中医康复治疗膝关节运动损伤的运用与临床效果评价

摘要/Abstract

摘要： 目的探究膝关节运动损伤治疗中中医康复的实施价值并对其应用效果进行评价。方法选取2021年5月—2022年5月株洲市中医伤科医院收治的100例膝关节运动损伤患者为研究对象,按照住院号末尾数字奇偶值法分为对照组（奇数患者）和研究组（偶数患者）,每组50例。对照组选择关节腔注射玻璃酸钠治疗,研究组选择中医康复。对两组患者治疗后有效率、膝关节功能、疼痛评分、膝关节活动度、并发症发生情况进行对比。结果研究组治疗后疼痛评分低于对照组,膝关节活动度高于对照组,差异有统计学意义（P<0.05）。研究组并发症发生率低于对照组,差异有统计学意义（P<0.05）。治疗前,两组患者膝关节功能评分比较,差异无统计学意义（P>0.05）;治疗后,研究组膝关节功能评分高于对照组,差异有统计学意义（P<0.05）。治疗后,研究组的治疗有效率高于对照组,差异有统计学意义（P<0.05）。结论中医康复治疗实施价值高,实施后,患者的关节功能得到有效改善,对疼痛及并发症的抑制具有积极意义,值得临床应用。

关键词: 中医康复, 疼痛评分, 关节活动度, 膝关节运动损伤, 关节功能, 并发症

Abstract: Objective To explore the implementation value of traditional Chinese medicine rehabilitation in the treatment of knee joint sports injury, and to evaluate its application effect. Methods A total of 100 patients with knee joint sports injury were selected from the Department of Sports Medicine of Zhuzhou Traditional Chinese Medicine Injury Hospital from May 2021 to May 2022.According to the parity value of hospitalization number, the patients were divided into the control group (odd patients) and the study group (even number patients), 50 cases in each group. The control group was treated with sodium hyaluronate injection into the joint cavity. The study group selected TCM rehabilitation. The differences of effective rate after treatment, knee function, pain score, knee range of motion and complications after treatment were compared between the two groups. Results After treatment, the pain score of the study group was lower than that of the control group, and the range of motion of the joint was higher than that of the control group (P<0.05). The analysis of complications showed that the data of the study group was lower than that of the control group(P<0.05). There was no difference in knee joint function between the two groups before treatment (P>0.05), but after treatment, the study group was higher than the control group (P<0.05). After treatment, the treatment effective rate of the study group was higher than that of the control group (P<0.05). Conclusion Acupuncture, massage and traditional Chinese medicine application are of high value. After implementation, the joint function of patients can be effectively improved, and it has positive significance for the inhibition of pain and complications, which is worthy of application.

Key words: traditional Chinese medicine rehabilitation, pain score, joint range of motion, knee joint sports injury, joint function, complications

中图分类号:

R274.9

齐浩宏. 中医康复治疗膝关节运动损伤的运用与临床效果评价[J]. 中华养生保健, 2023, 41(8): 16-19.

参考文献

[1] 傅泽铤,刘志杨,丁海丽.短道速滑运动员膝关节常见运动损伤的机制与康复研究进展[J].国外医药(抗生素分册),2022,43(3):224-227.
[2] 牛金榜. 健美操运动员前交叉韧带损伤的康复方案研究——Ⅰ度损伤的保守治疗[J].体育科技文献通报,2020,28(2):150-151,154.
[3] JIANG S, LIU X, LIU Y, et al.Synthesis of silver @hydroxyapatite nanoparticles based biocomposite and their assessment for viability of Osseointegration for rabbit knee joint anterior cruciate ligament rehabilitation[J]. Journal of Photochemistry and Photobiology, B. Biology: Official Journal of the European Society for Photobiology,2020(202):111677.
[4] BANI-AHMED A.The evidence for prolonged muscle stretching in ankle joint management in upper motor neuron lesions: considerations for rehabilitation - a systematic review[J]. Topics in stroke rehabilitation,2019,26(2):153-161.
[5] 国家老年疾病临床医学研究中心(湘雅医院),中华医学会骨科学分会关节外科学组.中国髌股关节骨关节炎诊疗指南(2020年版)[J].中华骨科杂志,2020,40(18):1227-1234.
[6] 王艺伟,马玉宝,高维广,等.本体感觉训练对前交叉韧带重建术后功能恢复的影响[J].中国老年保健医学,2022,20(1):113-116.
[7] 林浴坤,林建锋,黄漫为.综合康复治疗联合塞来昔布治疗老年早期膝关节骨性关节炎的临床效果[J].临床合理用药杂志,2022,15(2):174-176,180.
[8] 邱燕云,吴庆光,汤志锋,等.中医康复治疗与肢体功能训练对股骨下段骨折术后患者膝关节功能康复的影响[J].临床医学工程,2022,29(3):415-416.
[9] 魏晶. 持续被动运动机在膝关节周围骨折患者术后康复治疗中的应用效果[J].中国医疗器械信息,2022,28(13):137-139.
[10] 黄茜茜,姚洁,蔡玉娜,等.渐进式抗阻力运动及其在全膝关节置换术后康复治疗中的研究进展[J].广西医学,2022,44(12):1414-1417,1428.
[11] 刘翠萍,侯娜,于小迪,等.静态进展牵伸技术联合综合康复治疗对膝关节术后活动受限患者功能康复的影响[J].临床和实验医学杂志,2022,21(8):856-860.
[12] 侯建鹏,高俊虎,刘建伟,等.综合康复疗法治疗运动性膝关节损伤临床观察[J].针灸临床杂志,2020,36(4):36-39.

