穴位贴敷联合康复训练在膝痹病患者术后功能锻炼康复中的应用*

作者：杨美荣，全红梅，聂艳芳，袁秋娟，冀 霞，刘同明

单位：亳州市中医院，安徽 亳州 236800

引用：引用：杨美荣，全红梅，聂艳芳，袁秋娟，冀霞，刘同明.穴位贴敷联合康复训练在膝痹病患者术后功能锻炼康复中的应用[J].中医药导报,2025,31(10):69-72,119.

DOI：10.13862/j.cn43-1446/r.20250929.001

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摘要：目的：观察穴位贴敷联合康复训练在膝痹病患者术后功能锻炼康复中的应用效果。方法：选取接受康复训练的膝痹病患者80例为研究对象，采用随机信封法分为对照组和观察组，每组40例。对照组进行常规的术后康复训练，观察组在对照组基础上进行穴位贴敷。干预前后采用疼痛数字评分法（NRS）、膝关节肿胀评分和膝关节僵硬程度评分分别评价两组患者膝关节疼痛程度、关节功能改善情况，同时利用一般自我效能感量表（GSES）、生活质量量表（SF-36）分别评估患者的自我效能感和生活质量改善情况，并评价两组临床疗效。结果：两组患者干预后NRS评分、膝关节肿胀评分和膝关节僵硬程度评分均逐渐降低（P＜0.05）；术后10 d、术后1个月，观察组患者NRS评分、膝关节肿胀评分和膝关节僵硬程度评分均低于对照组（P＜0.05）；观察组患者NRS评分、膝关节肿胀评分和膝关节僵硬程度评分下降幅度高于对照组。干预1个月后，两组患者的GSES评分、SF-36评分均高于干预初期，且观察组患者的GSES评分、SF-36评分明显高于对照组，差异均有统计学意义（P<0.05）。观察组患者治疗总有效率为95.00%（38/40），高于对照组的75.00%（30/40），差异有统计学意义（P<0.05）。结论：穴位贴敷联合康复训练可缓解膝痹病患者的疼痛、改善膝关节功能、提升自我效能感及生活质量。

关键词：膝痹病；膝关节骨关节炎；穴位贴敷；康复训练；功能锻炼

Abstract：

Objective: To observe the application effect of acupoint application combined with rehabilitation training in postoperative functional exercise and rehabilitation of patients with knee arthralgia. Methods: A total of 80 patients with knee arthralgia who received rehabilitation training were selected as the research objects. They were divided into the control group and the observation group by random envelope method, with 40 cases in each group. The control group received routine postoperative rehabilitation training, while the observation group received acupoint application on the basis of the control group. Before and after the intervention, the numerical rating scale (NRS), knee joint swelling score and knee joint stiffness score were used to evaluate the knee joint pain degree and joint function improvement of patients in the two groups. At the same time, the general self-efficacy scale (GSES) and 36-item short form health survey (SF-36) were used to assess the improvement of patients' self-efficacy and quality of life respectively. The clinical efficacy was evaluated. Results: After the intervention, the NRS score, knee joint swelling score and knee joint stiffness score of both groups gradually decreased (P<0.05). On the 10th day and 1 month after surgery, the NRS score, knee joint swelling score and knee joint stiffness score of the observation group were lower than those of the control group (P<0.05). The decrease ranges of NRS score, knee joint swelling score and knee joint stiffness score in the observation group were higher than those in the control group. At the initial stage of nursing and 1 month after intervention, the GSES score and SF-36 score of both groups were higher than those at the initial stage of nursing, and the GSES score and SF-36 score of the observation group were significantly higher than those of the control group, with statistically significant differences (P<0.05). The total effective rate of the observation group was 95.00% (38/40), which was higher than 75.00% (30/40) of the control group, and the difference was statistically significant (P<0.05). Conclusion: Acupoint application combined with rehabilitation training can relieve pain, improve knee joint function, enhance self-efficacy and quality of life in patients with knee arthralgia.

Key words：knee arthralgia; knee osteoarthritis; acupoint application; rehabilitation training; functional exercise

发布时间：2026-01-08

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