中国中西医结合外科杂志2024,Vol.30Issue(1) :60-64.DOI:10.3969/j.issn.1007-6948.2024.01.012

针刺配合持续被动活动机对全膝关节置换术患者膝关节功能的影响

Effect of acupuncture combined with continuous passive mobility machine on knee joint function in patients undergoing total knee arthroplasty

肖勇 窦京彬 孔胜建
中国中西医结合外科杂志2024,Vol.30Issue(1) :60-64.DOI:10.3969/j.issn.1007-6948.2024.01.012

针刺配合持续被动活动机对全膝关节置换术患者膝关节功能的影响

Effect of acupuncture combined with continuous passive mobility machine on knee joint function in patients undergoing total knee arthroplasty

肖勇 1窦京彬 1孔胜建1
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作者信息

  • 1. 海军青岛特勤疗养中心综合治疗科(山东青岛 266000)
  • 折叠

摘要

目的:探讨膝关节穴位针刺配合持续被动活动(CPM)机对全膝关节置换术(TKA)患者疼痛、膝关节功能及炎症指标的影响.方法:选择2021年8月—2023年6月本院收治的104例TKA患者,将其采用随机数字表法分成CPM机组和观察组.CPM机组52例术后采用CPM机进行康复锻炼,观察组52例在CPM机组基础上配合膝关节穴位针刺治疗.比较两组气虚血瘀证总积分、数字疼痛强度量表(NRS)评分、炎症指标、患膝关节活动度(ROM)、Harris髋关节评分(HHS)及不良反应情况.结果:术后3 d、1周及2周,两组气虚血瘀证总积分、NRS评分、血清C-反应蛋白(CRP)、白细胞介素-6(IL-6)水平均低于术后1 d(P<0.05),且观察组均低于CPM机组(P<0.05);术后1周、2周,两组患膝ROM、HHS评分均高于术前1 d(P<0.05),且观察组均高于CPM机组(P<0.05);观察组与CPM机组不良反应发生率比较无统计学差异(11.54%vs 9.62%,P>0.05).结论:对TKA患者应用膝关节穴位针刺配合CPM机治疗,可明显降低术后早期炎症指标水平,显著改善气虚血瘀症状及疼痛,有效促进患膝功能恢复.

Abstract

Objective To explore the effects of knee joint acupuncture combined with continuous passive movement(CPM)machine on pain,knee joint function,and inflammatory indicators in patients undergoing total knee arthroplasty(TKA).Methods From August 2021 to June 2023,104 TKA patients admitted to our hospital were collected and grouped into a CPM machine group and an observers group using a random number table method.52 patients in the CPM machine group received postoperative rehabilitation exercise using a CPM,while 52 patients in the observers group received knee joint acupuncture treatment on the basis of the CPM machine group.The total score of Qi deficiency and blood stasis syndrome,numerical pain intensity scale(NRS)score,inflammation indicators,affected knee joint range of motion(ROM),Harris hip joint score(HHS)and adverse reactions were compared between the two groups.Results Three days,one week and two weeks after surgery.The total score of Qi deficiency and blood stasis syndrome,NRS score,serum C-reactive protein(CRP),and interleukin-6(IL-6)levels in both groups were lower than those on the first day after surgery(P<0.05),and the observers group were lower than the CPM machine group(P<0.05).At one week and two weeks after surgery,the ROM and HHS scores of the affected knees in both groups were higher than those on the first day before surgery(P<0.05),and the observers group were higher than the CPM machine group(P<0.05).There were no differences in the incidence of adverse reactions between observation group and CPM group(11.54%vs 9.62%,P>0.05).Conclusion The application of knee joint acupoint acupuncture combined with CPM machine treatment for TKA patients can obviously reduce the level of early postoperative inflammatory indicators,obviously improve the symptoms of Qi deficiency and blood stasis,and pain,and effectively promote the recovery of knee function.

关键词

膝关节穴位/针刺/持续被动活动/全膝关节置换术/疼痛/炎症

Key words

Knee joint acupoint/acupuncture/continuous passive movement/total knee arthroplasty/pain/inflammation

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基金项目

2021年度青岛市医药卫生科研计划项目(2021-WJZD257)

出版年

2024
中国中西医结合外科杂志
中国中西医结合学会 天津市中西医结合急腹症研究所

中国中西医结合外科杂志

CSTPCD
影响因子:0.918
ISSN:1007-6948
参考文献量21
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