一指禅推法联合舒筋洗药熏洗、本体感觉训练对术后膝关节僵硬患者的疗效分析

Effect Analysis of one Finger Zen Pushing Method Combined with ShuJin Washing Medicine Fumigation Washing and Proprioceptive Training on Patients with Postoperative Knee Stiffness

目的探讨一指禅推法联合舒筋洗药熏洗、本体感觉训练对术后膝关节僵硬患者的效果分析。方法选取武山县人民医院2023年3月—2024年3月收治的46例术后膝关节僵硬患者为研究对象,按随机数字表法将其分为对照组和观察组,各23例。对照组采用常规康复训练干预,观察组在对照组基础上采用一指禅推法、舒筋洗药熏洗、本体感觉训练联合干预。比较两组的术后关节僵硬时间与关节正常活动时间、平衡功能、膝关节活动度、膝关节功能、肿胀情况及疼痛程度。结果观察组术后关节僵硬消失、关节正常活动恢复时间均短于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组Berg平衡量表、Lysholm膝关节评分均高于对照组,膝关节活动度大于对照组,组间差异有统计学意义(P<0.05);观察组疼痛视觉模拟评分为(1.42±0.96)分,消肿指数评分为(0.23±0.09)分,均低于对照组的(2.94±0.89)分、(0.87±0.27)分,组间差异有统计学意义(P<0.05)。结论对术后膝关节僵硬实施一指禅推法、舒筋洗药熏洗、本体感觉训练联合干预,可减轻患侧膝关节疼痛感,改善膝关节功能与活动度,加快关节僵硬消失速度,缩短关节正常活动恢复时间。

Objective To explore the effect analysis of one finger Zen pushing method combined with ShuJin washing medicine fumigation washing and proprioceptive training on patients with postoperative knee stiffness.Methods Forty-six patients with postoperative knee stiffness admitted to Wushan County People's Hospital from March 2023 to March 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 23 cases in each group.The control group was treated with routine rehabilitation training intervention,and the observation group was treated with one finger zen pushing method,ShuJin washing medicine fumigation washing and proprioceptive training combined intervention.The time of joint stiffness and normal movement,balance function,knee joint motion,knee joint function,swelling condition and pain degree were compared between the two groups.Results The recovery time of joint stiffness and normal activity in the observation group was shorter than that in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Berg Balance Scale and Lysholm knee joint scores in the observation group were higher than those in the control group,and the knee joint motion was greater than that in the control group,and the differences between the groups were statistical significance(P<0.05);the pain Visual Analogue Scale score and deswelling index score in the observation group were(1.42±0.96)points and(0.23±0.09)points,which were lower than(2.94±0.89)points and(0.87±0.27)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combined intervention of one finger zen pushing method,ShuJin washing medicine fumigation washing and proprioceptive training for postoperative knee stiffness can reduce the pain of the affected side knee joint,improve the function and mobility of the knee joint,accelerate the disappearance of joint stiffness,and shorten the recovery time of normal joint activity.