中药内服结合热敏灸预防性治疗肘部损伤术后骨化性肌炎  

Treating myositis ossificans after the elbow injury with TCM medicine plus thermal moxibustion

作　　者：李英周 陈圆升 叶锋 万蕾 朱少兵 

机构地区：[1]浙江省绍兴市上虞中医医院,浙江上虞312300

出　　处：《中医临床研究》2018年第4期14-16,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨中药内服结合热敏灸预防性治疗肘部损伤术后骨化性肌炎的效果。方法:将我院2011年2月-2016年2月收治的95例肘部损伤患者作为观察对象,其中43例患者应用中医药治疗,另外52例患者不服用任何药物。术后4周、3个月及1年门诊随访,所有患者均复查肘关节正侧位X线片及检查血中碱性磷酸酶(ALP)。同时参照Mayo肘关节功能评分标准(MEPS)评定肘关节功能。结果:中医药治疗组43例中2例失访,41例平均随访时间为(14±3.2)个月。X线示骨化性肌炎1例;对照组中3例失访,49例平均随访(15±2.7)个月。X线示骨化性肌炎6例;对照组肘关节骨化性肌炎发生率明显高于中医药治疗组,有统计学差异(P<0.05);中医药治疗组的ALP在术后4周相对于对照组明显降低,有统计学差异,中医药治疗组术后3个月及术后1年较对照组患者肘关节功能改善更明显,有明显统计学差异。结论:对肘部损伤术后患者常规应用中医药干预安全有效,对肘关节骨化性肌炎的预防起到了一定的作用。Objective:To investigate the effect of TCM medicine with thermal moxibustion on myositis ossificans after the elbow injury.Methods:95 patients with elbow injuries who were treated in our hospital from February 2011 to February 2016 were enrolled in this study.Among them,43 patients were treated with TCM medicine,and another 52 patients did not take any medicine.Results:In the TCM group,2 cases did not follow-up,and the average follow-up time was(14±3.2)months.X-ray showed 1 case of ossifying myositis.In the control group,3 cases did not follow-up,and the average follow-up time was(15±2.7)months.X-ray showed 6 cases of ossified myositis.Elbow ossification myositis in the control group was significantly higher than the TCM group,with a statistical significance(P<0.05).ALP in the 4 weeks did not increase in the TCM group.Elbow function was improved in 3 months and 1 year in the TCM group,and better than the control group.Conclusion:TCM medicine was effective on elbow injury,and can prevent from myositis ossificans.

关 键 词：补阳还五汤 热敏灸 肘部损伤 骨化性肌炎 

分 类 号：R322.74[医药卫生—人体解剖和组织胚胎学]