内固定后电磁疗与中药热敷相结合促股骨干骨折愈合的作用  

Healing effect of electromagnetic treatment plus traditional Chinese medicine hot compress therapy on femoral shaft fracture after internal fixation

作　　者：杨波[1] 孙凯[1] 史阿军 丁春发 刘建文[1] 

机构地区：[1]长春市第二医院骨科,吉林省长春市130051

出　　处：《中国组织工程研究》2012年第48期8988-8992,共5页Chinese Journal of Tissue Engineering Research

基　　金：吉林省卫生厅科研项目(2009S010)课题名称:磁热敷对治愈骨伤的影响研究~~

摘　　要：背景:研究表明,电磁疗与中药热敷分别可以促进骨折的愈合及功能的恢复,但电磁疗与热敷相结合疗法对股骨干骨折愈合的影响鲜有报道。目的:观察电磁疗与中药热敷相结合疗法促进股骨干骨折愈合的作用。方法:股骨干骨折切开复位内固定置入治疗57例股骨干骨折患者,固定后按照不同的康复疗法随机分成3组,电磁疗组、中药热敷组和电磁疗与中药热敷结合组,每组19例。于康复治疗8周后进行X射线摄片检查,根据股骨干骨折疗效评定标准对各组患者骨折愈合程度进行评价。结果与结论:电磁疗与热敷结合组患者下肢活动改善明显,局部疼痛感较轻或消失,X射线摄片检查结果显示,骨折愈合程度显著好于单纯电磁疗组或中药热敷组患者(P<0.05),电磁疗组与中药热敷组患者骨折愈合程度差异无显著性意义(P>0.05)。结果提示电磁疗与热敷结合疗法促骨折愈合作用优于单纯电磁疗或中药热敷疗法。BACKGROUND：Studies have shown that the electromagnetic treatment and traditional Chinese medicine hot compress therapy can promote the healing of fractures and improve the functional recovery,but the combination of electromagnetic treatment and traditional Chinese medicine hot compress therapy for femoral shaft fracture healing has been reported rarely.OBJECTIVE：To investigate the healing effect of the electromagnetic treatment plus traditional Chinese medicine hot compress therapy on femoral shaft fracture.METHODS：Fifty-seven cases of femoral shaft fractures patients were treated with open reduction and internal fixation surgery,and the patients were randomly divided into three groups according to different rehabilitation therapy：the electromagnetic treatment group,traditional Chinese medicine hot compress group,and combination group,19 cases in each group.After rehabilitation therapy for 8 weeks,X-ray examination was performed,according to the femoral shaft fracture assessment criteria,the extent of fracture healing of the patients in each group was assessed.RESULTS AND CONCLUSION：The lower limb activity of the patients in combination group was improved significantly,local pain was less or disappeared,X-ray examination showed that the degree of fracture healing in combination group was significantly better than that in the pure electromagnetic treatment group or traditional Chinese medicine hot compress group（P 0.05）,and there was no significant difference between two groups（P 0.05）.The effect of combination therapy of electromagnetic treatment and traditional Chinese medicine hot compress therapy on the healing of femoral shaft fracture is better than that of pure electromagnetic treatment or traditional Chinese medicine hot compress therapy.

关 键 词：电磁疗 中药热敷 物理治疗 切开复位内固定 股骨干骨折 

分 类 号：R318[医药卫生—生物医学工程]