摘要
目的评价中医综合康复疗法对桡骨远端骨折治疗后关节功能恢复的临床效果和优势。方法选择2015年8月~2016年9月在我院就诊的83例桡骨远端骨折关节功能障碍患者,采用随机数字表法将其分为试验组(41例)与对照组(42例)。试验组予以中医综合康复治疗,对照组予以中药熏洗加功能锻炼治疗,两组均治疗3周。比较两组治疗前(基线)、治疗3周后以及骨折3个月时的握力、腕关节患者自评量表、Gartland和Werley(G-W)腕关节评价和总体疗效评价。结果试验组治疗3周后及骨折3个月时患侧的腕关节G-W评价和总体疗效评价均明显优于对照组(P<0.05)。在患侧握力恢复方面,试验组治疗3周后的疗效明显优于对照组(P<0.05);两组骨折3个月时的握力恢复情况比较,差异无统计学意义(P>0.05)。结论中医综合康复方法对桡骨远端骨折后关节功能恢复的疗效明显优于中药熏洗加功能锻炼的一般疗法,值得临床推广。
Objective To evaluate the clinical effects of traditional Chinese medicine comprehensive rehabilitation ther- apy on joint function recovery of distal radius fracture in patients after treatment.Methods 83 patients with distal radius fracture in our hospital from August 2015 to September 2016 were selected as the research objects.According to method of random number table,those patients were divided into the control group （n=42） and the treatment group （n=41）.The control group was given traditional Chinese medicine and functional training,while the treatment group was given tradi- tional Chinese medicine comprehensive rehabilitation therapy,treatment for 3 weeks.Side grip strength,wrist joint pa- tients self-rating scale,Gartland and Wedey （G-W） wrist joint evaluation and curative effect were compared between the two groups,the data were collected before the treatment,3 weeks after treatment,and 3 months after treatment.Re- sults After 3 weeks treatment and 3 months after treatment,the Gartland and Werley （G-W） wrist joint evaluation and curative effect of the treatment group were significantly better than those in the control group （P〈0.05）.After 3 weeks treatment,the side grip strength of the treatment group was significantly better than that of the control group （P〈0.05）. After 3 months treatment,there was no statistically significant difference between the treatment group and control group in the side grip strength （P〉0.05）.Conclusion The curative effect of traditional Chinese medicine comprehensive rehabilitation therapy is better than that of the traditional Chinese medicine and functional training significantly,which is worthy of clinical promotion.
出处
《中国当代医药》
2017年第30期55-57,共3页
China Modern Medicine
关键词
中医综合康复疗法
桡骨远端骨折
关节功能恢复
Gartland和Werley腕关节评价
Traditional Chinese medicine comprehensive rehabilitation therapy
Distal radius fracture
Joint function recovery
Gartland and Wedey wrist joint evaluation
