Clinical effect of warm acupuncture combined with exercise therapy on sports knee injury in convalescent patients
QIN Guifu1 LIU Wan1 LIANG Bo2
1.Hubei Provincial Hospital of Traditional Chinese Medicine Hubei Research Institute of Traditional Chinese Medicine, Hubei Province, Wuhan 430061, China; 2.Wuhan Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430014, China
Abstract：Objective To observe the clinical effect of warm acupuncture combined with exercise therapy in the treatment of sports knee injury in convalescent. Methods A total of 90 patients with sports knee injuries in convalescent diagnosed in the Department of Rehabilitation, Hubei Provincial Hospital of Traditional Chinese Medicine from January to December 2018 were selected and divided into three groups according to the random number table method. Group A received conventional acupuncture treatment, group B received warm acupuncture treatment, and group C received warm acupuncture combined with exercise therapy, with 30 patients in each group. The curative effect was observed after one month. Efficacy was evaluated comprehensively by Lysholm knee score (LKS score), knee injury and osteoarthritis score (KOOS score), American knee association score (AKS score), and knee joint evaluation form of the international knee documentation committee (IKDC evaluation form). Results There was no significant difference in LKS scores between group A before and after treatment (P ＞ 0.05). LKS scores of group B and C increased after treatment compared with those before treatment, and the differences were statistically significant (all P ＜ 0.05). After treatment, LKS scores in group B and C were higher than those in group A, and LKS score in group C was higher than that in group B, with statistically significant differences (all P ＜ 0.05). Compared with before treatment, KOOS scores in groups A, B and C increased after treatment, and the differences were statistically significant (all P ＜ 0.05). After treatment, KOOS scores of groups B and C were higher than those of group A, and group C was higher than that of group B, with statistically significant differences (all P ＜ 0.05). Compared with those before treatment, AKS scores of group A, B and C were increased after treatment, and the differences were statistically significant (all P ＜ 0.05). After treatment, AKS scores in group C were higher than those in group A and B, with statistically significant differences (all P ＜ 0.05). There was no significant difference in IKDC score between group A before and after treatment (P ＞ 0.05). IKDC scores of group B and C increased after treatment compared with those before treatment, and the differences were statistically significant (all P ＜ 0.05). After treatment, IKDC scores of group B and C were higher than those of group A, and IKDC score of group C was higher than that of group B, with statistically significant differences (all P ＜ 0.05). Conclusion The therapeutic effect of warm acupuncture combined with exercise therapy on sports knee injury is definite and worthy of clinical application and promotion.
[1] Pardiwala DN，Rao NN，Anand K，et al. Knee Dislocations in Sports Injuries [J]. Indian J Orthop，2017，51（5）：552-562.
[2] 武玟斌，樊晓婕，徐坚.运动损伤的预防和治疗[J].运动，2017（18）：89-90.
[3] 徐瑞泽，张杭州，郭大伟.康复治疗联合玻璃酸钠关节腔注射治疗运动性膝关节损伤的临床疗效评价[J].海南医学院学报，2018，24（19）：1737-1741.
[4] Steele D，Morley W. Diagnosis and management of an acute knee injury[J]. BMJ，2017，356：i6783.
[5] Takeda H，Nakagawa T，Nakamura K，et al. Prevention and management of knee osteoarthritis and knee cartilage injury in sports [J]. Br J Sports Med，2011，45（4）：304-309.
[6] 杨桦.中医药治疗膝关节滑膜炎24例临床观察[J].数理医药学杂志，2012，25（1）：115-116.
[7] 李土芳，韩旭，刘少斌.温针灸联合中药熏洗治疗慢性膝关节软组织损伤临床研究[J].亚太传统医药，2016，12（10）：112-113.
[8] 孙小星，高松年，陈文雅，等.功能训练联合温针灸法在膝关节半月板损伤关节镜成形术后康复治疗中的临床应用研究[J].辽宁中医药大学学报，2015，17（12）：165-168.
