2026 年第 2 期 第 21 卷

颊针联合康复训练治疗对前交叉韧带损伤重建术后康复的影响

Effect of buccal acupuncture combined with rehabilitation training on the rehabilitation of patients after anterior cruciate ligament injury reconstruction

作者：董津含1杨英昕1于忠行2王成刚1杨旭1战美1

英文作者：Dong Jinhan1 Yang Yingxin1 Yu Zhongxing2 Wang Chenggang1 Yang Xu1 Zhan Mei1

单位：1中国人民解放军北部战区总医院康复医学科，沈阳110000；2沈阳一二一医院疼痛康复科，沈阳110000

英文单位：1Department of Rehabilitation Medicine General Hospital of the Northern Warzone of the Chinese People′s Liberation Army Shenyang 110000 China; 2Department of Pain and Rehabilitation Shenyang 121 Hospital Shenyang 110000 China

关键词：前交叉韧带损伤重建；颊针；康复训练；膝关节量表；膝关节活动度；膝关节功能

英文关键词：Anteriorcruciateligamentinjuryreconstruction;Buccalacupuncture;Rehabilitationtraining; Kneejointscale;Kneejointrangeofmotion;Kneejointfunction

• 摘要：

• 目的 探讨颊针联合康复训练治疗对前交叉韧带损伤重建术后康复的影响。方法 选择2023年2月至2025年2月于中国人民解放军北部战区总医院就诊的前交叉韧带损伤重建术后患者106例，采用区组随机化法随机分为对照组和观察组，各53例。2组治疗过程中各有4例患者未按时康复训练而剔除，2组各实际纳入49例患者。对照组给予康复训练治疗，观察组在对照组基础上给予颊针治疗。观察2组患者治疗前后主要疗效指标［膝关节Lysholm评分、国际膝关节文献委员会(IKDC)评分、疼痛视觉模拟量表评分、膝关节活动度］、次要疗效指标［膝关节功能（膝关节患侧肿胀值、大腿周径差值）、患侧膝关节伸膝及屈膝峰值力矩］及临床疗效。结果2组治疗后膝关节Lysholm评分、IKDC评分、膝关节活动度，患侧膝关节伸膝及屈膝峰值力矩均较治疗前升高/增大，且观察组均高于/大于对照组［膝关节Lysholm评分：（72±5）分比（66±7）分，IKDC评分：（80±7）分比（70±12）分，膝关节活动度外旋：（38.5±5.6）°比（30.6±6.1）°，内旋：（29.4±3.1）°比（25.5±3.3）°，屈伸：（121.9±18.2）°比（105.7±19.2）°，患侧膝关节伸膝峰值力矩：（46±8）N·m比（34±10）N·m，屈膝峰值力矩：（49±10）N·m比（37±11）N·m］（均P＜0.05）。2组治疗后疼痛视觉模拟量表评分、患侧肿胀值、大腿周径差值均较治疗前降低/减小，且观察组均低于/小于对照组（均P＜0.05）。治疗后观察组总有效率显著高于对照组［95.9%(47/49)比85.7%（42/49）］（P＜0.05）。结论 颊针联合康复训练可有效促进前交叉韧带损伤重建术后患者康复，临床疗效显著。

• Objective To explore the effect of buccal acupuncture combined with rehabilitation training on the rehabilitation of patients after anterior cruciate ligament injury reconstruction. Methods A total of 106 patients who underwent anterior cruciate ligament injury reconstruction in General Hospital of the Northern Warzone of the Chinese People′s Liberation Army from February 2023 to February 2025 were enrolled. They were randomly divided into the control group and the observation group by block randomization, with 53 cases in each group. During the treatment, 4 patients in each group were excluded due to failure to perform rehabilitation training on time, and 49 patients were actually included in each group. The control group was treated with rehabilitation training alone, while the observation group was treated with buccal acupuncture on the basis of the control group′s regimen. The primary efficacy indicators ［knee joint Lysholm score, international knee documentation committee (IKDC) score, visual analogue scale (VAS) score for pain, and knee joint range of motion］, secondary efficacy indicators ［knee joint function (affected knee swelling value, thigh circumference difference value), peak torque of knee extension and flexion of the affected side］ and clinical efficacy were observed before and after treatment in both groups. Results After treatment, the knee joint Lysholm score, IKDC score, knee joint range of motion, as well as the peak torque of knee extension and flexion of the affected side in both groups were significantly higher/greater than those before treatment, and the above indicators in the observation group were significantly higher/greater than those in the control group ［knee joint Lysholm score: (72±5) vs (66±7); IKDC score: (80±7) vs (70±12); knee joint range of motion, external rotation: (38.5±5.6)° vs (30.6±6.1)°; internal rotation: (29.4±3.1)° vs (25.5±3.3)°; flexion and extension: (121.9±18.2)° vs (105.7±19.2)°; peak torque of knee extension of the affected side: (46±8)N·m vs (34±10)N·m; peak torque of knee flexion: (49±10)N·m vs (37±11)N·m］(all P＜0.05). After treatment, the VAS score for pain, affected knee swelling value and thigh circumference difference value in both groups were significantly lower/less than those before treatment, and the above indicators in the observation group were significantly lower/less than those in the control group (all P＜0.05). The total effective rate of the observation group was significantly higher than that of the control group ［95.9%(47/49) vs 85.7%（42/49）］（P＜0.05）. Conclusion Buccal acupuncture combined with rehabilitation training can effectively promote the rehabilitation of patients after anterior cruciate ligament injury reconstruction with significant clinical efficacy.