中医康复2024，Vol.1Issue(12)：49-54,6.DOI:10.19787/j.issn.2097-3128.2024.12.008
"开通玄府、养血柔筋"中药结合MTT医学训练式治疗对前交叉韧带重建术后康复疗效观察
Therapeutic Effect of"Opening Xuanfu,Nourishing Blood and Softening Tendons"Prescription Combined with MTT Medical Training Therapy on Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction
摘要
Abstract
Objective:To analyze the therapeutic efficacy of"Opening Xuanfu,Nourishing Blood and Softening Tendons"prescription combined with MTT medical training training on postoperative rehabilitation of anterior cruciate ligament reconstruction.Methods:180 patients who received ACL reconstruction treatment in the Department of Orthopedics and Traumatology of Zhangzhou Hospital of Traditional Chinese Medicine from January 2021 to June 2023 were included in the study,and were divided into control group,MTT group,and experimental group by randomized numerical table method with 60 cases in each group,and were treated with traditional rehabilitation therapy,MTT medical training therapy,and MTT medical training therapy+"Opening Xuanfu,Nourishing Blood and Softening Tendons"prescription respectively,and compare the pain,active joint mobility and muscle strength of the knee,and Tegner Lysholm knee score before and after rehabilitation treatment in the three groups.Results:After 2,4,8 and 16 weeks of rehabilitation treatment,the differences in VAS scores among the three groups were statistically significant(P<0.05),with the lowest in experimental group,followed by MTT group,and the highest in control group;and the differences in active joint mobility of the knee joints among the three groups were statistically significant(P<0.05),with the largest in experimental group,followed by MTT group,and the smallest in control group.After 16 weeks of rehabilitation treatment,the differences between the peak knee flexor and extensor moments,average power,total work,and the ratio of the peak moments of the active and antagonist muscles in the two modes of slow test and rapid test of the three groups were statistically significant(P<0.05),of which the peak knee flexor and extensor moments,average power,and total work of the two modes of slow test and rapid test of the experimental group were the largest,followed by that of MTT group,and that of control group the smallest;the ratio of the peak moments of the active and antagonist muscles was the smallest in experimental group in the two modes of slow and rapid testing,followed by MTT group and control group;the difference in Tegner Lysholm knee score among the three groups was statistically significant(P<0.05),in which the Tegner Lysholm knee score was the highest in experimental group,followed by MTT group and the lowest in control group.Conclusion:The combination of"Opening Xuanfu,Nourishing Blood and Softening Tendons"prescription and MTT medical training therapy significantly improves the efficacy of postoperative rehabilitation of anterior cruciate ligament reconstruction,relieves patients'pain symptoms,and promotes the recovery of active joint mobility and muscle strength of the knee joint.关键词
前交叉韧带重建术/术后康复/开通玄府/养血柔筋/MTT医学训练式治疗Key words
anterior cruciate ligament reconstruction/postoperative rehabilitation/Opening Xuanfu/nourishing blood and softening tendons/MTT medical training therapy分类
医药卫生引用本文复制引用
庄晨,林映欣,朱立,林月青,黄伟松.."开通玄府、养血柔筋"中药结合MTT医学训练式治疗对前交叉韧带重建术后康复疗效观察[J].中医康复,2024,1(12):49-54,6.基金项目
福建省卫健委科技计划项目(2020QNB041) （2020QNB041）
