| Objective :To observe the clinical efficacy of the treatment of swelling and pain after arthroscopic meniscus injury by means of row acupuncture at the meridian sinew,and explore the clinical efficiency,safety and advantages of transsineural rib rows and thrusting method in the treatment of swelling and pain after arthroscopic meniscus injury,and provide a new means for the clinical treatment of swelling and pain after arthroscopic meniscus injury。Method:In this study,72 Patients with swelling and pain after arthroscopic meniscus injury in the Kunming Hospital of Traditional Chinese Medicinewere selected and divided into a trial and a control group by the table of random numbers,he control group was treated with postoperative conventional treatment,In the experimental group,on the basis of postoperative routine treatment,the method of meridian sinew row needling was added,treatment 7 times a week,one week as a course of treatment,VAS pain score,knee swelling value and Lysholm function score of the experimental group and the control group were observed and recorded 1,3 and 7 days,respectively.evaluate the safety and effectiveness.Results SPSS26.0 software was used for statistical analysis of clinical data collection,P<0.05 was statistically significant。Results:(1)Baseline analysis of enrollment: A total of 72 subjects were included,among which 3 were discontinued due to early discharge from hospital and loss of follow-up and could not effectively collect data information.Another 2 patients did not continue acupuncture treatment as instructed and withdrew from the experiment.33 cases remained in the control group and 34 cases in the experimental group,and 67 cases were actually completed.(2)There was no statistical significance in gender,age,VAS score before treatment,knee swelling value and knee Lysholm scale between the two groups(P>0.05),and all were comparable.(3)Comparison of VAS score: After treatment,intra-group comparison between the two groups was P< 0.01,which showed a statistically significant difference,indicating that both groups could improve postoperative pain.Comparison between groups: The results showed a statistical difference between the two groups on day 1 after surgery(P>0.05).Treatment 3 and 7 days,in VAS pain scores between the two groups,the difference is statistically significant(P<0.05),the test group was better than the control group at relieving pain.(4)Comparison of knee joint swelling value: after treatment,the intra-group comparison of the two groups:P<0.01,there was statistically significant difference,indicating that the two groups of treatment can improve the postoperative knee joint swelling;Between groups: There was no significant difference in knee swelling between the two groups on day 1 after surgery(P>0.05).On the 3rd and 7th day of treatment,between the two groups:there was a statistically significant difference(P<0.05).In terms of postoperative knee swelling,the experimental group was better than the control group.(5)Comparison of Lysholm score of knee joint: After treatment,the intragroup comparison of the two groups: P<0.01,statistically significant difference,indicating that both groups improved knee function after surgery;Comparison between groups: there was no significant difference in Lysholm score between the two groups on the 1st and 3rd day after treatment(P>0.05).Day 7 treatment,the improvement effect of knee function in experimental group was better than that in control group,with statistical difference(P<0.05).Conclusions:(1)The treatment of swelling and pain after arthroscopic meniscus injury is clinically effective by means of the meridian sinew row needling and conventional postoperative treatment;(2)The meridian sinew row needling was superior to the control group in improving VAS pain score,knee swelling value and knee Lysholm score,and had obvious advantages in reducing swelling,pain and improving joint activity and function;(3)The clinical effect of acupuncture through tendon drainage is better than that of conventional treatment and can significantly improve the cure rate of patients with swelling and pain after arthroscopic meniscus injury. |