【摘要】：目的:探討電針治療膝關(guān)節(jié)鏡下前交叉韌帶(anterior cruciate ligament,ACL)重建術(shù)后患膝腫痛的臨床療效及安全性。方法:2013年1月至2015年11月,采用電針治療膝關(guān)節(jié)鏡下ACL重建術(shù)后患膝腫痛患者28例,男16例、女12例。年齡22~46歲,中位數(shù)35.5歲。均初次行膝關(guān)節(jié)鏡下ACL重建術(shù)。ACL斷裂至重建手術(shù)時(shí)間4周至4個月,中位數(shù)49 d。術(shù)后患者麻醉解除后即開始進(jìn)行電針治療,每日2次,連續(xù)治療7 d。分別于術(shù)后24 h、48 h、72 h及7 d,采用疼痛視覺模擬量表評定患膝疼痛情況,測量距髕骨上極10 cm處的大腿周長,以與術(shù)前周長的差值判斷患膝腫脹程度。結(jié)果:術(shù)后24 h、48 h、72 h及7 d,患膝疼痛視覺模擬量表評分逐漸降低[(6.33±1.09)分,(4.26±0.68)分,(4.16±1.10)分,(1.27±0.21)分],腫脹程度逐漸降低[(4.23±2.09)cm,(3.87±1.09)cm,(3.45±1.28)cm,(1.01±0.21)cm]。28例患者治療過程中均未出現(xiàn)任何不良反應(yīng)。結(jié)論:電針療法可以有效減輕膝關(guān)節(jié)鏡下ACL重建術(shù)后患膝疼痛及腫脹程度,且安全性較高,值得臨床推廣應(yīng)用。
[Abstract]:Objective: to investigate the clinical efficacy and safety of electroacupuncture in the treatment of swelling and pain of knee after arthroscopic reconstruction of anterior cruciate ligament (anterior cruciate ligament,ACL). Methods: from January 2013 to November 2015, 28 patients (16 males and 12 females) with knee swelling and pain after ACL reconstruction under knee arthroscopy were treated with EA. The age was 22 鈮，

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