电针结合康复训练治疗肘关节术后活动功能障碍疗效观察

Electroacupuncture in combination with rehabilitation for treatment of motor impairment after elbow operation

目的:比较电针配合康复运动与单纯康复运动治疗肘关节术后活动功能障碍的临床疗效。方法:将53例患者随机分电针康复组(30例)和康复组(23例)。电针康复组取患者肘部僵硬部位进行电针治疗,配穴取三间、手三里、合谷、阳陵泉、阴陵泉,给予针刺治疗,取针后被动活动肘关节;康复组行持续被动活动(CPM)练习。治疗1.5个月后观察疗效,统计两组治疗前后肘关节梅奥弯头性能(Mayo)评分及关节活动度(ROM)。结果:两组患者治疗后肘关节Mayo评分、ROM均有显著改善(均P<0.01)。与康复组治疗后比较,电针康复组患者的Mayo总评分、关节活动范围、关节活动能力及肘关节ROM改善更明显(均P<0.01),差异有统计学意义。结论:与单纯康复治疗相比较,电针配合康复运动训练对骨折术后肘关节的功能恢复具有更显著的效果。

Objective To compare the clinical effect on motor impairment after elbow operation between electroacupuncture combined with rehabilitation and rehabilitation training. Methods Fifty-three cases were randomized into an electroacupuncture combined with rehabilitation group （group A, 30 cases） and a rehabilitation group （group B, 23 cases）. In group A, eleetroacupuncture was applied on the stiff region of the elbow and Sanjian （LI 3）, Shousanli （LI 10） , Hegu （LI 4）, Yanglingquan （GB 34）, Yinlingquan （SP 9） as adjunctive acupoints. Additionally, the passive movement was followed in the elbow joint after needles removed. In group B, the constant passive movement exercise was applied. The therapeutic effect was observed after 1.5 months of treatment. Mayo Elbow Performance Score （Mayo） and range of motion （ROM） were analyzed statistically after treatment in two groups. Results Mayo score and elbow ROM were all improved significantly after treatment in two groups （all P〈0.01）. Compared with group B after treatment, the total Mayo score, joint motion range and ability as well as elbow ROM were all improved much apparently in group A （all P〈0.01）. Conclusion Compared with rehabilitation therapy, electroacupuncture in combination of rehabilitation training can achieve much significant effect on the motion function recovery of elbow joint after fracture operation.