摘要
目的:观察中西医结合康复疗法对创伤后肘关节纤维性强直的临床疗效。方法:对我科住院的60例肘关节纤维性强直患者,按照随机数字表法分为治疗组和对照组各30例,治疗组给予中药内服外洗、运动疗法、关节松动术,14 d为1个疗程;对照组给予复方七叶皂苷钠凝胶外敷、运动疗法、关节松动术,14 d为1个疗程,分别对两组治疗的总有效率、治疗后MEPS评分进行对比分析。结果:治疗组总有效率为86.67%,对照组总有效率为80.00%,两组经统计学分析,x2=6.564,P=0.021<0.05,两组总有效率比较,差异有统计学意义;两组治疗后肘关节疼痛、肘关节活动范围、肘关节活动能力和总评分方面比较,差异有统计学意义(P<0.05);两组在肘关节稳定性方面:治疗组为(9.76±3.12)分;对照组为(9.68±3.21)分,经统计学分析,t=6.532,P=0.621>0.05,差异无统计学意义(P>0.05)。结论:中西医结合康复疗法治疗创伤后肘关节纤维性强直疗效明确,值得临床推广应用。
Objective: To observe the clinical curative effect of integrated Chinese and western medicine combined with rehabilitation in treating elbow joint stiffness. Methods: 60 inpatients with elbow joint stiffness were randomly divided into the control group (30 cases) and the treatment group (30 cases). The treatment group was given oral administration and external wash of Chinese medicine, exercise therapy and joint mobilization, 14 days formed one course while the control group received the external application of Compound Sodium Aescinate Gel, exercise therapy and joint mobilization, 14 days formed one course. The total effective rate, MEPS score after treatment of two groups were compared and analyzed. Results: The total effective rate of the treatment group was 86.67% and that of the control group was 80.00%, the statistical analysis showed that x2 =6.564, P=0.021 〈 0.05, the difference was of statistical significance; The difference in elbow pain, elbow range, elbow mobility and total score of two groups after treatment was of statistical significance (P〈0.05); As for the stability of elbow joint, the score of the treatment group was (9.76± 3.12) points and that of the control group was (9.68 ± 3.21) points, the statistical analysis showed that t=-6.532, P=0.621 〉 0.05, the difference was of no statistical significance (P 〉 0.05). Conclusion: Integrated Chinese and western medicine combined with rehabilitation had significant effect in treating elbow joint stiffness and it was worthy of clinical promotion and application.
出处
《中医临床研究》
2016年第36期109-112,共4页
Clinical Journal Of Chinese Medicine
关键词
综合康复治疗
骨折
肘关节功能障碍
Comprehensive rehabilitation treatment
Fracture
Elbow joint dysfunction