中药熏洗联合功能训练对肘关节骨折术后关节功能恢复的影响
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Effect of Chinese Herbal Fumigation and Washing Combined with Functional Training on Recovery of Joint Function After Operation for Elbow Joint Fracture
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    摘要:

    目的:观察中药熏洗联合功能训练对肘关节骨折术后关节功能恢复的影响。方法:选取68 例行手术治疗的肘关节骨折患者为研究对象,按随机数字表法分为对照组及观察组各34 例。对照组术后给予功能训练,观察组在对照组基础上进行中药熏洗,2 组均以1 个月为1 个疗程,连续治疗1 个疗程后评估临床疗效。比较2 组治疗后总优良率,观察2 组治疗前后肘关节活动度(ROM)、肘关节功能(Mayo 肘关节评分) 及治疗期间的并发症。结果:治疗后,观察组总优良率为94.12%,高于对照组73.53%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组Mayo 肘关节活动范围、痛感、稳定性、功能评分均较治疗前上升(P<0.05),观察组Mayo 肘关节功能各项评分均高于对照组(P<0.05)。2 组ROM 旋前、旋后、伸展、屈曲活动度评分均较治疗前上升(P<0.05),观察组ROM 上述4 项活动度评分均高于对照组(P<0.05)。观察组并发症总发生率为5.88%,对照组并发症总发生率为23.53%,2 组比较,差异有统计学意义(P<0.05)。结论:中药熏洗配合功能训练可提高肘关节骨折术后的临床疗效,有利于恢复肘关节功能及关节活动度,降低并发症发生率。

    Abstract:

    Abstract:Objective:To observe the effect of Chinese herbal fumigation and washing combined with functional training on recovery of joint function after operation for elbow joint fracture. Methods:A total of 68 cases of patients with elbow joint fracture treated by operation were selected as the research objects, and were divided into the control group and the observation group according to the random number table method,with 34 cases in each group. After operation,the control group was given functional training,and the observation group was additionally given Chinese herbal fumigation and washing based on the treatment of the control group. Both groups were treated for one month as a course. After one course of treatment, the clinical effects were evaluated. After treatment, the total superior rates were compared between the two groups. The range of motion(ROM) of elbow joint and elbow joint function(Mayo Elbow Performance Score) before and after treatment as well as the complications during treatment in the two groups were observed. Results: After treatment, the total superior rate was 94.12% in the observation group, higher than that of 73.53% in the control group, the difference being significant(χ2=5.314, P=0.021). After treatment, the scores of the range of motion, pain, stability and function in Mayo elbow joints in the two groups were increased when compared with those before treatment(P<0.05),and the above Mayo elbow joint scores in the observation group were higher than those in the control group(P<0.05). The scores of ROM of elbow joints including pronation,supination,extension and flexion in the two groups were increased when compared with those before treatment(P<0.05),and the above four scores in the observation group were higher than those in the control group(P<0.05). The total incidence of complications was 5.88% in the observation group and 23.53% in the control group, the difference being significant(P<0.05). Conclusion:The therapy of Chinese herbal fumigation and washing combined with functional training can improve the clinical effect after operation for elbow joint fracture, restore elbow joint function and range of motion,and reduce the incidence of complications.

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蔡钟丽.中药熏洗联合功能训练对肘关节骨折术后关节功能恢复的影响[J].新中医,2021,53(23):125-128

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  • 在线发布日期: 2021-12-10
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