针刺膝痛穴对膝关节内侧副韧带Ⅲ度损伤患者疼痛缓解及膝关节功能恢复的影响

Effect of Acupuncture at Points Corresponding to Knee Pain on Pain Relief and Knee Joint Function Recovery in Patients with GradeⅢInjury of Medial Collateral Ligament of Knee Joint

目的:观察针刺膝痛穴对膝关节内侧副韧带损伤患者疼痛缓解及膝关节功能恢复的影响。方法:将90例膝关节内侧副韧带Ⅲ度损伤患者随机分为治疗组与对照组各45例,对照组采用韧带缝合术治疗,治疗组给予针刺膝痛穴治疗。治疗4周后,观察2组治疗前后膝关节lysholm评分、疼痛视觉模拟评分法(VAS)评分及膝关节外翻应力位关节间隙的变化情况,并比较2组临床疗效及治疗安全性。结果:治疗组总有效率93.3%,高于对照组75.6%(P<0.05)。与同组治疗前比较,治疗1周、2周、4周2组膝关节lysholm评分逐渐升高(P<0.05),VAS评分逐渐降低(P<0.05),膝关节外翻应力位关节间隙均减小(P<0.05);与对照组治疗1周、2周、4周比较,治疗组治疗同期膝关节VAS评分均较低(P<0.05);与对照组治疗1周、2周比较,治疗组同期膝关节外翻应力位关节间隙均较大(P<0.05)。结论:针刺膝痛穴治疗膝关节内侧副韧带Ⅲ度损伤,能够取得良好的愈合效果,且安全性高。

Objective:To observe the effect of the therapy of acupuncture at points corresponding to knee pain on pain relief and knee joint function recovery in patients with medial collateral ligament injury of knee joint. Methods: A total of 90 patients with grade Ⅲ injury of medial collateral ligament of knee joint were randomly divided into the treatment group and the control group,with 45 cases in each group. The control group was treated with ligament suture,and the treatment group was treated with acupuncture at points corresponding to knee pain. After four weeks of treatment,the changes of lysholm scores of knee joint,scores of Visual Analogue Scale(VAS) of pain and joint clearance at knee valgus stress position in the two groups before and after treatment were observed, and the clinical effects and treatment safety in the two groups were compared. Results:The total effective rate was 93.3% in the treatment group,higher than that of 75.6% in the control group(P<0.05). After one,two and four weeks of treatment,the lysholm scores of knee joints in the two groups were gradually increased when compared with those before treatment(P<0.05),the VAS scores were gradually decreased(P<0.05),and the joint clearance at the knee valgus stress position was decreased(P<0.05);after one,two and four weeks of treatment,the VAS scores of knee joint in the treatment group were lower than those at the same time in the control group(P<0.05);after one and two weeks of treatment,the joint clearance at the knee valgus stress position in the treatment group was larger than that at the same time in the control group(P<0.05). Conclusion:The therapy of acupuncture at points corresponding to knee pain for grade Ⅲ medial collateral ligament injury of knee joint can achieve a good healing effect and has high safety.