低温热塑板材结合中医综合康复治疗创伤后关节挛缩临床研究
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R682.2+4

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濮阳市科技计划项目(1805066)


Clinical Study on Low Temperature Thermoplastic Sheets Combined with Chinese Medicine Comprehensive Rehabilitation for Post-Traumatic Joint Contracture
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    摘要:

    目的:观察低温热塑板材结合中医综合康复治疗创伤后关节挛缩的临床疗效。方法:将50 例创伤后关节挛缩患者随机分为对照组和观察组,每组25 例;2 组患者均接受综合康复治疗,观察组在此基础上加用低温热塑板材塑形治疗,疗程均为8 周;观察比较2 组临床疗效、关节复位质量和不良反应发生率,治疗前后关节活动度、肿胀程度、日常生活活动能力[采用Barthel 指数计分法(BI)]、疼痛视觉模拟评分法(VAS) 评分。结果:总有效率观察组为100%,对照组为84.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组主、被动关节活动度均较治疗前明显升高(P<0.05),且观察组关节活动度改善优于对照组(P<0.05)。治疗后,2 组患者BI 指数较治疗前升高(P<0.05),关节肿胀程度评分、疼痛VAS 评分均较治疗前降低(P<0.05),且观察组上述各项指标改善较对照组更显著(P<0.05)。复位质量优良率观察组为80.00%,对照组为44.00%,2 组比较,差异有统计学意义(P<0.05)。不良反应发生率观察组为4.00%,对照组为8.00%,2 组比较,差异无统计学意义(P>0.05)。结论:低温热塑板材结合中医综合康复治疗创伤后关节挛缩疗效肯定,效果优于单纯中医综合康复治疗。

    Abstract:

    Abstract: Objective: To observe the clinical effect of low temperature thermoplastic sheets combined with Chinese medicine comprehensive rehabilitation on post-traumatic joint contracture. Methods:Fifty patients with post-traumatic joint contracture were randomly divided into the control group and the observation group,25 patients in each group. Both groups received treatment of comprehensive rehabilitation,and the observation group was additionally treated with low temperature thermoplastic sheets molding. Both groups were treated for eight weeks. The clinical effect, quality of joint restoration, incidence of adverse reactions,joint range of motion,swelling degree,score of daily living activity by Barthel Index(BI) and score of Visual Analogue Scale(VAS) before and after treatment in the two groups were observed and compared. Results: The total effective rate was 100% in the observation group and 84.00% in the control group,the difference being significant (P<0.05). After treatment,the active and passive range of motion of joints in both groups were significantly increased when compared with those before treatment(P<0.05), and the improvement of the degree was better in the observation group than the control group(P<0.05). After treatment,the BI scores in both groups were increased when compared with those before treatment(P<0.05);the scores of degree of joint swelling and VAS in both groups were decreased when compared with those before treatment(P<0.05);the improvement of the above indexes in the observation group was more significant than that in the control group(P<0.05). The good-level restoration rate was 80.00% in the observation group and 44.00% in the control group,the difference being significant(P<0.05). The incidence of adverse reactions was 4.00% in the observation group and 8.00% in the control group, there being no significant difference(P>0.05). Conclusion: The therapy of low temperature thermoplastic sheets combined with Chinese medicine comprehensive rehabilitation has significant clinical effect in treating post- traumatic joint contracture, whose effect is better than simple Chinese medicine comprehensive rehabilitation.

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孙玮琦,吕永飞,马燕迪,葛青叶.低温热塑板材结合中医综合康复治疗创伤后关节挛缩临床研究[J].新中医,2020,52(13):100-103

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  • 在线发布日期: 2020-07-10
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