中医四联疗法促进儿童肱骨髁上骨折术后功能康复

Promotion of postoperative rehabilitation in children's supracondylar fracture of humerus by quadruple therapy of traditional Chinese medicine

目的:探讨中医四联疗法对儿童肱骨髁上骨折术后功能康复的临床疗效。方法:选择2017年1月至2018年1月在广州市正骨医院骨伤五区行手术治疗的儿童肱骨髁上骨折的患儿共60例,随机分为实验组及对照组,各30例,实验组患者去除石膏后给予中医四联疗法进行功能锻炼;对照组患者拆除石膏后进行常规关节松动训练;采用Flynn评定标准,收集两组患者患肢功能恢复时间、并发症发生率。结果:实验组优良率为90. 0%,优于对照组的73. 3%;实验组SF-36量表评分(88. 2±4. 52)分,高于对照组的(72. 1±7. 53)分;实验组治疗后的并发症发生率10. 00%,低于对照组的30. 00%;实验组患者骨折愈合时间(77. 00±5. 99)d,短于对照组的(87. 03±4. 47)d;差异均有统计学意义(P<0. 05)。结论:中医四联疗法能有效促进儿童肱骨髁上骨折术后肘关节功能的恢复,缩短康复周期,减少不良事件的发生率,改善治疗满意度。

Objective:To explore the clinical effect of quadruple therapy of traditional Chinese medicine on functional rehabilitation of children with supracondylar fracture of humerus.Methods:Sixty children with supracondylar fracture of humerus were randomly divided into treatment group and control group,with 30 cases in each group.The patients in the treatment group were given functional exercise with quadruple therapy of traditional Chinese medicine after removal of plaster.Routine joint loos-ening training and Flynn criteria were used to collect the recovery time of limb function and the incidence of complications.Results:The excellent and good rate of the experimental group was 90.0%,which was better than 73.3%of the control group;the score of SF-36 in the experimental group was(88.2±4.52),which was higher than that of the control group(72.1±7.53);the incidence of compli-cations in the experimental group was 10.00%,which was lower than that of the control group(30.00%);the healing time of fracture in the experimental group was shorter than that of the control group,as(77.00±5.99)d vs(87.03±4.47)d(P<0.05).Conclusion:TCM quadruple therapy can effectively promote the recovery of elbow joint function,shorten the rehabilitation cycle,reduce the incidence of adverse events,and improve the treatment satisfaction of children with supracondylar fracture of humerus.