摘要
目的探讨舒筋活血汤熏蒸对踝关节骨折术后患者关节功能康复的影响.方法选取2020年3月—2021年3月该院收治的60例踝关节骨折术后患者作为研究对象,按照随机数字表法将其分为观察组(30例)和对照组(30例).对照组采用功能锻炼康复治疗,观察组在对照组基础采用舒筋活血汤熏蒸治疗,两组均连续治疗2个月并随访4个月.比较两组治疗前后的中医症候积分、美国矫形外科足踝协会(AOFAS)踝-后足评分系统评分、Baird-Jackson评分及关节活动度.结果治疗前,两组活动障碍积分、关节红热积分、关节疼痛积分、AOFAS评分、Baird-Jackson评分、跖曲角度、背伸角度比较,组间差异无统计学意义(P>0.05).治疗后,两组活动障碍、关节红热、关节疼痛积分均低于治疗前,且观察组低于对照组,组间差异有统计学意义(P<0.05);治疗后,两组AOFAS、Baird-Jackson评分均高于对照组,且观察组均高于对照组,组间差异有统计学意义(P<0.05);治疗后,观察组跖曲角度、背伸角度分别为(33.84±2.58)°、(18.93±1.74)°,均大于对照组的(24.35±2.65)°、(14.57±1.67)°,组间差异有统计学意义(P<0.05).结论舒筋活血汤熏蒸应用于踝关节骨折术后患者可有效缓解临床症状,减轻疼痛与活动障碍程度,辅助踝关节功能快速康复,疗效显著.
Objective To explore the effect of Shujin Huoxue Decoction fumigation on joint function rehabilitation of patients after ankle fracture surgery.Methods The 60 patients with ankle fractures who were admitted to this hospital from March 2020 to March 2021 were selected as the research objects,and they were divided into an observation group(30 cases)and a control group(30 cases)according to random number table method.The control group was treated with functional exercise,and the observation group was treated with Shujin Huoxue Decoction fumigation on the basis of the control group.Both groups were treated for 2 consecutive months and followed up for 4 months.The TCM syndrome score,American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot scoring system score,Baird-Jackson score and joint range of motion were compared between the two groups before and after treatment.Results Before treatment,there was no significant difference in mobility disorder score,joint redness score,joint pain score,AOFAS score,Baird-Jackson score,plantar flexion angle and dorsiflexion angle between the two groups(P>0.05).After treatment,the scores of mobility disorder,joint redness,joint pain in the two groups were lower than those before treatment,and the observation group were lower than the control group,and the differences between the two groups were statistically significant(P<0.05);after treatment,the AOFAS and Baird-Jackson scores in the two groups were higher than those before treatment,and the observation group were higher than the control group,and the differences between the two groups were statistically significant(P<0.05);after treatment,the plantar flexion angle and dorsiflexion angle of the observation group were(33.84±2.58)°and(18.93±1.74)°respectively,which were higher than(24.35±2.65)°and(14.57±1.67)°of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The application of Shujin Huoxue Decoction fumigation to patients after ankle fracture surgery can effectively relieve clinical symptoms,reduce pain and mobility impairment,and assist in the rapid recovery of ankle function,with significant curative effects.
作者
夏阳
XIA Yang(Department of Orthopedics,Lianyungang Hospital of Traditional Chinese Medicine,Jiangsu Province,Lianyungang Jiangsu,222000,China)
出处
《反射疗法与康复医学》
2022年第2期21-23,27,共4页
Reflexology And Rehabilitation Medicine
关键词
踝关节骨折
舒筋活血汤熏蒸
关节功能
关节活动度
Ankle fracture
Shujin Huoxue Decoction fumigation
Joint function
Range of motion
作者简介
夏阳(1987-),男,江苏连云港人,本科,主治医师,研究方向:慢性骨病治疗。