[9] Alstergren P，Pigg M，Kopp S. Clinical diagnosis of temporomandibular joint arthritis[J]. J Oral Rehabil，2018，45（4）：269-281.
[10] 阮亮，姚瑶，梁丽萍.关节镜治疗膝关节半月板损伤患者对Lysholm评分的影响[J].医疗装备，2019，32（16）：110-111.
[11] Xie F，Li SC，Roos EM，et al. Cross-cultural adaptation and validation of Singapore English and Chinese versions of the Knee injury and Osteoarthritis Outcome Score (KOOS) in Asians with knee osteoarthritis in Singapore [J]. Osteoarthritis Cartilage，2006，14（11）：1098-1103.
[12] Kim JG，Ha JK，Lee JY，et al. Translation and validation of the korean version of the international knee documentation committee subjective knee form [J]. Knee Surg Relat Res，2013，25（3）：106-111，
[13] K?觟nig A，Scheidler M，Rader C，et al. The need for a dual rating system in total knee arthroplasty[J]. Clin Orthop Relat Res，1997（345）：161-167.
[14] 邓祎.中医治疗膝关节半月板损伤的临床疗效观察[D].成都:成都中医药大学，2014.
[15] 李志歧，丁磊，吕杰.磁共振对膝关节损伤的诊断价值分析[J].中国卫生标准管理，2018，9（9）：114-116.
[16] 徐瑞泽，张杭州，郭大伟，等.康复治疗联合玻璃酸钠关节腔注射对运动性膝关节损伤患者疼痛程度的影响[J].中国实用医药，2018，13（33）：8-10.
[17] 高树中，杨骏.针灸治疗学[M].北京：中国中医药出版社，2012：51-52.
[18] 方剑桥，吴焕金.刺法灸法学[M].北京：中国中医药出版社，2016：131-132.
[19] 穆妮热·赛买提.温针灸结合浮针治疗膝骨性关节炎的临床疗效观察[D].乌鲁木齐：新疆医科大学，2019，1-79.
[20] Shea KG，Grimm NL，Ewing CK，et al. Youth Sports Anterior Cruciate Ligament and Knee Injury Epidemiology：Who Is Getting Injured? In What Sports? When?[J]. Clin Sports Med，2011，30（4）：691-706.
[21] Alentorn-Geli E，Lazarides AL，Utturkar GM，et al. Factors predictive of poorer outcomes in the surgical repair of multiligament knee injuries [J]. Knee Surg Sports TraumatolArthrosc，2019，27（2）：445-459.
[22] 黄怡然，基于“调筋治骨”法探讨针刀治疗KOA模型兔软骨与股直肌修复的作用机制[D].北京：北京中医药大学，2014，1-85.
[23] Fernandes GS，Parekh SM，Moses J，et al. Prevalence of knee pain，radiographic osteoarthritis and arthroplasty in retired professional footballers compared with men in the general population：a cross-sectional study [J]. Br J Sports Med，2018，52（10）：678-683.
[24] 宁凯，郭瑞.针刺联合康复训练对运动性膝关节损伤周围肌肉的组织构建和生物力学的治疗研究[J].世界中医药，2017，12（8）：1890-1893，1897.
[25] 毕轩懿，王丽娜，尤艳利，等.针灸治疗军事训练伤的研究进展[J].解放军医药杂志，2019，31（10）：107-111.
[26] 王强.火针、温针灸联合治疗膝关节骨性关节炎患者效果[J].中国医药科学，2019，9（15）：53-55，211.
[27] 唐娜.电针结合运动疗法对半月板损伤足球运动员运动功能的影响研究[D].广州：广州体育学院，2019：1-74.
[28] 唐宏智，卫晓东，廖世川.髌周围刺结合温针灸治疗膝骨关节炎的临床效果[J].中国医药导报，2020，17（11）：107-110.
2020, Vol. 17 
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