中医药在人工肱骨头置换术后康复治疗中的应用

Application of Chinese medicine in therapy of postoperative rehabilitation after humeral head replacement

目的:探讨人工肱骨头置换术后功能锻练的方法及效果。方法:对6例人工肱骨头置换术后的患者制订康复锻炼计划并配合中药治疗,正确指导其功能锻练。对6例患者健侧术前、患侧术后7、12、24周分别进行高岸评分、VAS评分、GEPI等进行评价。结果:术后12周,与患侧术后7周比较,患侧肩关节主动活动度(range of motion,ROM)改善较显著,结果差异有统计学意义(P<0.01);术后24周,患侧各项评分与术后7周相比,其结果均有显著性差异,患侧肩关节主动ROM与健侧比较,前屈上举、外展上举和外旋3个方向差异有统计学意义(P<0.01),而后伸、内收和内旋3个方向其结果差异无统计学意义(P>0.05)。结论:人工肱骨头置换术后的患者按进度行系统功能锻练,可得到较好恢复患肢功能。

Objective： To investigate the methods and effects of rehabilitation after humeral head replacement. Methods：Rehabilitation exercise plan combined with therapy of traditional Chinese medicine was performed in 6 patinents after replacement of artificial shoulder prosthesis. Preoperative health side, and postoperative wounded side 7, 12 and 24 weeks after operation were assessed by Takagishi score, VAS score and GEPI. Results： Compared with 7 weeks postoperation, active range of motion （ROM） of wounded shoulder 12 weeks postoperation improved significantly （P〈 0.01）; 24 weeks postoperation,compared with 7 weeks postoe- ration, the various scores were significantly different. Compared with the uninjured side, the ROM of the operated shoulder in anteflexion,abduction and extorsion were significantly different （P 〈 0.0l） but in exention, adduction and pronation were not （P 〉 0.05）. Conclusion： Artificial humeral head replacement patients can better restore their limb function through systematic functional exercise and Chinese medicine.