Ding Luo-Bin, Zhao Jia, Guan Jian, Li Feng, Nie Xi-Zeng, Xie Lei, Wang Hua-Jun, Zheng Xiao-Fei, Xu Xiao
Department of Joint Surgery, Third Hospital of Shijiazhuang City, Shijiazhuang 050000, Hebei Province, China.
Department of Matching, Hebei Blood Center.
Zhongguo Zhen Jiu. 2020 Feb 12;40(2):142-6. doi: 10.13703/j.0255-2930.20190213-00014.
To observe the effect of electroacupuncture (EA) on the rehabilitation of knee joint function after anterior cruciate ligament (ACL) reconstruction.
A total of 140 patients with ACL reconstruction were randomly divided into an observation group (58 cases recruited, 12 cases dropped out) and a control group (65 cases recruited, 5 cases dropped out). The patients in the control group were treated with routine rehabilitation treatment. The patients in the observation group, on the basis of the treatment in the control group, were treated with EA at Fengshi (GB 31), Futu (ST 32), Zusanli (ST 36), Shangjuxu (ST 37), Fenglong (ST 40), Xuanzhong (GB 39), Diji (SP 8) and Sanyinjiao (SP 6) on the affected side (2 Hz/100 Hz of dilatational wave, 2-5 mA). Each EA treatment lasted 20-30 min, twice a day for 7 days. The swelling degree (d), pain visual analogue scale (VAS), knee joint range of motion (ROM), scores of International Knee Documentation Committee (IKDC) subjective short form and scores of Lysholm were observed in the two groups 1 day, 1 month, 3 months, 6 months and 1 year after operation.
One month and 3 months after operation, the swelling degree (d) and VAS scores in the observation group were lower than those in the control group (<0.05); 6 months and 1 year after operation, there was no significant difference between the two groups on the swelling degree (d) and VAS scores (>0.05). One month, 3 months, 6 months and 1 year after operation, the ROM of the knee joint in the observation group was higher than that in the control group (<0.05), the IKDC score and Lysholm score were higher than those in the control group (<0.05). Within one year, there were no relaxations, fractures and other related complications in the two groups. The pivot shift test, anterior drawer test and the Lachman test were all negative.
EA combined with routine rehabilitation training could obviously reduce the pain of knee joint, improve the swelling degree, increase the ROM of knee joint, promote the functional recovery in patients with ACL reconstruction, which are superior to rehabilitation training alone.
观察电针（EA）对前交叉韧带（ACL）重建术后膝关节功能康复的影响。
将140例行ACL重建术的患者随机分为观察组（招募58例，脱落12例）和对照组（招募65例，脱落5例）。对照组患者采用常规康复治疗。观察组患者在对照组治疗的基础上，于患侧的风市（GB 31）、伏兔（ST 32）、足三里（ST 36）、上巨虚（ST 37）、丰隆（ST 40）、悬钟（GB 39）、地机（SP 8）和三阴交（SP 6）进行电针治疗（疏密波2 Hz/100 Hz，2 - 5 mA）。每次电针治疗持续20 - 30分钟，每天2次，共7天。观察两组患者术后1天、1个月、3个月、6个月和1年时的肿胀程度（d）、疼痛视觉模拟评分（VAS）、膝关节活动度（ROM）、国际膝关节文献委员会（IKDC）主观简表评分及Lysholm评分。
术后1个月和3个月时，观察组的肿胀程度（d）及VAS评分低于对照组（P<0.05）；术后6个月和1年时，两组间肿胀程度（d）及VAS评分差异无统计学意义（P>0.05）。术后1个月、3个月、6个月和1年时，观察组膝关节ROM高于对照组（P<0.05），IKDC评分及Lysholm评分高于对照组（P<0.05）。1年内，两组均未出现松弛、骨折等相关并发症。轴移试验、前抽屉试验及Lachman试验均为阴性。
电针联合常规康复训练能明显减轻膝关节疼痛，改善肿胀程度，增加膝关节ROM，促进ACL重建患者的功能恢复，优于单纯康复训练。
