针刺疗法结合中药熏蒸及康复训练促进胫骨中下段骨折术后康复效果研究  

Acupuncture Therapy Combined with Self-Designed Prescription of Fumigation and Rehabilitation Training to Promote Rehabilitation Effect of Patients With Lower Tibial Fractures

作　　者：覃伟[1] 李仕杰[2] QIN Wei;LI Shijie(Department of Acupuncture and Rehabilitation , Taizhou Bone Injury Hospital, Taizhou 317500, Zhejiang,China;Department of Orthopedics and Trumatology, Taizhou Bone Injury Hospital, Taizhou 317500 , Zhejiang,China)

机构地区：[1]台州骨伤医院针灸康复科,浙江台州317500 [2]台州骨伤医院骨伤科,浙江台州317500

出　　处：《中华中医药学刊》2019年第5期1186-1189,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划项目(2014ZB137)

摘　　要：目的:探究针刺疗法结合中药熏蒸及康复训练促进胫骨中下段骨折术后患者康复效果。方法:114例胫骨中下段骨折手术患者,采取随机数字表法将所有患者分为观察组以及对照组,对照组所有患者(57例)常规治疗基础上实施康复训练干预,观察组患者(57例)则在对照组干预基础上给予患者针刺疗法结合中药熏蒸干预,对比两组患者临床疗效、干预前及干预3、7 d视觉模拟疼痛量表评分(VAS)、干预前后患者关节活动度及功能评分、干预后14、28、56 d患者X线骨痂评分、患者并发症情况及骨折愈合时间、临床功能愈合时间。结果:观察组骨折患者术后康复有效率(98.25%)显著高于对照组(87.72%),P<0.05,差异具有统计学意义;观察组与对照组患者干预前VAS评分相当,P>0.05,干预后3、7 d观察组患者VAS评分均优于对照组,P<0.05,差异具有统计学意义;干预前两组患者关节活动度及功能评分相当,P>0.05,干预后各组患者关节活动度及功能评分均改善,观察组优于对照组,P<0.01,差异具有统计学意义;干预后14、28、56 d观察组患者X线骨痂评分均优于对照组,P<0.05,差异具有统计学意义;观察组患者术后并发症率(5.26%)明显低于对照组(17.54%),P<0.05,差异具有统计学意义;观察组患者干预后骨折愈合时间、临床功能愈合时间均短于对照组,P<0.01,差异具有统计学意义。结论:针刺疗法结合中药熏蒸及康复训练可较好促进促进胫骨中下段骨折术后患者康复,术后患者疼痛轻、关节活动度及功能恢复好,X线显示患者骨痂评分高,术后并发症率低,安全性高,且患者恢复快,值得临床广泛应用以及推广。Objective:To explore the effect of acupuncture therapy combined with self-designed prescription of fumigation and rehabilitation training to promote the rehabilitation of patients with lower tibial fracture.Methods:114 cases of middle segment tibia fracture surgery as the research objects, taking a random number table method, were divided into observation group and control group. The control group(57 cases) based on regular treatment, were given rehabilitation training. The observation group patients(57 cases) were given acupuncture combining with the medicine fumigation based on the treatment of the control group. Wecompared two groups’ clinical efficacy and visual analog pain scale score(VAS) before intervention and 3 d, 7 d after intervention,motion and function score, X-ray callus score after 14 d,28 d and 56 d after intervention,fracture healing time and clinical healing time.Results:The postoperative recovery rate(98.25%) was significantly higher in the observation group than that in the control group(87.72%)(P<0.05) and the difference was statistically significant. In the observation group and control group, the VAS score was equal before intervention(P>0.05), and the VAS score on 3 d and 7 d after intervention was better than that of the control groupand the difference was statistically significant(P<0.05). The motion and function of two groups before intervention was not significant(P>0.05). After intervention,the observation group’s motion and function score were improved and the observation group’s was better than that of the control group(P<0.01). The difference was statistically significant. After intervention, the X-ray callus scores in the observation group on 14 d, 28 d and 56 d after intervention were better than those of the control group(P<0.05) and the difference was statistically significant. The postoperative complication rate(5.26%) in the observation group was significantly lower than that in the control group(17.54%)(P<0.05) and the difference was statistically significant. After in

关 键 词：胫骨中下段骨折 术后康复 针刺疗法 中药熏蒸 康复训练 

分 类 号：R274.12[医药卫生—中医骨伤科学]