电针对膝骨性关节炎关节镜术后康复的影响

Clinical Observation on Analgesia and Rehabilitation of Electro-acupuncture Therapy on Knee Osteoarthritis after Arthroscopic Debridement

目的:观察电针对膝关节炎关节镜清理术后疼痛及功能活动的影响。方法:将70例膝关节骨性关节炎患者随机分为对照组35例和治疗组35例,对照组予以膝关节镜清理术及术后常规功能锻炼,治疗组术后结合电针治疗,观察1个疗程(10d)的临床疗效并比较两组患者术后疼痛变化及功能活动的差异。结果:1个疗程后,治疗组总有效率94.29%,对照组总有效率77.14%,两组比较,差异有统计学意义(P<0.05);治疗组术后第1天疼痛评分与对照组比较,差异无统计学意义(P>0.05),术后第4天、第10天及1个疗程内平均疼痛评分较对照组低,差异有统计学意义(P<0.05);治疗组功能锻炼第1天较对照组比较,差异无统计学意义(P>0.05),第2,10天及10d总量均较对照组多,差异有统计学意义(P<0.05);治疗组Lysholm膝关节功能评分1个疗程后明显高于对照组,差异有统计学意义(P<0.05)。结论:电针对膝骨性关节炎患者行膝关节经清理术后镇痛及功能康复具有增效作用。

Objective：To investigate the effect of electroacupuncture therapy on pain and functional activity after arthroscopic debridement.Methods：70 patients with knee osteoarthritis were randomly divided into the control group（35 cases）and the treatment group（35 cases）.The control group received arthroscopic debridement and postoperative routine functional exercise and the treatment group was treated with electro-acupuncture after operation.The clinical efficacy of one course of treatment（10 days）was compared with the difference in postoperative pain and functional activity between the two groups.Results：After one course of treatment,the total effective rate of treatment group was 94.29%,while the control group was 77.14%,and the difference was statistically significant（P〈0.05）.The pain score of the treatment group was compared with the control group on the first postoperative day,which showed no statistically significant difference（P〈0.05）.The average pain scores of the 4th,10th and 1 course of postoperative days were lower than those in the control group,and the difference was not statistically significant（P〈0.05）.After the first day of functional exercise,there was no significant difference in the functional score between the treatment group and the control group（P〈0.05）.The functional score of the second day and the tenth day,and total functional score of 10 days were significantly higher in the treatment group than those in the control group（P〈0.05）.After one course of treatment,the joint function score of Lysholm knee in the treatment group was significantly higher than that of the control group,and the difference was statistically significant（P〈0.05）.Conclusion：Electroacupuncture has a synergistic effect on analgesia and functional rehabilitation after knee joint cleanup in patients with knee osteoarthritis.