舒筋活血汤联合功能锻炼用于踝关节骨折术后功能恢复的临床疗效
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摘要
目的:探讨舒筋活血汤联合功能锻炼用于踝关节骨折术后功能恢复的临床疗效。方法:踝关节骨折患者60例随机分为观察组与对照组各30例。所有患者进行切开复位内固定治疗及功能锻炼,观察组在此基础上给予舒筋活血汤熏蒸治疗。比较两组患者踝关节功能康复效果。结果:观察组优良率显著高于对照组,差异有统计学意义(P<0.01)。观察组疼痛、活动支撑、步行距离、地面步行、步态情况、前足活动、后足活动、肢体肿胀评分以及踝关节功能总分均显著高于对照组,差异有统计学意义(P<0.01)。观察组背伸角度以及跖屈角度均显著大于对照组,差异有统计学意义(P<0.01)。结论:踝关节骨折术后给予舒筋活血汤联合功能锻炼能显著改善踝关节的功能恢复。
Objective: To discuss the clinical efficacy of Sinew-Soothing and Blood-Quickening Decoction combined with exercise for postoperative functional recovery of ankle fracture. Methods: Sixty cases with ankle fracture underwent operation were divided into observation group and the control group randomly,30 cases in each group. All cases were treated with open reduction and internal fixation and exercise. On this basis,the observation group was given fumigation and washing therapy. The effect of ankle rehabilitation was compared between the two groups. Results: The excellent rate in the observation group was higher than that in the control group,which showed significant difference( P < 0. 01). Pain,activity support,walking distance,ground walking,gait,front foot activity,hind foot movement and limb swelling scores and the total ankle function score in the observation group were higher than those in the control group,which showed significant difference( P < 0. 01). Dorsiflexion angle and plantar flexion angle in the observation group were higher than those in the control group,which showed significant difference( P < 0. 01). Conclusion: Sinew-Soothing and Blood-Quickening Decoction combined with exercise for postoperative functional recovery of ankle fracture can improve functional recovery of ankle joint.
Objective: To discuss the clinical efficacy of Sinew-Soothing and Blood-Quickening Decoction combined with exercise for postoperative functional recovery of ankle fracture. Methods: Sixty cases with ankle fracture underwent operation were divided into observation group and the control group randomly,30 cases in each group. All cases were treated with open reduction and internal fixation and exercise. On this basis,the observation group was given fumigation and washing therapy. The effect of ankle rehabilitation was compared between the two groups. Results: The excellent rate in the observation group was higher than that in the control group,which showed significant difference( P < 0. 01). Pain,activity support,walking distance,ground walking,gait,front foot activity,hind foot movement and limb swelling scores and the total ankle function score in the observation group were higher than those in the control group,which showed significant difference( P < 0. 01). Dorsiflexion angle and plantar flexion angle in the observation group were higher than those in the control group,which showed significant difference( P < 0. 01). Conclusion: Sinew-Soothing and Blood-Quickening Decoction combined with exercise for postoperative functional recovery of ankle fracture can improve functional recovery of ankle joint.
引文
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[13]曾凯生,谭屏,周亚炜,等.复方七叶皂苷钠凝胶合益肾活血汤治疗四肢骨折早期肿胀35例[J].湖南中医杂志,2017,33(6):80-82.
[14]王云霞,蔡天燕,冉春风.踝关节骨折术后康复治疗的研究进展[J].医学综述,2016,22(17):3416-3419.
[15]周迎光,杨骏,刘怀莹,等.踝关节骨折术后功能康复锻炼结合中药熏洗疗效观察[J].实用中医药杂志,2015,31(8):715-716.
[2]欧常军.踝关节骨折手术和术后康复的治疗评价[J].深圳中西医结合杂志,2017,27(9):117-118.
[3]赵志远.对踝关节骨折术后进行个性化康复运动治疗的临床研究[J].中国伤残医学,2017,25(2):85-87.
[4]邱贵兴,荣国威.骨科学[M].北京:中国协和医科大学出版社,2002:117.
[5]俞光荣,赵有光,夏江,等.踝关节骨折合并三角韧带完全断裂的手术治疗[J].中华创伤骨科杂志,2013,15(3):188-192.
[6]闫国钦,张占伟,张军平,等.踝关节骨折内固定术后早期康复训练对患者关节功能的改善作用[J].中国实用医刊,2015,42(17):109-110.
[7]丁勇,刘世伟,张彤正,等.活血止痛熏洗剂联合功能康复训练对踝关节骨折术后功能恢复及生活质量的影响[J].现代生物医学进展,2017,17(8):1534-1536,1557.
[8]巴虎山,那日苏.蒙药塔里必古鲁其汤熏蒸疗法对踝关节骨折功能恢复的影响[J].中国中医急症,2017,26(6):1036-1038.
[9]刘维统,杨景帆.康复训练与舒筋活血洗剂联用对踝关节骨折术后关节功能恢复及炎性因子的影响[J].世界中医药,2017,12(6):1320-1323.
[10]张雨,戴闽,范红先,等.踝关节骨折术后踝关节功能的康复治疗[J].实用临床医学(江西),2012,13(4):42-45.
[11]杨加黎,张贤.乌头煎熏洗结合功能锻炼对比单纯功能锻炼对踝关节骨折术后功能康复治疗效果观察[J].四川中医,2017,35(3):146-148.
[12]李小平.中药熏洗结合功能康复训练对踝关节骨折术后功能康复的影响[J].河北医学,2014,20(7):1108-1110.
[13]曾凯生,谭屏,周亚炜,等.复方七叶皂苷钠凝胶合益肾活血汤治疗四肢骨折早期肿胀35例[J].湖南中医杂志,2017,33(6):80-82.
[14]王云霞,蔡天燕,冉春风.踝关节骨折术后康复治疗的研究进展[J].医学综述,2016,22(17):3416-3419.
[15]周迎光,杨骏,刘怀莹,等.踝关节骨折术后功能康复锻炼结合中药熏洗疗效观察[J].实用中医药杂志,2015,31(8):715-716.