摘要
目的:探讨桡骨远端骨折患者采用中药熏洗结合推拿手法及关节松动术治疗的临床效果。方法:选择2021年1月—2022年6月黎川县人民医院收治的60例桡骨远端骨折患者,采用随机数字表法分为观察组(n=30)与对照组(n=30)。两组患者均进行常规治疗,基于此对照组进行功能锻炼,观察组在常规治疗基础上加用中药熏洗结合推拿手法及关节松动术治疗,持续治疗1个月,并观察至治疗后3个月。比较两组治疗情况、腕关节活动范围、Cooney腕关节评分。结果:观察组疼痛消失时间[(3.19±0.69)d]、手背肿痛消失时间[(5.84±0.95)d]、骨折愈合时间[(33.64±6.21)d]均短于对照组[(4.04±1.08)、(8.16±1.33)、(42.48±7.37)d],差异均有统计学意义(P<0.05)。治疗前,两组腕关节活动范围比较,差异均无统计学意义(P>0.05);治疗后3个月,两组腕关节活动范围均高于治疗前,且观察组均高于对照组,差异有统计学意义(P<0.05)。治疗后3个月,两组Cooney腕关节评分中疼痛维度评分比较,差异均无统计学意义(P>0.05);治疗后3个月,观察组Cooney腕关节评分中功能状况[(19.54±2.48)分]、活动度[(17.57±3.02)分]、握力[(18.78±3.59)分]、掌屈/背伸活动度[(19.31±3.04)分]评分及总分[(96.45±5.73)分]均高于对照组[(15.79±3.05)、(11.24±2.82)、(13.22±2.42)、(12.34±2.45)、(74.45±8.21)分],差异均有统计学意义(P<0.05)。结论:在桡骨远端骨折患者中采用中药熏洗结合推拿手法及关节松动术治疗效果确切,利于缩短疼痛时间及骨折愈合时间,提升腕关节活动范围,促进腕关节功能恢复。
Objective:To investigate the clinical effect of traditional Chinese medicine fumigation and washing combined with massage manipulation and joint mobilization in patients with distal radius fracture.Method:A total of 60 patients with distal radius fractures admitted to People's Hospital of Lichuan County from January 2021 to June 2022 were seclected,and were divided into observation group(n=30)and control group(n=30)by random number table method.Patients in both groups received conventional treatment,based on this the control group was treated with functional exercise,and the observation group was treated with traditional Chinese medicine fumigation and washing combined with massage manipulation and joint mobilization on the basis of conventional treatment,the treatment lasted for 1 month and was observed until 3 months after treatment.The treatment status,wrist range of motion and Cooney wrist score were compared between the two groups.Result:The time of pain disappearance[(3.19±0.69)d],the time of hand swelling pain disappearance[(5.84±0.95)d]and the time of fracture healing[(33.64±6.21)d]in the observation group were shorter than those in the control group[(4.04±1.08),(8.16±1.33),(42.48±7.37)d],the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the range of wrist joint motion between the two groups(P>0.05);after 3 months of treatment,the range of wrist joint motion in both groups were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After 3 months of treatment,there was no statistically significant difference in the pain dimension scores of Cooney wrist joint score between the two groups(P>0.05);3 months after treatment,the scores of functional status[(19.54±2.48)points],range of motion[(17.57±3.02)points],grip strength[(18.78±3.59)points],palmarflexion/dorsalflexion motion[(19.31±3.04)points]and total score[(9
作者
杨宇
YANG Yu(People's Hospital of Lichuan County,Jiangxi Province,Lichuan 344600,China)
出处
《中国医学创新》
CAS
2023年第32期76-80,共5页
Medical Innovation of China
关键词
桡骨远端骨折
中药熏洗
推拿手法
关节松动术
腕关节功能
Distal radius fracture
Traditional Chinese medicine fumigation and washing
Massage manipulation
Joint mobilization
Wrist joint function
