摘要
目的:探讨复元活血汤联合功能锻炼对膝关节前交叉韧带重建术(ACLR)后患者患侧足底各区冲量、峰力矩(PT)及总功量(TW)的影响。方法:前瞻性选取唐山市第二医院2023年7月—2024年7月收治的膝关节ACLR后患者115例。按照随机数字表法分为对照组(57例)和观察组(58例)。对照组予以功能锻炼治疗,观察组予以复元活血汤联合功能锻炼治疗,两组均治疗8周。比较两组干预前后Lysholm评分、患侧足底前足区、中足区、足跟内侧及外侧冲量百分比,以及膝关节屈伸肌群的PT、TW、平均功率(AP)、屈伸肌单次最大做功量(MRTW)等指标。结果:干预前两组各项指标差异无统计学意义(P >0.05)。干预后,观察组Lysholm评分(82.67±12.89)分显著高于对照组(72.64±13.45)分(P<0.05);观察组患侧前足区冲量百分比(9.48±1.71)%、中足区冲量百分比(9.26±1.55)%显著低于对照组的(10.42±1.72)%和(11.72±1.84)%,足跟内侧冲量百分比(19.48±2.64)%、外侧冲量百分比(18.26±3.55)%显著高于对照组的(15.42±2.28)%和(15.72±2.84)%,差异有统计学意义(P<0.05);两组屈伸肌PT、TW、AP、MRTW均较干预前显著改善,且观察组各指标均优于对照组,差异有统计学意义(P<0.05)。结论:复元活血汤联合功能锻炼可改善膝关节ACLR后患者术后患侧足底各区冲量、PT及TW。
Objective To investigate the effects of Fuyuan Huoxue decoction combined with functional exercises on the impulse,PT,and TW in the affected foot areas of patients who have undergone anterior cruciate ligament reconstruction surgery.Methods This prospective study enrolled 115 patients with anterior cruciate ligament(ACL)rupture who underwent anterior cruciate ligament reconstruction(ACLR)between July 2023 and July 2024 at our hospital.Participants were randomly assigned to a control group(57 cases)or an observation group(58 cases)using a randomized number table.The control group received only functional exercise therapy,while the observation group received a combination of Fuyuan Huoxue decoction and functional exercise therapy.Both groups underwent treatment for 8 weeks.The Lysholm score,the percentage of the impact on the forefoot,midfoot,and the medial and lateral heel,and the PT,TW,AP,and MRTW of the flexor and extensor muscles of the knee were compared between the two groups before and after the intervention.Results No statistically significant differences were observed in baseline parameters between the two groups(P>0.05).Post-intervention,the Lysholm score in the observation group(82.67±12.89)was significantly higher than that in the control group(72.64±13.45)(P<0.05).The observed group showed significantly lower impulse percentages in the affected forefoot area(9.48%±1.71%)and midfoot area(9.26%±1.55%)compared to the control group(10.42%±1.72%)and(11.72%±1.84%),respectively.Conversely,the observed group exhibited significantly higher impulse percentages in the medial heel(19.48%±2.64%)and lateral heel(18.26%±3.55%)compared to the control group(15.42%±2.28%)and(15.72%±2.84%)(P<0.05).Both groups demonstrated significant improvements in flexor/extensor muscle parameters(PT,TW,AP,MRTW)compared to baseline levels,with the observation group showing superior performance across all metrics(P<0.05).Conclusion Fuyuan Huoxue decoction combined with functional exercises can improve the impulse,PT,and TW in the affected foot areas of patients who have undergone anterior cruciate ligament reconstruction surgery.
作者
吴雅梅
张艳
夏艳玲
王东利
WU Ya-mei;ZHANG Yan;XIA Yan-ling(Tangshan Second Hospital Orthopaedics,Tangshan 063000,China)
出处
《中国中西医结合外科杂志》
2026年第1期14-18,共5页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
复元活血汤
功能锻炼
膝关节前交叉韧带重建术
膝关节功能
Fuyuan Huoxue decoction
functional exercise
anterior cruciate ligament reconstruction
function of knee joint
