行气活血汤辅助肩锁钩内固定术治疗肩锁关节完全脱位临床分析  

Xingqi Huoxue decoction auxiliary acromioclavicular hook fixation in treatment of completely dislocated acromioclavicular joint

作　　者：仼锴 蒋宏魁 

机构地区：[1]陕西省核工业二一五医院骨四科,咸阳712000

出　　处：《陕西中医》2016年第2期198-200,共3页Shaanxi Journal of Traditional Chinese Medicine

摘　　要：目的:探讨行气活血汤辅助肩锁钩内固定术治疗肩锁关节完全脱位的临床效果。方法:选取80例肩锁关节完全脱位患者为研究对象,分成2组,对照组39例,肩锁钩内固定术治疗,治疗组41例,加用行气活血汤治疗,观察治疗后相关指标变化。结果:两组治疗后在肩关节肿胀消退时间、肩关节疼痛消失时间、肩关节主动功能锻炼时间、住院时间比较差异有统计学意义(P<0.05),实验室指标则无统计学意义(P>0.05);两组治疗后在VAS评分较治疗前明显下降,在外展上举和前屈上举活动度上明显提高,在C反应蛋白、血沉上明显下降,治疗前后比较差异有统计学意义(P<0.05),治疗组治疗后VAS评分、外展上举和前屈上举活动度较对照组治疗后比较差异有统计学意义(P<0.05),而C反应蛋白、血沉比较差异则无统计学意义(P>0.05);对照组无痛率12.82%、轻度疼痛率25.64%、总疼痛率87.18%,治疗组无痛率24.39%、轻度疼痛率41.46%、总疼痛率75.61%,两组比较差异有统计学意义(P<0.05);在总疗效上比较差异则无统计学意义(P>0.05)。结论:行气活血汤辅助肩锁钩内固定术能缓解肩锁关节完全脱位术后疼痛,缩短症状改善时间。Objective：To investigate the clinical efficacy of Xingqi Huoxue decoction auxiliary acromioclavicular hook fixation in treatment of completely dislocated acromioclavicular joint. Methods：80 cases with completely dislocated acromioclavicular joint in our hospital were chosen and divied into two groups, the control group had 39 cases and who were given acromioclavicular hook fixation, the observation group had 41 cases and who were taken with Xingqi Huoxue decoction on the base of control group, the relevant indexes after treatment were observed. Results.-The shoulder joint swelling subsided, shoulder joint pain disappear time, shoulder joint active functional exercise time and hospital stays of two groups after treatment had significant differences （P〈0.04）, the laboratory indexes had no significant differences （P 〉0.05）. Compared with before treatment, the VAS score of two groups after treatment were obviously decreased after treatment. The lift on outreach and anteflexion lift activity had obviously improved, the C-reaction protein, erythrocyte sedimentation rate were obviously lower, which had statistically significance （P〈0.05）. Compared with control group, the VAS score, lift on outreach and anteflexion lift of observation group had significant difference （P〈0.05） ,the C-reac tion protein and erythrocyte sedimentation rate had no significant difference（P〉0.05）. The painless rate of control group was 12.82%, the mild pain rate was 25.64%, the total pain rate was 87.18%, while in the observation group were 24. 39 %, 41.46 %, 75.61%, which had significant difference（P〈0.05）, the total efficacy had no significant difference（P〉 0.05）. Conclusion： The Xingqi Huoxue decoction auxiliary acromioclavicular hook fixation can release the pain after com- pletely dislocated acromioclavicular joint surgery and shorten symptoms improve time.

关 键 词：肩脱位/中西医结合疗法 @行气活血汤 

分 类 号：R684.7[医药卫生—骨科学]