松紧带结合舒筋洗药治疗陈旧性近指间关节侧副韧带损伤  

Therapeutic Effect of Elastic Band Fixation Plus Washing with Tendon-relaxing Herbs in Treating Old Injury of Collateral Ligament of Proximal Interphalangeal Joints

作　　者：詹晓欢 高峻青[1] 陈元荣 曾焘 张家盛[1] 罗桦杰 ZHAN Xiao-Huan;GAO Jurt-Qing;CHEN Yuan-Rong;ZENG Tao;ZHANG Jia-Shen;LUO Hua-Jie(Foshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine , Foshan 528000 Guangdong, China;Guangzhou University of Chinese Medicine, Guangzhou 510405 Guangdong, China)

机构地区：[1]广州中医药大学附属佛山市中医院,广东佛山528000 [2]广州中医药大学,广东广州510405

出　　处：《广州中医药大学学报》2019年第5期653-657,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：佛山市科技创新平台建设项目(编号:2014AG10005);佛山市十三.五医学重点专科建设项目(编号:FSZDZK135019)

摘　　要：【目的】观察松紧带结合舒筋洗药治疗陈旧性近指间关节侧副韧带损伤的临床疗效。【方法】将100例患者随机分为试验组和对照组,每组各50例。试验组采用松紧带邻指弹性固定结合舒筋洗药熏洗治疗,对照组采用胶布邻指加压固定治疗。观察2组患者治疗前后患指近指间关节肿胀程度、疼痛视觉模拟评分(VAS)及功能评定情况,并记录2组患者治疗后择期行侧副韧带修复手术情况。【结果】(1)治疗后,2组患者患指近指间关节肿胀程度、VAS评分均较治疗前降低(P<0.001),且试验组的降低作用均优于对照组,差异有统计学意义(P<0.001)。(2)患指功能评定情况:治疗后,试验组与对照组的优良率分别为76.60%和54.35%,试验组的患指功能评定结果优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,试验组与对照组的择期手术率分别为2.13%和17.39%,试验组的患指择期手术率低于对照组,差异有统计学意义(P<0.05)。【结论】松紧带邻指弹性固定结合舒筋洗药熏洗治疗陈旧性近指间关节侧副韧带损伤,方法简单,安全有效。Objective To observe the clinical efficacy of elastic band fixation plus washing with tendon-relaxing herbs in treating old injury of collateral ligament of proximal interphalangeal joints. Methods One hundred patients were randomized into trial group and control group, 50 cases in each group. The trial group was treated with flexible fixation of the wounded finger with the elastic band to the adjacent finger together with fumigation and washing with tendon-relaxing herbs,and the control group was treated with compression fixation of the wounded finger with the adhesive plaster to the adjacent finger.Before and after treatment,we observed and recorded the swelling degree,Visual Analogue Scale(VAS)pain scores and functional assessment of the wounded proximal interphalangeal joints of the two groups. Moreover,we recorded the incidence of selective surgery for repairing collateral ligament after treatment. Results(1)After treatment,the swelling degree and VAS pain scores of the wounded proximal interphalangeal joints of the two groups were lowered as compared with those before treatment(P<0.001),and the lowering in the trial group was superior to that in the control group, the differences being statistically significant(P < 0.001).(2) After treatment, the excellent rate of functional assessment of the wounded proximal interphalangeal joints in the trial group was 76.60%and that in the control group was 54.35%,and the difference between the two groups was statistically significant(P < 0.05),indicating that the trial group had stronger effect on improving the function of the wounded fingers than the control group.(3)After treatment,the incidence of selective surgery in the trial group was 2.13% and that in the control group was 17.39%,and the difference was statistically significant(P < 0.05),indicating that the trial group had lower incidence of selective surgery than the control group. Conclusion The flexible fixation of the wounded finger with the elastic band to the adjacent finger together with fumigation and was

关 键 词：松紧带 舒筋洗药 近指间关节 侧副韧带损伤 

分 类 号：R686.1[医药卫生—骨科学]