运动疗法联合中药熏洗治疗踝关节创伤性关节炎的疗效观察

Observation of Therapeutic Effect of Exercise Therapy Combined with Herbal Fumigation in Treatment of Traumatic Arthritis of Ankle Joint

目的:探讨运动疗法联合中药熏洗治疗踝关节创伤性关节炎的疗效。方法:回顾性研究2014年1月—2015年12月门诊收治的57例踝关节创伤性关节炎患者。按治疗方式的不同分成3组,A组12例采用运动疗法治疗,B组16例采用中药熏洗治疗,C组29例采用运动疗法联合中药熏洗治疗,全部患者均连续治疗6周。治疗结束后,分别采用疼痛视觉模拟评分(VAS)评估疼痛程度,Kofoed评分标准评价踝关节功能和临床疗效。结果:A组:治疗后VAS评分(3.50±0.80)分较治疗前(7.42±0.79)分降低(P<0.05),治疗后Kofoed评分(79.08±8.35)分较治疗前(47.83±5.29)分增加(P<0.05);B组:治疗后VAS评分(3.37±0.89)分较治疗前(7.56±0.76)分降低(P<0.05),治疗后Kofoed评分(81.81±8.16)分较治疗前(48.75±4.14)分增加(P<0.05);C组:治疗后的VAS评分(2.62±0.82)分较治疗前(7.44±0.99)分降低(P<0.05),治疗后的Kofoed评分(86.69±5.35)分较治疗前(48.24±4.52)分增加(P<0.05)。C组治疗后的VAS评分均值明显比A组和B组低(P<0.05),A、B两组间治疗后的VAS评分均值无明显差异(P>0.05);C组治疗后的Kofoed评分均值明显高于A组和B组(P<0.05),A、B两组间治疗后的Kofoed评分均值无明显差异(P>0.05);C组疗效明显优于A组和B组,差异具有统计学意义(P<0.05),A组与B组的疗效无明显统计学差异(P>0.05)。结论:运动疗法联合中药熏洗治疗踝关节创伤性关节炎,能有效地缓解疼痛、改善踝关节功能,具有较好的疗效,值得临床推广。

Objective： To explore the effect of exercise therapy combined with herbal fumigation in the treatment of traumatic arthritis of the ankle joint. Methods： Retrospectively study 57 patients with traumatic arthritis of ankle joint treated in our clinic from January 2014 to 2015 December. The patietns were divided into three groups according to different treatment modalities. In group A,12 cases were treated by exercise therapy,16 cases in group B were treated with herbal fumigation treatment and 29 cases in group C were treated with exercise therapy combined with herbal fumigation treatment. All patients were treated for 6 weeks. After treatment,the pain visual analog score（ VAS） was used to evaluate the degree of pain and the Kofoed score to evaluate the function and clinical efficacy of the ankle. Results： A group： after treatment,the VAS score（ 3. 50 ± 0. 80） was lower than that before treatment（ 7. 42 ± 0. 79）（ P〈0. 05）. After treatment,the Kofoed score（ 79. 08 ± 8. 35） was increased compared with before treatment（ 47. 83 ± 5. 29）（ P〈0. 05）. B group： after treatment,the VAS score（ 3. 37 ± 0. 89） was lower than that before treatment（ 7. 56 ± 0. 76）（ P〈0. 05）. After treatment,the Kofoed score（ 81. 81 ± 8. 16） was increased compared with before treatment（ 48. 75 ± 4. 14）（ P〈0. 05）. C group： after treatment,the VAS score（ 2. 62 ± 0. 82） was lower than that before treatment（ 7. 44 ±0. 99）（ P〈0. 05）. After treatment,the Kofoed score（ 86. 69 ± 5. 35） was increased compared with before treatment（ 48. 24 ±4. 52）（ P〈0. 05）. After treatment,the VAS score of C group was significantly lower than that of group A and group B（ P〈0. 05）. And there was no significant difference between the two groups after treatment（ P〈0. 05）. After treatment,the Kofoed score of C group was significantly higher than that in group A and group B（ P〈0. 05）. And there was no significant difference in Kofoed scores between the two groups（ P〈0. 05）. The curative effect of C group was significantly better than that of A group and B group and the difference was statistically significant（ P〈0. 05） and there was no significant difference in the efficacy between A group and B group（ P〈0. 05）. Conclusion： Exercise therapy combined with herbal fumigation in the treatment of traumatic arthritis of the ankle joint can effectively relieve pain,improve the ankle function and has a good curative effect. It is worthy of clinical promotion.