摘要
目的观察电针联合康复训练对肘关节僵硬松解术后功能恢复的影响。方法298例进行肘关节僵硬松解术后患者按随机数字表法分为治疗组与对照组,每组149例。对照组患者术后给予常规康复训练,治疗组患者给予电针联合康复训练。比较两组治疗前后疼痛视觉模拟量表(VAS)评分、肘关节活动度、肘部红外热成像图温度变化和肌肉状态变化情况,并比较两组临床疗效。结果治疗组优良率明显高于对照组(94.0%vs 85.2%,P<0.05);治疗组与对照组治疗后VAS评分均明显降低,且治疗组明显低于对照组(P<0.05);治疗组与对照组治疗后关节屈曲、伸展、前臂旋前以及旋后的活动度均明显改善(P<0.05),且治疗组优于对照组(P<0.05);治疗组与对照组治疗后肘部红外热成像图温度升高(P<0.05),且治疗组升高幅度大于对照组(P<0.05);治疗组治疗后肌肉压力-位移曲线下面积(AUC)较治疗前及对照组明显增大(P<0.05),对照组治疗前后肌肉压力-位移AUC比较差异无统计学意义(P>0.05)。结论肘关节僵硬松解术后电针联合康复训练的临床康复效果优于单纯康复训练。
Objective To observe the effect of electroacupuncture plus rehabilitation training on functional recovery after elbow joint stiffness release surgery.Method Two hundred and ninety-eight patients who had undergone elbow joint stiffness release surgery were allocated,using a random number table,to treatment and control groups,with 149 cases in each group.After the surgery,the control group received conventional rehabilitation training and the treatment group,electroacupuncture plus rehabilitation training.The Visual Analogue Scale(VAS)scores,elbow mobility,infrared thermographic temperatures of the elbow and elbow muscle states were compared between the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was significantly higher in the treatment group than in the control group(94.0%vs 85.2%,P<0.05).After treatment,the VAS score decreased significantly in the treatment and control groups and was significantly lower in the treatment group than in the control group(P<0.05).After treatment,joint flexion and extension and forearm pronation and supination improved significantly in the treatment and control groups(P<0.05)and improved more in the treatment group than in the control group(P<0.05).After treatment,infrared thermographic temperature of the elbow increased in the treatment and control groups(P<0.05)and the increase range was larger in the treatment group than in the control group(P<0.05).After treatment,the area under the muscle pressure-displacement curve(AUC)increased significantly in the treatment compared with before and with the control group(P<0.05).There was no statistically significant pre-/post-treatment difference in the muscle pressure-displacement AUC in the control group(P>0.05).Conclusion The clinical rehabilitating effect of electroacupuncture plus rehabilitation training after elbow joint stiffness release surgery is better than that of rehabilitation training alone.
作者
朱轶
欧阳元明
陆平辰
口锁堂
胡平
ZHU Yi;OUYANG Yuan-ming;LU Ping-chen;KOU Suo-tang;HU Ping(Shanghai Health Medical College Sixth People’s Hospital East Branch,Shanghai 201306,China)
出处
《上海针灸杂志》
2021年第3期328-332,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
上海市进一步加快中医药事业发展三年行动计划项目[ZY(2018-2020)-FWTX-8009]。
关键词
电针
康复训练
肘关节僵硬
视觉模拟量表
关节活动度
Electroacupuncture
Rehabilitation training
Elbow joint stiffness
Visual Analogue Scale
Joint mobility
