| 摘要: |
| 目的:分析中药熏蒸联合功能锻炼治疗踝关节骨折术后患者的临床效果。方法:选取2017 年9 月—2019 年9 月间本院收治的86 例踝关节骨折术后患者，随机均分为两组，对照组术后行功能锻炼，试验组术后予以中药熏蒸联合功能锻炼，治疗3 周后对比分析两组患者的骨折恢复情况、中医证候评分、踝关节功能恢复效果及治疗效果。结果:术后3 周后，试验组骨性愈合时间、疼痛感消失时间、临床愈合时间及肿胀消失时间均比对照组短，且两组患者治疗后活动障碍、关节疼痛、关节压痛、关节肿胀及关节红热评分均比治疗前低，且试验组比对照组低，差异有统计学意义(P <0.05)。治疗后，试验组患者的Baird-Jackson 踝关节评分为(91.17±6.02)分，踝- 后足评分系统(AOFAS)评分为(90.95±7.14)分，高于对照组的(86.50±5.88)分及(83.27±6.93)分，差异有统计学意义(P <0.05)。治疗后，试验组的优良率为93.02%，高于对照组的76.74%，差异有统计学意义(P <0.05)。结论:中药熏蒸联合功能锻炼治疗踝关节骨折术后患者的临床效果显著，可促进骨折愈合，改善中医证候，并且促进踝关节功能恢复及疗效提高。 |
| 关键词: 中药熏蒸 功能锻炼 踝关节骨折 骨折恢复 踝关节功能 |
| DOI：10.3969/j.issn.1007-6948.2020.06.011 |
| 投稿时间：2020-06-17 |
| 基金项目: |
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| Clinical Study on Chinese Herbal Fumigation Combined with Functional Exercise for Treatment of Postoperative Patients with Ankle Fracture |
| WANG Yang,YE Song-qing,LI Yong-quan |
| Department of Orthopaedics, Tianjin Teda Hospital, Tianjin 300475, China |
| Abstract: |
| Objective To analyze the clinical effect of traditional Chinese medicine fumigation combined with functional exercise on patients with ankle fracture. Methods 86 cases of ankle joint fracture patients who were admitted to our hospital from September 2017 to September 2019 as the objects were analyzed. They were randomly divided into two groups according to the computer digital table method. 43 cases in the control group were given functional exercise after operation, and 43 cases in the experimental group were given Chinese medicine fumigation combined with functional exercise after operation. After 3 weeks of treatment, the fracture recovery, TCM syndrome score, ankle joint function recovery effect and treatment effect were compared and analyzed between the two groups. Results 3 weeks treatment after the operation, the bone healing time,pain disappearance time, clinical healing time and swelling disappearance time of the experimental group were shorter than those of the control group. After the treatment, the scores of movement disorders, joint pain, joint tenderness, joint swelling and joint red fever in the two groups were lower than those before the treatment and the experimental group were lower than those of the control group, which with statistically significant (P <0.05). After treatment, the Baird-Jackson ankle score of the experimental group was (91.17±6.02) points, and the AOFAS score was (90.95±7.14) points, which were higher than the (86.50±5.88) points and (83.27±6.93) points of the control group respectively, which with statistically significant (P <0.05). After treatment, the excellent and good rate of the patients in the experimental group was 93.02% and it was higher than 76.74% in the control group, which with statistically significant (P <0.05). Conclusion Traditional Chinese medicine fumigation combined with functional exercise has a significant clinical effect in the treatment of patients with ankle fractures. It can promote fracture healing, improve TCM syndromes as well as promote ankle joint function recovery and improved ef?cacy. |
| Key words: Chinese medicine fumigation functional exercise ankle fracture fracture recovery ankle |
