment of control group,patients in the observation group were additionally treated with relaxing needles at ashi points,Heding（EX-LE 2）,Neixiyan（EX-LE 4）,Dubi（ST 35）,Yanglingquan（GB 34）,Liangqiu（ST 34）,etc.The treatment was given once a day;six treatments were taken as one course,and totally four courses were given.The visual analogue scale（VAS）,Lysholm knee function score and clinical efficacy before and after treatment were evaluated;also the safety was evaluated.Results After treatment,VAS scores were apparently reduced and the Lysholm scores were obviously increased in the two groups（all P〈0.001）.The improvement of VAS and Lysholm scores in the observation group were superior to that in the control group（both P〈0.05）.The effective rate was 93.1%（27/29）in the observation group,which was superior to 71.4%（20/28）in the control group（P〈0.05）.During the treatment,no adverse events occurred in the two groups.Conclusion Relaxing needling combined with rehabilitation training can effectively improve the swelling,pain and other symptoms of MCL injury,which is superior to rehabilitation training alone.
出处
《中国针灸》
CAS
CSCD
北大核心
2016年第9期923-926,共4页
Chinese Acupuncture & Moxibustion
基金
成都市卫生局联合攻关项目:2014028
关键词
膝关节内侧副韧带损伤
恢刺
康复训练
随机对照试验(RCT)
medial collateral ligament injury of knee joint
relaxing needling
rehabilitation training
randomized controlled trial（RCT）
