摘要
目的:STG-2000多功能创伤治疗仪是通过旋转干扰电场产生的内生电流发挥作用,评价其对骨折愈合和运动系统慢性损伤的治疗效果。方法:①选择2002-05/2004-08南京医科大学第二附属医院骨科收治的四肢骨折和运动系统慢性损伤患者。骨折组患者60例,平均50岁。股骨骨折15例,胫骨骨折15例,肱骨骨折15例,尺骨骨折3例,桡骨骨折4例,尺桡骨双骨折8例。运动系统慢性损伤组患者60例,平均46岁。腰肌劳损15例,腱鞘炎15例,肩周炎15例,距小腿关节(踝关节)扭伤15例。②将骨折患者随机分成治疗组30例,采用STG-2000多功能创伤治疗仪(南京赛特医疗设备有限公司)治疗,电极选用4×25cm2,放置于骨折部位附近,差频1～50Hz,2次/d,每次感到阈10min,耐受限30min,10次为1个疗程,一共4个疗程。对照组30例,采用常规治疗。比较两组间骨折临床愈合时间。③运动系统慢性损伤患者采用治疗仪治疗,电极选用4×25cm2,放置于病灶部位附近,差频疼痛剧烈时,固定差频100Hz,感到阈下10min,好转后,旋转差频1～120Hz,感觉阈5～10min,运动阈下10min,2次/d,10次为1个疗程,一共2个疗程,观察治疗效果。④骨折愈合时间根据X射线结果评定;运动系统慢性损伤疗效根据症状及局部疼痛、肿胀、关节活动范围的改善率来评定,分为治愈、显效、有效、无效。结果:120例患者全部进入结果分析。①骨折患者愈合时间:治疗组平均愈合时间明显短于对照组[(3.0±0.8),(6.0±0.8)周,t=2.781,P<0.05]。②运动系统慢性损伤患者治疗效果:腰肌劳损患者治愈显效率为93.3%(13/15),腱鞘炎患者治愈显效率为66.6%(10/15);肩周炎和距小腿关节扭伤患者治愈显效率分别为66.7%(10/15),80.0%(12/15)。治疗的患者无明显副作用。结论:①治疗仪能明显加快骨折愈合速度,缩短骨折临床愈合时间。②有效的改善运动系统慢性损伤患者的疼痛、肿胀及关节活动范围,并且副作用少。
AIM： STG-2000 multi-function wound treatment instrument takes effect through inside electricity generated by revolved interference electric field, To evaluate the curative effect on healing of bone fracture and chronic injury of locomoto system, METHODS：① Patients with bone fracture of the arms and legs and the sport system chronic harm, who were treated at the Department of Orthopaedics, Second Affiliated Hospital, Nanjing Medical University from May 2002 to August 2004, were selected. There were sixty patients in fracture group with average fifty years old, including 15 cases with fracture of femur, 15 cases with fracture of tibia, 15 cases with fracture of humerus, 3 cases with fracture of ulna, 4 cases with fracture of radius and 8 cases with double fracture of radius bone and ulna bone. There were sixty patients in chronic injury of locomotor system group with average forty-six years old, including 15 cases with lumbar muscle strain, 15 cases with peritendinitis, 15 cases with periarthritis of shoulder and 15 with strain of ankle joint. ② The fracture patients were divided randomly into the treatment group with 30 cases. They were treated with STG-2000 multi-function wound treatment instrument （Nanjing Saite Anmamentarium Ltd., Co.）. The 4 ×25 cm： electrode was placed around the fracture region. The frequency was 1-50 Hz, twice a day. Feeling threshold was 10 minutes each time. Bearing limit was 30 minutes. A period of treatment was 10 times for 4 progresses. Forty in the control group were treated with routine method. The healing time of the two groups was contrasted. ③ Patients with chronic injury of locomotor system were treated with treatment apparatus. The 4 ×25 cruz electrode was selected and placed around the focus. The frequency was fixed in 100 Hz when ached and under feeling threshold was 10 minutes. The revolved frexluency was 1-120 Hz, and feeling threshold was 5-10 minutes and under moving threshold was 10 minutes when improved, twice a day, 10 times as a progress for 2 progresses. ④ The healing time of fracture was assessed by X-ray. The curative effect of chronic injury of locomotor system was assessed by the symptoms and improvement rate of local ache, swelling and moving scope of joint, containing healing, obvious efficiency, efficiency and inefficiency, RESULTS： All of the 120 patients were involved in the result analysis. ① The healing time of fracture patients： The mean healing time of treatment group was significantly shorter than that in the control group [（3.0±0,8）,（6.0 ±0.8） week, t=2.781, P 〈 0,05], ② The curative effect of chronic injury of locomotor system patients： The healing and obvious efficiency of strain of lumbar muscles was 93.3% （13/15）. The healing and obvious efficiency of tendon sheath inflammation was 66.6% （10/15）. The healing and obvious efficiency of periarthritis of shoulder and strain of ankle joint were 66,7% （10/15） and 80% （12/15）, respectively. There was insignificant side effect in the therapeutic patients. CONCLUSION： ① Treatment instrument can quicken the healing speed of fracture and shorten the clinic healing time of fracture. ② It can ameliorate operatively the ache, swelling and moving scope in chronic injury of locomotor system patients, besides, with few side effects.
出处
《中国临床康复》
CSCD
北大核心
2005年第48期86-87,96,共3页
Chinese Journal of Clinical Rehabilitation
