功能锻炼结合洗舒筋汤熏洗促进Colles骨折后期腕关节功能恢复临床研究

Clinical Study on Functional Exercise Combined with Xishujin Tang Fumigation and Washing in Promoting Wrist Joint Function Recovery in the Late Stage of Colles Fracture

目的:探讨功能锻炼结合洗舒筋汤熏洗促进Colles骨折后期腕关节功能恢复的效果。方法:选取108例Colles骨折患者作为研究对象,按随机数字表法分为对照组和研究组各54例。2组均经手法复位和夹板外固定治疗,于6周左右拆除石膏板后,对照组予以功能锻炼联合热水熏洗,研究组予以功能锻炼联合洗舒筋汤熏洗。比较2组临床疗效、腕关节功能恢复情况以及视觉模拟评分法(VAS)评分。结果:研究组临床治疗优良率为81.48%,明显高于对照组62.96%(P<0.05)。拆除夹板时,2组腕关节功能情况比较,差异无统计学意义(P>0.05)。6周后,研究组腕关节功能恢复情况明显优于对照组(P<0.05)。拆除夹板时,2组VAS评分比较,差异无统计学意义(P>0.05)。6周后,研究组VAS评分明显低于对照组(P<0.05)。结论:功能锻炼结合洗舒筋汤熏洗对于促进Colles骨折后期腕关节功能的恢复、临床疗效的提高以及腕关节疼痛的缓解具有重要的临床意义。

Objective:To study the effect of functional exercise combined with Xishujin tang fumigation and washing in promoting wrist joint function recovery in the late stage of Colles fracture.Methods:Selected 108 cases of patients with Colles fracture as research subjects and divided them into the control group and the research group according to random number table,with 54 cases in each group.Both groups were treated with manual reduction and splint external fixation.About 6 weeks later,after removing the plasterboard,the control group received functional exercise combined with hot water fumigation and washing,while the research group received functional exercise combined with Xishujin tang fumigation and washing.Compared the clinical effect,wrist joint function recovery and visual analogue scale(VAS) scores in the two groups.Results:The excellent and good rate of clinical treatment in the study group was 81.48%,being obviously higher than that of 62.96% in the control group(P<0.05).As the splint was removed,there was no significant difference being found in the comparison of the wrist joint function in the two groups(P>0.05).6 weeks later,wrist joint function recovery in the research group was evidently better than that in the control group(P<0.05).When the splint was removed,compared VAS scores in the two groups,there was no significant difference(P>0.05).After 6 weeks,VAS scores in the study group were significantly lower than those in the control group(P<0.05).Conclusion:The application of functional exercise combined with Xishujin tang fumigation and washing has great clinical significance in promoting the recovery of wrist joint function in the late stage of Colles fracture,the improvement of clinical effect and the relief of wrist joint pain.