舒筋活血汤配合渐进式功能锻炼对踝关节骨折术后功能恢复的影响及对改善踝关节主动活动度分析

Efficacy of the Shujin Huoxue decoction plus progressive functional exercise on functional recovery of ankle joint fracture after operation and improvement of ankle joint active mobility

目的:探究舒筋活血汤配合渐进式功能锻炼对踝关节骨折术后功能恢复的影响。方法:以60例踝关节骨折术患者为对象,研究时间是2018年1月-2020年1月,30例实施渐进式功能锻炼,视为参照组,30例实施舒筋活血汤配合渐进式功能锻炼,视为研究组,对比踝关节功能、疼痛程度、术后肿胀情况、踝关节主动活动度、炎性因子水平[白细胞介素-1β(Interleukin-1β,IL-1β)、白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)]、不良反应发生率,进行统计学分析。结果:研究组患者术后3个月的踝关节功能评分、疼痛评分、主动活动度、肿胀情况、不良反应发生率明显优于参照组,P <0.05。研究组术后15天IL-1β水平、IL-6水平、TNF-α均优于参照组,P <0.05。结论:术后实施舒筋活血汤配合渐进式功能锻炼,有效缓解疼痛,改善踝关节功能,同时还可有效改善机体的炎症因子水平,促进恢复。

Objective: To explore the effect of the Shujin Huoxue decoction(舒筋活血汤) plus progressive functional exercise on the functional recovery of ankle fractures. Methods: 60 patients with ankle fracture surgery as the object, the study period was from January 2018 to January 2020, 30 cases were performing progressive functional exercise, as the reference group, and 30 cases were implementing the Shujin Huoxue decoction plus progressive functional exercise, as the research group. Results: The ankle joint function score, pain score,active activity, swelling, and incidence of adverse reactions in the study group were significantly better than those in the reference group at 3 months after surgery, P<0.05. The level of IL-1β, IL-6 and TNF-α in the study group were better than those in the reference group at 15 days after operation, P<0.05. Conclusion: After the operation, the Shujin Huoxue decoction plus progressive functional exercise can effectively relieve pain and improve ankle joint function. At the same time, it can also effectively improve the body’s inflammatory factor level and promote recovery.