[1]	李伟. 中医药透配合针灸治疗老年性膝关节骨性关节炎的临床观察[J]. 中华养生保健, 2024, 42(9): 34-37.
[2]	黄宁, 董荣. 解剖钢板内固定系统和重建钢板固定治疗锁骨中段骨折的效果分析[J]. 中华养生保健, 2024, 42(9): 40-43.
[3]	王慧敏, 王怡佳. 标准化护理联合优质护理用于子宫肌瘤患者术后护理中的效果[J]. 中华养生保健, 2024, 42(9): 100-102.
[4]	贾维. 快速康复理念多学科协作模式在膝关节镜手术围手术期护理中的应用效果[J]. 中华养生保健, 2024, 42(9): 135-138.
[5]	游佳, 张文娟, 刘晶晶, 吴雪. 舌压抗阻反馈训练联合中医康复护理在脑卒中吞咽功能障碍患者中的应用效果[J]. 中华养生保健, 2024, 42(9): 147-150.
[6]	贺宏智, 谢力, 欧锋, 韩飞, 赵启彬, 廖伟芋, 井立说, 刘普可, 汪霄. SaCo可视喉罩气道导管在腹腔镜胆囊切除术中患者气道管理的应用[J]. 中华养生保健, 2024, 42(8): 12-16.
[7]	耿小娟, 丰青宁, 王润丽. 中医特色序贯通痹护理联合情志护理对膝骨关节炎患者中医证候积分、骨关节功能的影响[J]. 中华养生保健, 2024, 42(8): 94-97.
[8]	李秀玲. 微信平台的延续性护理管理对创伤性下肢骨折患者术后VAS评分及并发症发生的改善[J]. 中华养生保健, 2024, 42(8): 131-134.
[9]	杨欢, 周娟. 基于FTS的多模式护理联合心理干预对胃肠手术患者心理状态及康复效果的影响[J]. 中华养生保健, 2024, 42(8): 156-160.
[10]	邵光辉. 云南白药胶囊辅助经皮微创内固定术对胫骨平台骨折患者愈合的影响[J]. 中华养生保健, 2024, 42(7): 23-26.
[11]	李小红, 苏洁, 陈露, 陈晨, 宋年, 骆晓敏. 中医“三位一体”护理技术对早期胃癌的应用效果及对癌因性疲乏程度影响[J]. 中华养生保健, 2024, 42(7): 77-80.
[12]	吴玉梅. 医护一体化快速康复外科护理对胸腔镜肺癌根治患者术后恢复的影响[J]. 中华养生保健, 2024, 42(7): 111-115.
[13]	郭文文, 陈媛媛. 医护共同决策护理模式联合多维康复护理模式对COPD患者并发症及心理状态的影响[J]. 中华养生保健, 2024, 42(7): 128-131.
[14]	马凤杰. 快速康复外科结合临床护理路径在全髋关节置换术患者康复中的应用效果[J]. 中华养生保健, 2024, 42(7): 131-134.
[15]	何瑞丽. 现代多模态护理方式在直肠癌腹腔镜手术配合中的应用[J]. 中华养生保健, 2024, 42(7): 134-137.