小针刀促进半月板损伤关节镜术后康复的临床观察
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摘要
目的对膝关节半月板损伤行关节镜术后采用小针刀疗法,并观察其临床效果。方法选取2016年12月至2018年3月我院收治的半月板损伤患者84例,通过简单随机分为两组,每组42例。针刀组关节镜术后采用小针刀松解合功能康复治疗,常规组按常规康复锻炼,在治疗2周、4周及8周后随访,通过VAS疼痛指数评分、膝关节Lysholm评分、关节活动度进行临床有效性评价。结果 (1)VAS评分和Lysholm评分:治疗2周两组比较差异无统计学意义(P> 0. 05),治疗4周和8周随访,组间比较差异均具有统计学意义(P <0. 05),针刀组评分优于常规组。(2)关节活动度:两组活动度均随时间改善,针刀组改善程度高于常规组,在治疗2、4及8周时组间比较差异均有统计学意义(P <0. 05)。结论小针刀在半月板损伤术后康复中具有良好促进作用,可加速缓解患者术后疼痛,增加膝关节活动范围及功能,可有效预防关节僵硬及慢性疼痛等并发症,减轻患者痛苦。
Objective To observe the clinical effect of small needle knife after arthroscopic surgery for meniscus injury of knee joint. Methods 84 patients with meniscus injury admitted to our hospital from December 2016 to March 2018 were selected and divided into two groups by random number table,with 42 patients in each group.Needle knife group of arthroscopic surgery with small needle knife release function rehabilitation,conventional group received routine rehabilitation exercise,in 2 weeks,4 weeks and 8 weeks after treatment,follow-up by VAS pain index score,knee joint Lysholm score,clinical efficacy evaluation joint mobility. Results 1) The VAS score and the Lysholm score: two groups of treatment 2 weeks did not show statistical difference( P > 0. 05),treatment was compared between 2 and 4 weeks follow-up group differences were statistically significant( P <0. 05),needle knife group score was better than that of normal group. 2) Motion activity in both groups improved over time,the improvement of the needle knife group was higher than normal group,in the treatment of 2,4 and 8weeks differences between groups were statistically significant( P < 0. 05). Conclusion Small needle knife in the meniscus injury has a good role in the postoperative rehabilitation,can accelerate to alleviate postoperative pain,increase scope and function of the knee joint activities,can effectively prevent joint stiffness and chronic complications such as pain,and relieve patients' pain.
Objective To observe the clinical effect of small needle knife after arthroscopic surgery for meniscus injury of knee joint. Methods 84 patients with meniscus injury admitted to our hospital from December 2016 to March 2018 were selected and divided into two groups by random number table,with 42 patients in each group.Needle knife group of arthroscopic surgery with small needle knife release function rehabilitation,conventional group received routine rehabilitation exercise,in 2 weeks,4 weeks and 8 weeks after treatment,follow-up by VAS pain index score,knee joint Lysholm score,clinical efficacy evaluation joint mobility. Results 1) The VAS score and the Lysholm score: two groups of treatment 2 weeks did not show statistical difference( P > 0. 05),treatment was compared between 2 and 4 weeks follow-up group differences were statistically significant( P <0. 05),needle knife group score was better than that of normal group. 2) Motion activity in both groups improved over time,the improvement of the needle knife group was higher than normal group,in the treatment of 2,4 and 8weeks differences between groups were statistically significant( P < 0. 05). Conclusion Small needle knife in the meniscus injury has a good role in the postoperative rehabilitation,can accelerate to alleviate postoperative pain,increase scope and function of the knee joint activities,can effectively prevent joint stiffness and chronic complications such as pain,and relieve patients' pain.
引文
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[6]李刚,朱彬,李香,等.小针刀治疗膝关节炎的疗效观察及部分机理研究[J].世界中医药,2016,11(6):1077-1081.
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[9]张晓辉,娄镇,廖八根,等.力量训练与神经肌肉训练对运动员内侧半月板部分切除术后运动功能的影响[J].中国骨与关节杂志,2017,6(10):773-779.
