中医综合康复对桡骨远端骨折治疗后关节功能恢复的病例对照研究  

Research of TCM synthetic rehabilitation on the recovery of wrist joint after distal radius fractures

作　　者：赵勇[1] 董青青[1] 秦伟凯[1] 闫安[1] 张宽[1] 赵国东[1] 王钢[1] 耿进朝[1] 王站峰[1] 卢泽明[1] 

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《中国骨伤》2017年第1期42-46,共5页China Journal of Orthopaedics and Traumatology

基　　金：中央级公益性科研院所基本科研业务费专项(编号:ZZ070862)~~

摘　　要：目的:评价中医综合康复疗法对桡骨远端骨折治疗后关节功能恢复的临床疗效和优势。方法:自2014年5月至2015年10月在中国中医科学院望京医院门诊就诊,符合纳入标准的桡骨远端骨折关节功能障碍患者72例,分为试验组与对照组。试验组36例,脱落1例,男3例,女32例,平均年龄(61.78±8.61)岁;对照组36例,脱落2例,男7例,女27例,平均年龄(61.64±10.12)岁,最终完成69例。试验组予以中医综合康复治疗,对照组予以中药熏洗加功能锻炼治疗,均治疗3周。以握力、腕关节患者自评量表、Gartland和Werley(G-W)腕关节评价、焦虑自评量表(SAS)和总体疗效评价为评定标准,采集治疗前(基线)、治疗3周后以及骨折3个月时的数据并进行统计分析。结果:在3周治疗后及骨折3个月时,患侧腕关节总体疗效评价、G-W评价和PRWE评分,试验组均优于对照组;在患侧握力恢复方面,3周治疗过程中试验组疗效优于对照组,但骨折3个月时试验组与对照组握力恢复情况差异无统计学意义。对于患者的焦虑情绪而言,康复治疗前与治疗后相比较,试验组与对照组患者焦虑情绪均有所缓解,但在治疗过程中,试验组与对照组患者焦虑情绪缓解程度差异无无统计学意义。结论:中医综合康复方法对桡骨远端骨折后关节功能障碍疗效明显优于中药熏洗加功能锻炼的一般疗法。Objective： To evaluate efficacy and advantages of the Traditional Chinese Medicine （TCM） synthetic rehabilitation therapy in the treatment of wrist dysfunction after distal radius fractures. Methods： From May 2014 to October 2015,72 patients with distal radius fracture meeting standards were treated using central randomization system for clinical research. All the patients were divided into two groups：36 patients in test group and 36 in control group. Sixty-nine cases were finished treatment and followed up in the end. The test group fell off 1 ease, and the control group fell off 2 cases. The test group was given TCM synthetic rehabilitation （manipulative therapy, joint mobilization, soaking-washing with Chinese medicinal herbs, functional exercise）, and the control group was given functional exercise as well as soaking-washing with Chinese medicinal herbs, 3 weeks for both. Five evaluation standards were used in this research, which were grip strength, patient-rated wrist evaluation （PRWE） ,Gartland and Werley wrist score ,self-rating anxiety scale （SAS） and the overall curative effect evaluation. Before treatment （baseline）, after 3 weeks of treatment and 3 months after fracture were the three points in time when collected the data. Results ： After 3 weeks of treatment and 3 months after fracture, the test group had a significantly better results than those of control group in the PRWE , G-W wrist score and the overall curative effect evaluation （P〈0.05）. In terms of grip strength recovery, after 3 weeks of treatment, the intergroup difference between the test group and the control group were statistically significant relative to the baseline regarding grip strength of ipsilateral wrist by group t-test （P〈0.05）. However, the test group and the control group had no statistically significant relative to the baseline at 3 months after fracture in grip strength（P〈 0.05 ）. For the anxiety of patients, compared with the test group and control group at before and after re

关 键 词：桡骨骨折 腕关节 中医疗法 康复 病例对照研究 

分 类 号：R274.105[医药卫生—中医骨伤科学]