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目的:验证中西医结合方法对关节镜下韧带重建术后中期康复治疗的有效性和优势。方法:选择关节镜下膝前交叉韧带重建术住院患者76例,随机分为2组:治疗组(中医疗法+常规康复训练组)和对照组(常规康复训练组)。比较2组患者术后3月、6月的疼痛、肿胀、关节活动度和膝关节Lysholm评分、HSS评分、JOA评分及膝IKDC-2000功能评分、膝关节功能、运动能力。结果:(1)对主观疼痛(VAS评分)、Lyshom评分、JOA评分、HSS评分、IKDC-2000综合评分:治疗组与对照组于术后3月、6月比较差异有统计学意义。(2)对关节活动度、减轻关节肿胀(关节积液量):治疗组与对照组于术后3月比较差异有统计学意义;(3)对膝关节屈、伸肌峰力矩的影响、膝关节稳定性比较:治疗组与对照组于术前及术后6月比较差异均有统计学意义。结论:中西医结合康复程序对关节镜下膝ACL重建术后中期功能恢复优于常规康复程序作用。
Objective: To verify the effectiveness and advantages of integrated traditional Chinese and western medicine on postoperative mid-term rehabilitation after arthroscopic ligament reconstruction. Methods: Sixty-76 inpatients with arthroscopic anterior cruciate ligament reconstruction were randomly divided into two groups: treatment group (TCM + conventional rehabilitation group) and control group (conventional rehabilitation group). The pain, swelling, joint mobility and knee Lysholm score, HSS score, JOA score and Knee IKDC-2000 functional score, knee joint function and motor ability were compared between the two groups at March and June. Results: (1) The subjective pain (VAS score), Lyshom score, JOA score, HSS score, IKDC-2000 comprehensive score: There was significant difference between the treatment group and the control group at 3 months and 6 months after operation. (2) the degree of joint activity, reduce joint swelling (joint effusion): the treatment group and the control group in March after the difference was statistically significant; (3) the knee flexion and extension peak torque, Comparison of the stability of the knee: the treatment group and the control group in preoperative and postoperative 6 months were statistically significant differences. Conclusion: Integrative Chinese and Western rehabilitation procedure is better than conventional rehabilitation procedure in arthroscopic knee ACL reconstruction.