微创医学

目的探讨温针灸联合视觉反馈训练在膝关节骨折患者中应用的临床效果。方法选取82例膝关节骨折患者为研究对象，按随机数字表法将其分为观察组和对照组，各41例。两组均行手术治疗，术后对照组给予视觉反馈训练干预，观察组在对照组的基础上加用温针灸治疗。两组均持续治疗8周，并随访至术后6个月。比较两组患者的疼痛程度、膝关节功能、关节活动度、日常生活能力、平衡功能、生活质量。结果观察组术后4周、8周时疼痛视觉模拟量表（VAS）评分均低于对照组，差异有统计学意义（均P<0.05）。观察组术后西安大略和麦克马斯特大学骨关节炎调查量表（WOMAC）评分低于对照组，关节活动度大于对照组，差异均有统计学意义（均P<0.05）；观察组术后Barthel指数（BI）、Berg平衡量表（BBS）、Fugl Meyer平衡量表（FMB）评分均高于对照组，差异均有统计学意义（均P<0.05）。观察组术后世界卫生组织生存质量测定量表（WHOQOL-BREF）各项评分均高于对照组，差异均有统计学意义（均P<0.05）。结论温针灸联合视觉反馈训练可加快膝关节骨折患者关节功能恢复，增加关节活动度，减轻术后疼痛，提高日常生活能力及平衡功能，改善术后生活质量。

Objective To investigate the clinical effect of warming needle moxibustion combined with visual feedback therapy in patients with knee joint fracture. Methods A total of 82 patients with knee joint fracture were selected as research objects, and were divided into an observation group and a control group according to the random number table method, with 41 cases in each group. Both groups were treated with surgery. After surgery, the control group was given visual feedback therapy intervention, and the observation group was treated with warming needle moxibustion on the basis of the control group. Both groups were treated for 8 weeks and followed up to 6 months after surgery. The degree of pain, knee joint function, range of motion, ability of daily living, balance function and life quality were compared between the two groups. Results The pain visual analogue scale (VAS) scores of the observation group were lower than those of the control group at 4 weeks and 8 weeks after surgery, with statistically significant differences (all P<0.05). The postoperative Western Ontario and McMaster Universities Osteoarthritis Survey Scale (WOMAC) score of the observation group was lower than that of the control group, while the range of motion was greater than that of the control group, with statistically significant differences (all P<0.05). The Barthel index (BI), Berg balance scale (BBS), and Fugl-Meyer balance scale (FMB) scores in the observation group were higher than those in the control group after surgery, and the differences were statistically significant (all P<0.05). The scores of the World Health Organization Quality of Life BREF (WHOQOL-BREF) in the observation group were higher than those in the control group, and the differences were statistically significant (all P<0.05). Conclusion Warming needle moxibustion combined with visual feedback therapy can accelerate the recovery of joint function in patients with knee joint fracture, expand the range of motion, release postoperative pain, improve the ability of daily living and balance function, as well as the life quality after surgery.