舒筋活血汤加减联合功能锻炼对踝关节骨折术后关节功能恢复的临床观察

Clinical observation on Modified Shujin Huoxue decoction combined with functional exercise for recovery of joint function after ankle fracture operation

目的:探讨舒筋活血汤加减联合功能锻炼对踝关节骨折术后关节功能恢复的临床效果。方法:选择踝关节骨折患者86例作为研究对象,采用随机数表法分为两组,每组各43例。两组均行手术治疗,术后对照组采用功能锻炼治疗,观察组在对照组基础上加用舒筋活血汤治疗,对比两组关节功能恢复优良率、中医证候积分、临床愈合时间、负重时间及并发症。结果:术后1年观察组优良率高于对照组,术后6个月中医证候积分低于对照组,临床愈合时间、负重时间均短于对照组,差异有统计学意义(P<0.05);两组均无严重并发症。结论:踝关节骨折术后运用舒筋活血汤加减联合功能锻炼能改善临床症状,加速踝关节功能恢复,无严重并发症。

Objective:To explore the clinical effect of Shujin Huoxue decoction combined with functional exercise on the recovery of joint function after ankle fracture operation.Methods:Eighty-six patients with ankle fractures were selected as the research objects,and they were divided into 2 groups by random number table method,with 43 cases in each group.Both groups were treated with surgery,the control group was treated with functional exercise after the operation,and the observation group was treated with Shujin Huoxue decoction on the basis of the control group.The two groups were compared with the joint function recovery rate,TCM syndrome score,clinical healing time,weight bearing time and complications.Results:The excellent and good rate of the observation group was higher than that of the control group at 1 year after the operation,and the TCM syndrome score was lower than that of the control group at 6 months after the operation,the clinical healing time and weight bearing time were shorter than those of the control group,the difference was statistically significant(P<0.05).There were no serious complications in both groups.Conclusion:The use of Shujin Huoxue decoction combined with functional exercise therapy after ankle fracture operation can improve clinical symptoms,accelerate the recovery of ankle joint function,and has no serious complications.