行气舒筋活血汤联合推拿按摩与常规疗法促进老年髋部骨折术后患者康复临床研究
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Clinical Study on Xingqi Shujin Huoxue Decoction Combined with Tuina Massage and Routine Therapy in Promoting Rehabilitation of Senile Patients After Surgery for Hip Fracture
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    摘要:

    目的:观察行气舒筋活血汤联合推拿按摩及常规疗法促进老年髋部骨折术后患者康复的效果。方 法:回顾性分析69例气滞血瘀型老年髋部骨折住院患者的病历资料,根据术后治疗方法不同分为对照组34例 与观察组35例。2组患者术后均予常规抗感染、止痛、抗炎,切口隔天换药,于术后第4天应用推拿按摩疗法 治疗,观察组于术后次日开始服用行气舒筋活血汤治疗。连续治疗2个月。统计并比较2组患者的术后首次下 地时间、双下肢周径差、住院时间及治疗前后的哈里斯髋关节评分量表(HHS) 评分、伯格(Berg) 平衡量表 评分及生活质量评分[世界卫生组织生存质量测量表(WHO-QOL-BREF) 评分]。比较2组的临床疗效及并发症 发生率。结果:治疗2 个月后,观察组优良率为94.29%,对照组为73.53%,2 组比较,差异有统计学意 义(P<0.05)。观察组术后首次下地时间较对照组提前,住院时间较对照组缩短,双下肢周径差小于对照组, 差异均有统计学意义(P<0.05)。2组HHS评分、Berg评分均较治疗前升高(P<0.05);观察组HHS评分、 Berg评分均高于对照组(P<0.05)。2组WHO-QOL-BREF心理功能、躯体功能、社会功能、环境评分均较治 疗前升高(P<0.05),观察组4项评分均高于对照组(P<0.05)。观察组并发症发生率为5.71%,对照组为 20.59%,2组比较,差异无统计学意义(P>0.05)。结论:行气舒筋活血汤联合推拿按摩及常规疗法干预气滞 血瘀型老年髋部骨折术后患者临床疗效显著,能促进髋关节功能、重心主动转移能力和下肢平衡性的恢复,使 患者的生活质量提升,并发症少、安全性高。

    Abstract:

    Abstract: Objective: To observe the effect of Xingqi Shujin Huoxue Decoction combined with tuina massage and routine therapy in promoting rehabilitation of senile patients after surgery for hip fracture. Method: A total of 69 cases of hospitalized senile patients with hip fractures of qi stagnation and blood stasis type were given retrospective analysis,and were divided into the control group and the observation group according to different postoperative intervention treatment methods, with 34 and 35 cases in each group respectively. Both groups received routine anti-infection, pain relief, and anti-inflammatory treatment after surgery,and the drug on incision was changed every other day,and tuina massage therapy was applied on the fourth day after surgery. The observation group received Xingqi Shujin Huoxue Decoction from the next day after surgery. Both groups were treated for two months continuously. The scores of Harris Hip Scale (HHS), Berg Balance Scale and quality of life [The World Health Organization Quality of Life (WHO-QOL-BREF)] before and after treatment, as well as the first landing time, circumference difference of both lower limbs, hospital stay were collected and compared between the two groups. The clinical effects and incidence of complications were compared between the two groups. Results:After two months of treatment,the excellent rate was 94.29% in the observation group,and 73.53% in the control group,the difference being significant (P<0.05). The first landing time in the observation group was earlier than that in the control group, and the hospital stay was shorter than that in the control group, and circumference difference of both lower limbs was smaller than that in the control group,differences being significant (P<0.05). The scores of HHS and Berg in the two groups were increased when compared with those before treatment (P<0.05);the scores of HHS and Berg in the observation group were higher than those in the control group (P<0.05). The scores of psychological function, physical function, social function, and environment of WHO-QOL-BREF in the two groups were increased when compared with those before treatment (P<0.05),and the four scores in the observation group were higher than those in the control group (P<0.05). The incidence of complications was 5.71% in the observation group, and 20.59% in the control group, there being no significance in the difference between the two groups (P> 0.05). Conclusion: Modified Xingqi Shujin Huoxue Decoction combined with tuina massage and routine therapy has a significant clinical effect on senile patients after surgery for hip fracture of qi stagnation and blood stasis type. It can promote hip joint function, active center of gravity transfer ability, lower limb balance recovery,and improve quality of life of patients.

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陈叶荣.行气舒筋活血汤联合推拿按摩与常规疗法促进老年髋部骨折术后患者康复临床研究[J].新中医,2024,56(12):86-91

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  • 在线发布日期: 2024-06-28
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