摘要
目的:探究葡萄糖穴位注射治疗在膝关节镜术后神经病理性疼痛致关节僵硬的功能恢复以及减少加巴喷丁胶囊口服剂量的作用。方法:选取贵州省骨科医院2020年1月至2023年1月收治的50例膝关节镜术后神经病理性疼痛致关节僵硬患者,随机分为观察组和对照组,每组25例。在综合康复治疗及口服加巴喷丁胶囊的基础上,观察组接受膝关节周围5%葡萄糖注射液穴位注射治疗,对照组采用0.9%氯化钠注射液进行对照。比较两组患者膝关节疼痛程度、膝关节活动度、生活质量。结果:治疗5周后,观察组患者视觉模拟评分法(VAS)评分、口服加巴喷丁胶囊日剂量低于对照组,差异具有统计学意义(P<0.05)。治疗5周后,观察组患者膝关节主动关节活动度(AROM)、简明健康调查量表(SF-36)评分高于对照组,差异具有统计学意义(P<0.05)。结论:葡萄糖穴位注射治疗能够加速膝关节镜术后神经病理性疼痛致关节僵硬的功能恢复,并减少加巴喷丁胶囊的口服剂量。
Objective To explore the effect of acupoint injection of glucose on functional recovery of joint stiffness caused by neuropathic pain after knee arthroscopy and reduction of oral dose of gabapentine capsule. Methods Fifty patients with joint stiffness caused by neuropathic pain after knee arthroscopy admitted to Guizhou Provincial Orthopaedic Hospital from January 2020 to January 2023 were randomly divided into an observation group and a control group, with 25 cases in each group. On the basis of comprehensive rehabilitation treatment and oral gabapentin capsule, the observation group received 5% glucose injection around the knee, and the control group was treated with 0.9% sodium chloride injection. The degree of knee pain, knee motion and quality of life were compared between the two groups. Results After 5 weeks of treatment, The visual analogue scale (VAS) score and daily dose of oral gabapentin capsule in the observation group were lower than those in the control group, with statistical significances (P < 0.05). After 5 weeks of treatment, the knee-joint active range of motion (AROM) and the scores of 36-item short form health survey (SF-36) in the observation group were higher than those in the control group, with statistical significances (P < 0.05). Conclusion Acupoint injection of glucose can accelerate the functional recovery of joint stiffness caused by neuropathic pain after knee arthroscopy and reduce the oral dose of gabapentin capsule.
作者
邱智
韦忠娜
刘洪举
QIU Zhi;WEI Zhongna;LIU Hongju(Beijing Jishuitan Hospital Guizhou Hospital,Guizhou Provincial Orthopedics Hospital,Guizhou Guiyang 550014)
出处
《深圳中西医结合杂志》
2024年第6期5-8,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
贵州省科技计划项目(黔科合支撑[2023]一般179)
贵州省卫生健康委科学技术基金项目(gzwkj2021-460)。
