目的：观察腕踝针联合桃红四物汤对胫骨平台骨折术后关节功能康复的影响。方法：选取64 例胫骨平台骨折患者，按随机数字表法分为观察组及对照组各32 例。对照组采用桃红四物汤治疗，观察组采用腕踝针联合桃红四物汤治疗，观察2 组康复优良率，比较2 组治疗前后美国外科医院膝关节评分（HSS 评分） 及视觉模拟评分法（VAS） 评分变化，比较2 组治疗后日常生活能力、生活质量、骨折愈合效果评分变化。结果：观察组康复优良率96.87%高于对照组84.38%，2 组比较，差异有统计学意义（P＜0.05）。治疗后，2 组HSS 评分均较治疗前升高，观察组HSS 评分高于对照组，差异均有统计学意义（P＜0.05）；术后3 周、术后3 个月2 组VAS 评分均较术前降低，观察组术后3 周、术后3 个月同一时间段VAS 评分低于对照组，差异均有统计学意义（P＜0.05）。治疗后，观察组生活质量评分、日常生活能力评分均高于对照组，差异均有统计学意义（P＜0.05）。治疗后，观察组骨折愈合效果指标中骨痂密度、骨痂量、断端边缘及骨痂边缘评分均高于对照组，差异均有统计学意义（P＜0.05）。结论：胫骨平台骨折术后康复采用腕踝针与桃红四物汤的联合治疗，可缓解早期疼痛，提升术后康复效果，预防关节术后粘连僵硬，改善患肢膝关节功能，加快骨折愈合进程，改善日常生活能力及生活质量。
Abstract：Objective：To observe the effect of the therapy of wrist-ankle acupuncture combined with Taohong Siwu tang on joint function rehabilitation after surgery for tibial plateau fracture. Methods： A total of 64 patients with tibial plateau fracture were selected and divided into the observation group and the control group according to the random number table method，with 32 cases in each group. The control group was treated with Taohong Siwu tang，and the observation group was treated with wrist-ankle acupuncture combined with Taohong Siwu tang. The excellent rates of rehabilitation in the two groups were observed. Before and after treatment，the knee scores in Hospital for Special Surgery(HSS) and scores of Visual Analogue Scale(VAS) in the two groups were compared. After treatment，the scores of ability of daily living，quality of life and fracture healing effect in the two groups were compared. Results： The excellent rate of rehabilitation was 96.87% in the observation group， higher than that of 84.38% in the control group， the difference being significant(P＜0.05). After treatment，the HSS scores in the two groups were increased when compared with those before treatment，and the HSS score in the observation group was higher than that in the control group， differences being significant(P＜0.05)； the VAS scores in the two groups three weeks and three months after surgery were decreased when compared with those before surgery， and the above scores in the observation group were lower than those of the same period in the control group， differences being significant(P＜0.05). After treatment，the scores of quality of life and ability of daily living in the observation group were higher than those in the control group， differences being significant(P＜0.05). After treatment， the scores of density，volume and edge of facture callus and edge of broken ends of the indexes of facture healing effect in the observation group were higher than those in the control group， differences being significant(P＜0.05). Conclusion： The combination therapy of wrist-ankle acupuncture and Taohong Siwu tang for postoperative rehabilitation of tibial plateau fracture can relieve the early pain，improve the effect of postoperative rehabilitation，knee function of affected limbs，ability of daily living and quality of life，prevent the adhesion and stiffness in joints after surgery，and accelerate the process of fracture healing.