电针配合锻炼对尺骨鹰嘴粉碎性骨折术后康复的临床研究

A Clinical Study of Electroacupuncture plus Exercise for Rehabilitation After Surgery for Olecranon Comminuted Fracture

目的观察对尺骨鹰嘴粉碎性骨折患者进行电针配合功能锻炼的效果。方法以77例尺骨鹰嘴粉碎性骨折患者为研究对象,以随机数字表法将患者分为对照组(38例)和治疗组(39例)。对照组实施术后功能锻炼等常规康复,治疗组在对照组的基础上增加电针。记录两组患者在术后1 d、7 d、14 d的疼痛评分,术后2 d、2个月的肘关节活动度,术后6个月的肘关节功能评分。结果两组患者的术后疼痛评分在术后1 d无明显差异(P>0.05);在术后7 d、术后14 d,治疗组疼痛评分都比对照组低(P<0.05)。在术后2 d,两组患者肘关节活动度差异不大(P>0.05);在术后2个月,治疗组肘关节活动度比对照组高(P<0.05)。在术后6个月,治疗组肘关节HSS评分优于对照组(P<0.05)。结论对尺骨鹰嘴粉碎性骨折患者进行电针配合功能锻炼能有效降低患者的术后疼痛评分,增加其肘关节活动度以及肘关节功能评分,具有较强的临床应用价值。

Objective To investigate the effect of electroacupuncture plus functional exercise in patients with olecranon comminuted fracture. Method Seventy-seven patients with olecranon comminuted fracture were enrolled as the subjects and allocated, using a random number table, to a control group （38 cases） and a treatment group （39 cases）. The control group received routine rehabilitation such as postoperative functional exercise and the treatment group, electroacupuncture in addition. In the two groups of patients, the pain score was recorded at one, seven and fourteen days after the surgery; elbow joint activity was examined at two days and two months after the surgery; the elbow function score was recorded at six months after the surgery. Result There was no statistically significant difference in the pain score between the two groups at one day after the surgery （P〉0.05）. The pain score was lower in the treatment group than in the control group at seven and fourteen days after the surgery （P〈0.05）. There was no statistically significant difference in elbow joint activity between the two groups at two days after the surgery （P〉0.05） Elbow joint activity was larger in the treatment group than in the control group at two months after the surgery （P〈 0.05）. The elbow HSS score was higher in the treatment group than in the control group at six months after the surgery （P〈 0.05）. Conclusion Electroacupuncture plus functional exercise can effectively decrease the pain score and increase elbow joint activity and the elbow function score in patients with olecranon comminuted fracture. It has greater value in clinical application.