摘要
Objective： To observe the effect of complex reinforcing-reducing manipulations of acupuncture on flexion and extension angles of hip and knee in patients after surgical treatment of gluteus maximus contracture. 〈br〉 Methods： A total of 66 cases following surgery of gluteus maximus contracture were randomly allocated into an observation group and a control group by the random digits table, 33 in each group. In addition to basic treatment, cases in the observation group were treated with reducing manipulation [Tou T ian Liang （Heaven-penetrating Cooling）] on Zhibian （BL 54）, Huantiao （GB 30） and Juliao （GB 29） on the affected side and reinforcing manipulation [Shao Shan Huo （Mountain-burning Fire）] on Biguan （ST 31）, Futu （ST 32）, Zusanli （ST 36）, Fenglong （ST 40）, Xuehai （SP 10）, Diji （SP 8） and Yanglingquan （GB 34）. Patients in the control group only received the same basic treatment as the observation group. The treatment was done once a day, 30 d for a course and a 1-week interval between two courses. Then the flexion and extension angles of hip and knee were evaluated using the Lokomat full automatic robot gait evaluation system after 3 courses of treatment. 〈br〉 Results：There were intra-group statistical differences in hip flexion angle on foot followed （HFA-FF）, the maximum of hip flexion angle （MAX-HFA）, the maximum of hip extension angle （MAX-HEA）, knee flexion angle on foot followed （KFA-FF）, the maximum of knee flexion angle on stance phase （MAX-KFA-TP） and the maximum of knee flexion angle on swing phase （MAX-KFA-WP） in the observation group and in HFA-FF, MAX-HEA and KFA-FF in the control group （P＆lt;0.05）. There were between-group statistical differences in HFA-FF, MAX-HFA, MAX-HEA, KFA-FF and MAX-KFA-TP （P＆lt;0.05）. 〈br〉 Conclusion： The complex reinforcing-reducing manipulations of acupuncture can effectively improve the hip/knee functions following surgery of gluteus maximus contracture.
目的:观察复式针刺补泻对臀大肌挛缩术后患者运动步态髋、膝关节屈伸角度的影响。方法:将66例臀大肌挛缩术后患者按随机数字表分为两组,每组33例。观察组在康复治疗基础上,予针刺患侧秩边、环跳、居髎,行透天凉泻法;患侧髀关、伏兔、足三里、丰隆、血海、地机、阳陵泉,行烧山火补法。对照组仅予与观察组相同的基础康复治疗。每日治疗1次,30天为1个疗程,连续治疗3个疗程,疗程间休息1星期。使用Lokomat全自动机器人步态评定系统对患者进行运动步态髋、膝关节的屈伸角度测定。结果:观察组患者髋关节屈曲角度值(HFA-FF)、髋关节屈曲角度最大值(MAX-HFA)、髋关节伸展角度最大值(MAX-HEA)、膝关节屈曲角度值(KFA-FF)、支撑相膝关节屈曲角度最大值(MAX-KFA-TP)、摆动相膝关节屈曲角度最大值(MAX-KFA-WP),及对照组患者髋关节屈曲角度值(HFA-FF)、髋关节伸展角度最大值(MAX-HEA)和膝关节屈曲角度值(KFA-FF)与治疗前均有统计学差异(P<0.05)。观察组髋关节屈曲角度值(HFA-FF)、髋关节屈曲角度最大值(MAX-HFA)、髋关节伸展角度最大值(MAX-HEA)、膝关节屈曲角度值(KFA-FF)及支撑相膝关节屈曲角度最大值(MAX-KFA-TP)与对照组差异有统计学意义(P<0.05)。结论:复式针刺补泻可提高臀大肌挛缩术后髋、膝关节功能,改善步态运动。
基金
supported by Tangshan City Science&Technology Program(No.121302118b)
