手法治疗联合功能康复训练对早期股骨头坏死患者康复效果及凝血功能的影响
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摘要
目的探究手法治疗联合功能康复训练对早期股骨头坏死患者康复效果及凝血功能的影响。方法选择该院自2015年3月—2018年3月收治的82例早期股骨头坏死患者作为研究对象,将其随机分成对照组和研究组,每组41例,对照组采用单纯功能康复训练治疗,研究组采用功能康复训练联合中医手法治疗,对比两组治疗效果。结果治疗前,研究组患者PT、FIB等凝血功能指标水平(18.4±1.4)s、(4.4±0.5)g/L与对照组(18.3±1.5)s、(4.4±0.6)g/L对比均差异无统计学意义(t=1.027,0.242,P>0.05),治疗后,研究组患者PT、FIB等凝血功能指标水平(12.2±1.3)s、(2.1±0.4)g/L均显著低于对照组(16.3±1.2)s、(3.7±0.5)g/L,两组对比差异有统计学意义(t=8.864,8.817,P<0.05);研究组患者康复总有效率(90.2%)显著高于对照组(75.6%),两组对比差异有统计学意义(χ2=7.637,P<0.05)。结论对早期股骨头坏死患者采用功能康复训练联合中医手法治疗,不仅能改善患者凝血功能水平,还能提高其整体康复效果。
Objective To investigate the effect of combined therapy and rehabilitation on the rehabilitation and coagulation function of patients with early femoral head necrosis. Methods Eighty-two patients with early femoral head necrosis who were admitted to our hospital from March 2015 to March 2018 were enrolled in the study. They were randomly divided into a control group and a study group, with 41 patients in each group. The control group received simple functional rehabilitation training treatment, the study group used functional rehabilitation training combined with traditional Chinese medicine treatment, comparing the effects of the two groups. Results Before treatment, the blood coagulation function indexes of PT and FIB in the study group(18.4 ±1.4)s,(4.4 ±0.5) g/L were compared with the control group(18.3±1.5) s and(4.4±0.6) g/L.There was no significant difference(t=1.027, 0.242,P>0.05). After treatment, the blood coagulation function indexes of PT and FIB in the study group were(12.2±1.3) s,(2.1±0.4)g/L was significantly lower than the control group(16.3±1.2) s,(3.7±0.5) g/L, the two groups were statistically significant(t=8.864, 8.817, P<0.05); The effective rate(90.2%) was significantly higher than that of the control group(75.6%), and the two groups were statistically significant(χ2=7.637, P<0.05). Conclusion Functional rehabilitation training combined with traditional Chinese medicine for patients with early femoral head necrosis can not only improve the blood coagulation function of patients,but also improve their overall rehabilitation.
Objective To investigate the effect of combined therapy and rehabilitation on the rehabilitation and coagulation function of patients with early femoral head necrosis. Methods Eighty-two patients with early femoral head necrosis who were admitted to our hospital from March 2015 to March 2018 were enrolled in the study. They were randomly divided into a control group and a study group, with 41 patients in each group. The control group received simple functional rehabilitation training treatment, the study group used functional rehabilitation training combined with traditional Chinese medicine treatment, comparing the effects of the two groups. Results Before treatment, the blood coagulation function indexes of PT and FIB in the study group(18.4 ±1.4)s,(4.4 ±0.5) g/L were compared with the control group(18.3±1.5) s and(4.4±0.6) g/L.There was no significant difference(t=1.027, 0.242,P>0.05). After treatment, the blood coagulation function indexes of PT and FIB in the study group were(12.2±1.3) s,(2.1±0.4)g/L was significantly lower than the control group(16.3±1.2) s,(3.7±0.5) g/L, the two groups were statistically significant(t=8.864, 8.817, P<0.05); The effective rate(90.2%) was significantly higher than that of the control group(75.6%), and the two groups were statistically significant(χ2=7.637, P<0.05). Conclusion Functional rehabilitation training combined with traditional Chinese medicine for patients with early femoral head necrosis can not only improve the blood coagulation function of patients,but also improve their overall rehabilitation.
引文
[1]单晓威,张晨露,马航,等.新型七孔分区减压法治疗成人早期股骨头坏死的疗效观察[J].中国临床新医学,2018,11(9):902-905.
[2]张弛,段小英,杨志伟,等.手法治疗结合功能训练治疗早期股骨头坏死的康复疗效观察[J].中国全科医学,2015,18(36):4506-4509.
[3]宫顺国,郭永昌.康复训练联合补骨丸合雷火灸治疗股骨头坏死50例临床观察[J].中国民族民间医药,2018,27(10):59-61.
[4]李子荣.股骨头坏死临床诊疗规范[J].中国矫形外科杂志,2016,24(1):49-54.
[5]朱蜀云,马素英.马在山主任医师治疗股骨头缺血性坏死的经验总结[J].中国中医急症,2018,27(3):524-527.
[6]崔镇海,杨洲,庄世伟,等.手法配合口服中药治疗股骨头坏死[J].吉林中医药,2016,36(12):1267-1270.
[7]帅胜斌,蔡倩倩,李奇,等.康复治疗对股骨头坏死术后患者功能恢复的影响分析[J].中国妇幼健康研究,2017,28(S3):17.
[8]杨玉霞,范茹.补肾活血法联合冲击波治疗肾虚血瘀型股骨头坏死的护理观察[J].风湿病与关节炎,2018,7(4):70-71,80.
[9]李科,尹浩,罗阳东,等.早期非创伤性股骨头坏死的非药物无创治疗[J].世界最新医学信息文摘,2016,16(47):188,190.
[10]党爱玲.手法治疗联合功能康复训练对早期股骨头坏死患者康复效果及凝血功能的影响[J].临床医学研究与实践,2018,3(26):168-169.
[2]张弛,段小英,杨志伟,等.手法治疗结合功能训练治疗早期股骨头坏死的康复疗效观察[J].中国全科医学,2015,18(36):4506-4509.
[3]宫顺国,郭永昌.康复训练联合补骨丸合雷火灸治疗股骨头坏死50例临床观察[J].中国民族民间医药,2018,27(10):59-61.
[4]李子荣.股骨头坏死临床诊疗规范[J].中国矫形外科杂志,2016,24(1):49-54.
[5]朱蜀云,马素英.马在山主任医师治疗股骨头缺血性坏死的经验总结[J].中国中医急症,2018,27(3):524-527.
[6]崔镇海,杨洲,庄世伟,等.手法配合口服中药治疗股骨头坏死[J].吉林中医药,2016,36(12):1267-1270.
[7]帅胜斌,蔡倩倩,李奇,等.康复治疗对股骨头坏死术后患者功能恢复的影响分析[J].中国妇幼健康研究,2017,28(S3):17.
[8]杨玉霞,范茹.补肾活血法联合冲击波治疗肾虚血瘀型股骨头坏死的护理观察[J].风湿病与关节炎,2018,7(4):70-71,80.
[9]李科,尹浩,罗阳东,等.早期非创伤性股骨头坏死的非药物无创治疗[J].世界最新医学信息文摘,2016,16(47):188,190.
[10]党爱玲.手法治疗联合功能康复训练对早期股骨头坏死患者康复效果及凝血功能的影响[J].临床医学研究与实践,2018,3(26):168-169.