中药熏洗联合功能锻炼对髌骨骨折术后功能恢复的影响

Clinical effect of Chinese herbal fumigation combined with continuous passive motion promote the function recovery after postoperative patellar fracture

目的探讨中药熏洗联合功能锻炼对髌骨骨折术后功能恢复的影响。方法将符合纳入标准的80例髋骨骨折患者按随机数字表法分为2组，每组40例。对照组采用连续被动活动训练机（continuous passivemotion，CPM）进行功能锻炼，治疗组住对照组基础上联合中药熏洗。2组均治疗8周。采用膝关节评分量表（Keen Society Score，KSS）评价膝关节功能，观察治疗前后膝关节活动范围变化，评价临床疗效。结果治疗组优良率为87．5％（35／40）、对照组为65．0％（26／40），2组比较差异有统计学意义（X^2=5．591，P〈O．01）；治疗后8周，治疗组膝关节活动范围[（138．38±7．82）。比（120．29±7．83）°，t=10．338]、KSS评分[（88．38±9．52）分比（83．46±9．36）分，t=2．330]均高于对照组（P〈O．01或P〈O．05）。结论髌骨骨折术后采用中药熏洗联合CPM功能锻炼可促进膝关节功能恢复，减少骨折并发症。

Objective To observe the effect of Chinese herbal fumigation combined with CPM promote the function recovery after Postoperative Patellar Fracture. Methods Eighty patients with patellar fracture were randomly divided into treatment group （40 cases） and control group （40 cases）. The control group was treated with CPM. The treatment group was treated with Chinese Herbal Fumigation and CPM. After 8th weeks, the clinical curative effect, knee range of motion and KSS knee score were observed and compared. Results The effect rate of the treatment group was 87.5% （35/40）, and the control group was 65.0% （26/40）. The difference was statistically significant （X^2=5.591, P〈0.01）. After treatment, the range of motion of knee joint （138.38°± 7,.82° vs. 0.29° ±7.83° , t=10.338）, KSS knee function score （88.38 ± 9.52 vs. 3.46± 9.36, t=2.330） of the treatment group were higher than those in the control group （P〈0.01 or P〈0.05）. Conclusions The Chinese medicine fumigation combined with CPM functional exercise could accelerate the recovery of knee function and reduce the complications of fracture after patellar fracture.