上海针灸杂志2025，Vol.44Issue(4)：458-463,6.DOI:10.13460/j.issn.1005-0957.2025.04.0458
针刺联合中药外敷治疗训练性膝关节损伤的疗效观察
Observation on the efficacy of acupuncture plus external application of Chinese herbal medicine for exercise induced knee injury
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture plus external application of Chinese herbal medicine for exercise induced knee injury.Method Ninety-six patients with exercise induced knee injury were randomized to an acupuncture plus medicine group,an acupuncture group and a control group,with 32 cases in each group.During treatment,one case dropped out in the acupuncture plus medicine group and two cases,in the acupuncture group.Finally,31 cases included in the acupuncture plus medicine group;30 cases,in the acupuncture group;32 cases,in the control group.The acupuncture group received localized acupuncture of the knee;the acupuncture plus medicine group,external application of Chinese herbal medicine at the evening of the day when localized acupuncture of the knee was performed;the control group,external application of Diclofenac Diethylamine emulgel.The International Knee Documentation Committee(IKDC)subjective knee evaluation form score,the Lyshom knee scoring scale score and the visual analog scale(VAS)score were recorded in the three groups before and after treatment.The clinical therapeutic effects were compared between the three groups.Result After treatment,the IKDC subjective knee evaluation form score,the Lyshom knee scoring scale score and the VAS score improved in the three groups compared with before(P＜0.05);the IKDC subjective knee evaluation form score and the Lyshom knee scoring scale score were higher in the acupuncture plus medicine and acupuncture groups than in the control group(P＜0.05);the VAS score was lower in the acupuncture plus medicine group than in the control group(P＜0.05).The total efficacy rate was 87.1%in the acupuncture plus medicine group,83.3%in the acupuncture group and 59.4%in the control group with statistically significant differences(P＜0.05).Conclusion Both acupuncture plus external application of Chinese herbal medicine and acupuncture alone can relieve the clinical symptoms of exercise induced knee injury and improve the activities of daily living and the clinical therapeutic effect.The analgesic effect is better in acupuncture plus external application of Chinese herbal medicine than in acupuncture alone.关键词
针刺疗法/中药外敷/针药并用/电针/膝关节损伤/运动损伤/镇痛Key words
Acupuncture therapy/External application of Chinese herbal medicine/Acupuncture medication combined/Electroacupuncture/Knee injury/Sports injuries/Analgesia分类
中医学引用本文复制引用
宋晓琳,刘思妤,马新平,苏布衣,马新英..针刺联合中药外敷治疗训练性膝关节损伤的疗效观察[J].上海针灸杂志,2025,44(4):458-463,6.基金项目
空军特色医学中心青年博士助推项目(21ZT18) （21ZT18）
