中医疗法在30例陈旧性肘关节后脱位中的疗效观察

Curative effect observation of traditional Chinese medicine therapy for 30 cases of old posterior dislocation of elbow joint

目的探讨使用中药熏洗结合手法整复治疗陈旧性肘关节后脱位的临床疗效。方法 60例陈旧性肘关节后脱位患者随机分为观察组和对照组,各30例,对照组给予手法复位等常规治疗,观察组则在此基础上加用中药内服、熏洗和中医按摩等疗法。比较两组疗效。结果观察组的总有效率、治疗后肘关节功能评分(HSS评分)明显高于对照组(P<0.05);观察组的视觉模拟评分(VAS评分)明显低于对照组(P<0.05);观察组不良反应的发生率明显低于对照组(P<0.05)。结论采用手法复位配合中药内服、熏洗和中医按摩等方法治疗陈旧性肘关节后脱位具有良好疗效。

Objective To investigate the clinical effect of integrated fumigation and wash traditional Chinese medicine therapy in the treatment of old posterior dislocation of elbow joint. Methods A total of 60 pa- tients with old posterior dislocation of elbow joint were randomly divided into observation group and control group, with 30 cases in each group. The control group received Conventional treatment as manual reposition, while the observation group was treated by additional oral administration of tra＇ditional Chinese medicine, fumigation and wash, and traditional Chinese medicine massage. Curative effects of the two groups were compared. Results The observation group had higher total effective rate and hospital for special surgery knee score （HSS score） after treat- ment than the control group （P〈0.05）. Visual analogue scale （VAS score） was lower in the observation group than the control group （P〈0.05）. The incidence of adverse reactions was lower in the observation group than the control group （P〈0.05）. Conclusion Combination of manual reposition, oral administration of traditional Chinese medi- cine, fumigation and wash, and traditional Chinese medicine massage can provide good effect in treating old pos- terior dislocation of elbow joint.