[10]刘毅,李龙,李东,等.膝半月板成型或缝合术后早期康复对关节活动功能、ASK评分及WHOQOL评分的影响[J].中国医刊,2017,52(9):61-63.
[11]范仪铭,郭珈宜,李峰,等.小针刀配合运动疗法治疗膝骨关节炎的临床研究[J].风湿病与关节炎,2017,6(5):22-24.
[12]张世忠,陈印,李义.针刀配合“肩四针”与口服药物治疗肩周炎的疗效对比观察[J].遵义医学院学报,2014,37(6):647-649.
[13]王庆,黄华扬,张涛,等.关节镜下半月板成形缝合术治疗盘状半月板损伤的近期疗效研究[J].中华关节外科杂志:电子版,2015,9(3):319-323.
[14]陈涛平,王云飞.关节镜治疗膝关节半月板损伤对Lysholm评分的影响[J].现代中西医结合杂志,2015,24(13):1425-1426.
[15]付堂贤.骨性关节病关节镜下分型治疗的体会[J].遵义医学院学报,2003,26(4):359-360.
[16]赵以乔,刘龙忠.金水宝胶囊联合针刀治疗慢性支气管炎30例临床观察[J].遵义医学院学报,2009,32(5):500-501.
[2]刘子铭,熊华章,彭笳宸.关节镜治疗膝关节僵硬36例疗效分析[J].遵义医学院学报,2015,38(3):304-307.
[3]阿米克,李永刚,韦继南.膝关节半月板损伤关节镜治疗的现状[J].东南大学学报:医学版,2015,34(5):844-847.
[4]苏正兵,周跃,张峡,等.关节镜下缝合术治疗半月板前角损伤的疗效[J].中国骨伤,2015,28(10):959-962.
[5]顾军,王睿,孔晓海,等.关节镜下Fast-Fix半月板缝合术治疗膝关节外侧盘状半月板损伤[J].中国矫形外科杂志,2017,25(22):2093-2096.
[6]李刚,朱彬,李香,等.小针刀治疗膝关节炎的疗效观察及部分机理研究[J].世界中医药,2016,11(6):1077-1081.
[7]丁方平,王人彦,张玉柱,等.小针刀配合手法松解治疗膝骨关节炎的临床研究[J].中华中医药杂志,2014,29(4):1275-1277.
[8]王亦璁,姜保国.骨与关节损伤[M].第5版.北京:人民卫生出版社,2014:41-45.
[9]张晓辉,娄镇,廖八根,等.力量训练与神经肌肉训练对运动员内侧半月板部分切除术后运动功能的影响[J].中国骨与关节杂志,2017,6(10):773-779.
[10]刘毅,李龙,李东,等.膝半月板成型或缝合术后早期康复对关节活动功能、ASK评分及WHOQOL评分的影响[J].中国医刊,2017,52(9):61-63.
[11]范仪铭,郭珈宜,李峰,等.小针刀配合运动疗法治疗膝骨关节炎的临床研究[J].风湿病与关节炎,2017,6(5):22-24.
[12]张世忠,陈印,李义.针刀配合“肩四针”与口服药物治疗肩周炎的疗效对比观察[J].遵义医学院学报,2014,37(6):647-649.
[13]王庆,黄华扬,张涛,等.关节镜下半月板成形缝合术治疗盘状半月板损伤的近期疗效研究[J].中华关节外科杂志:电子版,2015,9(3):319-323.
[14]陈涛平,王云飞.关节镜治疗膝关节半月板损伤对Lysholm评分的影响[J].现代中西医结合杂志,2015,24(13):1425-1426.
[15]付堂贤.骨性关节病关节镜下分型治疗的体会[J].遵义医学院学报,2003,26(4):359-360.
[16]赵以乔,刘龙忠.金水宝胶囊联合针刀治疗慢性支气管炎30例临床观察[J].遵义医学院学报,2009,32(5):500-501.