针灸临床杂志2025，Vol.41Issue(9)：17-22,6.DOI:10.19917/j.cnki.1005-0779.025169
不同针刺疗法对训练性膝关节损伤患者膝关节功能和疼痛的影响
Effects of Different Acupuncture Therapies on Knee Joint Function and Pain in Patients with Training-Induced Knee Injuries
摘要
Abstract
Objective:To observe the effects of different acupuncture therapies on knee joint function and pain in patients with training-induced knee joint injury.Methods:Patients were randomly assigned into the local acupuncture group(n=30,2 dropouts),the acupuncture exercise group(n=31,1 dropout)and the combined group(n=32).The local acupuncture group was treated with needling local points around the affected knee,the acupuncture exercise group was treated with needling positive reaction points on the contralateral elbow joint while performing active movements of the affected knee,and the combined group was treated with local acupuncture followed by acupuncture exercise therapy.Changes in the International Knee Documentation Committee(IKDC)score,Lysholm score,and Visual Analogue Scale(VAS)score were observed before and after the treatment in all three groups.Results:After the treatment,all three groups showed statistically significant improvements in IKDC score,Lysholm score,and VAS score compared to before the treatment(P＜0.01).Post-treatment Lysholm score in the combined group was significantly higher than that in the acupuncture exercise group(P＜0.05).The differences in VAS and IKDC scores before and after the treatment in the combined group were significantly greater than those in the other two groups(P＜0.01).In the Lysholm knee function sub-scores,the local acupuncture group showed significant improvements in instability,pain,and swelling(P＜0.01);the acupuncture exercise group showed significant improvements in limping,instability,pain,and stair climbing(P＜0.05,P＜0.01);the combined group demonstrated significant improvements in all sub-scores(P＜0.01).The total effective rate was 83.3％(25/30)in the local acupuncture group,87.1％(27/31)in the acupuncture exercise group,and 93.8％(30/32)in the combined group;there was no statistically significant difference in the total effective rate among the three groups(P＞0.05).Conclusion:All three acupuncture treatment methods can effectively improve knee joint function in patients with training-induced knee injuries,enhance their ability to perform daily and physical activities,and reduce knee pain.Acupuncture exercise therapy excels in improving knee mobility,while local acupuncture therapy is more effective in relieving pain,reducing local swelling,and enhancing joint stability.The combination of both therapies produces a synergistic effect,offering more comprehensive benefits.关键词
训练性膝关节损伤/针刺运动疗法/局部针刺疗法/膝关节功能/疼痛Key words
Training induced knee joint injury/Acupuncture exercise therapy/Local acupuncture therapy/Knee joint function/Pain分类
医药卫生引用本文复制引用
宋晓琳,马新平,苏布衣,刘思妤,马新英..不同针刺疗法对训练性膝关节损伤患者膝关节功能和疼痛的影响[J].针灸临床杂志,2025,41(9):17-22,6.基金项目
空军特色医学中心青年博士助推项目,编号:21ZT18. （）
