手法配合康复训练治疗陈旧性踝关节损伤的疗效分析

Analysis of Curative Effect of Manipulative Combined with Rehabilitation Training on Old Ankle Joint Injury

目的探究手法配合康复训练治疗陈旧性踝关节损伤疗效。方法随机选取2016年1月—2021年12月联勤保障部队第九〇〇医院莆田医疗区骨二科收治50例陈旧性踝关节损伤患者为研究对象,随机分为A、B组,各25例。A组采用常规康复治疗,B组在A组基础上采用手法配合康复训练治疗,比较两组患者视觉模拟评分(VAS)、关节功能优良率、症状改善、生活质量情况。结果治疗前,两组VAS评分比较,差异无统计学意义(P>0.05)。治疗7、14 d,B组VAS评分低于A组,差异有统计学意义(t=5.298、10.462,P<0.05)。B组踝关节功能优良率(96.00%)高于A组(64.00%),差异有统计学意义(χ^(2)=8.000,P<0.05)。B组患者踝关节肿胀、压痛、活动受限症状评分低于A组,差异有统计学意义(t=10.506、8.333、7.337,P<0.05)。B组患者心理功能、生理功能、社会功能、躯干水平评分高于A组,差异有统计学意义(t=6.110、7.152、9.834、7.399,P<0.05)。结论陈旧性踝关节损伤患者在疾病治疗过程中以手法按摩联合康复训练治疗,可有效改善疼痛情况,提高踝关节功能水平,改善疾病症状,对患者身体康复有显著作用。

Objective To explore the curative effect of manipulation combined with rehabilitation training in the treat⁃ment of old ankle joint injuries.Methods Fifty patients with old ankle joint injury admitted to the 2nd Department of Bone,Putian Medical Area,90th Hospital of Joint Logistic Support Force from January 2016 to December 2021 were randomly selected as the research objects,and randomly divided into group A and Group B,with 25 cases each.Group A received conventional rehabilitation treatment,group B received manipulation combined with rehabilitation training on the basis of group A.Visual Analogue Scale(VAS),excellent and good rate of joint function,symptom improvement and quality of life were compared between the two groups.Results Before treatment,there was no statistically signifi⁃cant difference in VAS scores between the two groups(P>0.05).After 7 d and 14 d of treatment,VAS score of group B was lower than that of group A,and the difference was statistically significant(t=5.298,10.462,P<0.05).The excel⁃lent and good rate of ankle joint function in group B(96.00%)was higher than that in group A(64.00%),and the dif⁃ference was statistically significant(χ2=8.000,P<0.05).The scores of ankle swelling,tenderness and limited move⁃ment in group B were lower than those in group A,and the difference was statistically significant(t=10.506,8.333,7.337,P<0.05).The scores of psychological function,physiological function,social function and trunk level in group B were higher than those in group A,and the difference was statistically significant(t=6.110,7.152,9.834,7.399,P<0.05).Conclusion In the process of disease treatment for patients with old ankle joint injury,manipulative massage therapy combined with rehabilitation training can effectively improve the pain,improve the ankle joint function level,improve the disease symptoms,and have a significant effect on the physical rehabilitation of patients.