膝关节穴位针刺治疗全膝关节置换术后患者的效果

Effects of knee joint acupuncture on patients after total knee arthroplasty

目的:观察膝关节穴位针刺治疗全膝关节置换术(TKA)后患者的效果。方法:选取2020年5月至2021年12月该院收治的86例行TKA患者进行前瞻性研究,采用随机数字表法将其分为研究组与对照组各43例。对照组给予常规康复训练,研究组在对照组基础上给予膝关节穴位针刺治疗,比较两组治疗前后关节活动度指标水平、膝关节功能[美国特种外科医院(HSS)]评分、疼痛程度[视觉模拟评分法(VAS)]评分,以及治疗效果和并发症发生率。结果:治疗后,两组最大屈曲角度均大于治疗前,且研究组大于对照组,两组最大伸直角度均小于治疗前,且研究组小于对照组,差异有统计学意义(P<0.05);两组HSS评分均高于治疗前,且研究组高于对照组,两组VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组治疗优良率为83.72%(36/43),高于对照组的44.19%(19/43),差异有统计学意义(P<0.05);研究组并发症发生率为6.98%(3/43),低于对照组的23.26%(10/43),差异有统计学意义(P<0.05)。结论:在常规康复训练基础上给予膝关节穴位针刺治疗TKA术后患者可提高治疗优良率和HSS评分,改善膝关节活动度指标水平,降低VAS评分和并发症发生率,其效果优于单纯常规康复训练。

Objective: To observe effects of knee joint acupuncture on patients after total knee arthroplasty(TKA). Methods: A prospective study was conducted on 86 patients who underwent TKA in this hospital from May 2020 to December 2021. They were divided into study group and control group by using the random number table method, with 43 cases in each group. The control group was given routine rehabilitation training,while the study group was given knee joint acupuncture treatment on the basis of that of the control group. The levels of range of motion, the knee function [hospital for special surgery(HSS)] score, the pain degree [visual analogue scale(VAS)] score, the treatment effect, and the incidence of complications were compared between the two groups before and after the treatment. Results: After the treatment, the maximum flexion angle of the two groups was higher than that before the treatment, and that of the study group was higher than that of the control group;the maximum extension angle of the two groups was lower than that before the treatment, and that of the study group was lower than that of the control group;and the differences were statistically significant(P<0.05). The HSS scores of the two groups were higher than those before the treatment, and that of the study group was higher than that of the control group;the VAS scores of the two groups were lower than those before the treatment, and that of the study group was lower than that of the control group;and the differences were statistically significant(P<0.05). The excellent and good rate of treatment in the study group was 83.72%(36/43), which was higher than 44.19%(19/43) in the control group, and the difference was statistically significant(P<0.05).Further, the incidence of complications in the study group was 6.98%(3/43), which was lower than 23.26%(10/43) in the control group, and the difference was statistically significant(P<0.05). Conclusions: On the basis of routine rehabilitation training, the knee joint acupoint acupuncture for the patients after TKA can improve the excellent and good rate of treatment and the HSS score, improve the level of range of motion, reduce the VAS score and the incidence of complications. Moreover, it is superior to single routine rehabilitation training.