[1]游昊明,郑派,窦文博,等.经皮穴位电刺激联合血流限制治疗全膝关节置换术后疗效研究[J].陕西中医,2026,(2):248-254.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.019]
　YOU Haoming,ZHENG Pai,DOU Wenbo,et al.Study on therapeutic effect of percutaneous electrical acupoint stimulation combined with blood flow restriction after total knee arthroplasty[J].,2026,(2):248-254.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.019]
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经皮穴位电刺激联合血流限制治疗全膝关节置换术后疗效研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年2期
页码:
248-254
栏目:
针灸经络
出版日期:
2026-02-05

文章信息/Info

Title:
Study on therapeutic effect of percutaneous electrical acupoint stimulation combined with blood flow restriction after total knee arthroplasty
作者:
游昊明; 郑派; 窦文博; 李俊杰; 姚祎晨; 黄勇
（成都中医药大学附属医院，四川 成都 610075）
Author(s):
YOU Haoming; ZHENG Pai; DOU Wenbo; LI Junjie; YAO Yichen; HUANG Yong
（Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China）
关键词:
血流限制疗法; 经皮穴位电刺激; 全膝关节置换术; 肌肉萎缩; 康复治疗
Keywords:
Blood flow restriction therapy; Transcutaneous acupoint electrical stimulation; Total knee arthroplasty; Muscle atrophy; Rehabilitation therapy
分类号:
R 684
DOI:
DOI:10.3969/j.issn.1000-7369.2026.02.019
文献标志码:
A
摘要:
目的：探究经皮穴位电刺激（TEAS）联合血流限制疗法（BFRT）用于全膝关节置换术（TKA）后患者早期功能康复的临床效果。方法：回顾性分析67例初次TKA患者资料。根据治疗方式分为三组：基础组（23例）接受常规治疗与康复锻炼；电刺激组（22例）在常规治疗基础上联合 TEAS；联合组（22例）实施 BFRT 联合 TEAS。比较三组患者血清白介素-6（IL-6）、C-反应蛋白（CRP）、D-二聚体水平，疼痛视觉模拟评分（VAS）、膝关节功能评分（HSS）、大腿周径、股四头肌厚度及徒手肌力评定结果，并记录不良反应及并发症，评估治疗安全性。结果：治疗后，三组 IL-6、CRP、D-二聚体、VAS 评分、HSS 评分、大腿周径、股四头肌厚度及肌力较治疗前差异均有统计学意义（P＜0.05）。术后 1 周，联合组较基础组 IL-6、CRP、VAS 评分降低,差异有统计学意义（均P＜0.05）。术后 1 周，联合组较基础组HSS 评分、大腿周径、股四头肌厚度升高（均P＜0.05）。电刺激组较基础组 VAS 评分显著降低，HSS 评分、股四头肌厚度升高，差异有统计学意义（均P＜0.05）。术后 2 周，联合组较基础组 IL-6、CRP、D-二聚体、VAS 评分降低（均P＜0.05）。术后 2 周，联合组较基础组HSS 评分、大腿周径、股四头肌厚度、股四头肌肌力显著升高（均P＜0.05）。术后 2 周，联合组较电刺激组IL-6 降低，HSS 评分、大腿周径、股四头肌厚度显著升高（均P＜0.05）。电刺激组较基础组 D-二聚体降低，大腿周径增大（均P＜0.05）。三组不良反应发生率比较，差异无统计学意义（P＞0.05）。结论：TEAS 可缓解TKA术后肿胀和疼痛并预防肌肉萎缩，联合 BFRT 能进一步改善膝关节功能，减轻疼痛肿胀，增强肌力，且安全性较好。
Abstract:
Objective:To explore clinical effect of transcutaneous electrical acupoint stimulation (TEAS) combined with blood flow restriction therapy (BFRT) on early functional rehabilitation in patients after total knee arthroplasty (TKA).Methods:The data of 67 patients undergoing primary TKA were retrospectively analyzed.According to treatment methods,they were divided into three groups:the basic group (23 cases) received conventional treatment and rehabilitation exercises;the electrical stimulation group (22 cases) received TEAS in addition to conventional treatment;the combined group (22 cases) received BFRT combined with TEAS.The levels of serum interleukin-6 (IL-6),C-reactive protein (CRP),D-dimer,pain visual analogue scale (VAS),knee joint function score (HSS),thigh circumference,quadriceps thickness and manual muscle strength assessment results were compared among the three groups.Adverse reactions and complications were recorded to evaluate the safety of the treatment.Results:After treatment,the levels of IL-6,CRP,D-dimer,VAS score,HSS score,thigh circumference,quadriceps thickness and muscle strength in the three groups were significantly different from those before treatment (P＜0.05).One week after surgery,the levels of IL-6,CRP and VAS score in the combined group were lower than those in the basic group,differences statistically significant (all P＜0.05).One week after surgery,the HSS score,thigh circumference and quadriceps thickness in the combined group were higher than those in the basic group,differences statistically significant (all P＜0.05).The VAS score in the electrical stimulation group were significantly lower than that in the basic group,and the HSS score and quadriceps thickness were higher,differences statistically significant (all P＜0.05).Two weeks after surgery,the levels of IL-6,CRP,D-dimer and VAS score in the combined group were lower than those in the basic group,differences statistically significant (all P＜0.05).Two weeks after surgery,the HSS score,thigh circumference,quadriceps thickness and quadriceps muscle strength in the combined group were significantly higher than those in the basic group,differences statistically significant (all P＜0.05).Two weeks after surgery,the level of IL-6 in the combined group was lower than that in the electrical stimulation group,and the HSS score,thigh circumference and quadriceps thickness were significantly higher,differences statistically significant (all P＜0.05).The level of D-dimer in the electrical stimulation group was significantly lower than that in the basic group,and the thigh circumference was significantly higher,differences statistically significant (all P＜0.05).There was no statistically significant difference in the incidence of adverse reactions among the three groups (P＞0.05).Conclusion:TEAS can relieve swelling and pain after TKA and prevent muscle atrophy.The combination of BFRT can further improve knee joint function,reduce pain and swelling,and enhance muscle strength,with better safety.

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备注/Memo

备注/Memo:
国家重点研发计划中医药现代化研究项目(2019YFC1712502)；四川省中医药管理局科学技术研究专项项目(2020JC0044)
更新日期/Last Update: 2026-02-09