火针配合功能锻炼在手外伤肌腱损伤后肌腱粘连中的应用

Application of Fire Acupuncture Combined with Functional Exercise in Tendon Adhesion after Tendon Injury of Hand Trauma

目的:探讨火针配合功能锻炼在手外伤肌腱损伤后肌腱粘连中的应用效果。方法:选择福建省福能集团总医院2019年1月-2021年1月就诊的手外伤肌腱损伤患者100例作为研究对象,按照随机数字表法将其分成对照组和观察组,各50例。对照组实施手指功能锻炼干预,观察组则采取火针配合功能锻炼干预。比较两组手指屈伸恢复情况,并对两组手指总主动活动度、日常生活能力(ADL)评分和视觉模拟评分法(VAS)评分进行比较;统计两组再次肌腱粘连、断裂和二次手术的情况。结果:观察组手指功能恢复优良率为94.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。观察组手指总主动活动度、ADL评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组再次肌腱粘连和二次手术发生率均低于对照组,差异有统计学意义(P<0.05)。结论:火针配合功能锻炼在手外伤肌腱损伤后肌腱粘连中应用效果较好,可促进手指功能恢复,减少肌腱粘连的发生,有助于提升其日常生活能力,具有推广价值。

Objective:To explore the application effect of fire acupuncture combined with functional exercise in tendon adhesion after tendon injury of hand trauma.Method:A total of 100 patients with hand trauma and tendon injury who were to be treated in Fujian Funeng Group General Hospital from January 2019 to January 2021 were selected as the research objects,and they were divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group was given finger function exercise intervention,while the observation group was given fire acupuncture combined with functional exercise intervention.The recovery of flexion and extension of the fingers in the two groups was compared,and the total active range of motion,activities of daily living(ADL)score and visual analogue scale(VAS)score of the two groups were compared,the situation of second tendon adhesion,rupture and second operation in the two groups were statistically analyzed.Result:The excellent and good rate of finger function recovery in the observation group was 94.00%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).The total active activity of fingers and ADL scores in the observation group were higher than those in the control group,while the VAS scores was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of second tendon adhesion and second operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of fire acupuncture combined with functional exercise in tendon adhesion after tendon injury of hand injury has a good effect,which can promote the recovery of finger function,reduce the occurrence of tendon adhesion,and help to improve their ability of daily life.It has the value of popularization.