海桐皮汤薰洗在掌指骨骨折术后康复治疗中的应用  

Application of steaming and washing therapy with Haitongpi Tang(海桐皮汤)to postoperative functional rehabilitation in patients with metacarpal and phalangeal fractures

作　　者：宋东宁 毛矛 朱广平[1] 胡仕其[1] SONG Dongning;MAO Mao;ZHU Guangping;HU Shiqi(Pinghu Hospital of Traditional Chinese Medicine,Pinghu 314200,Zhejiang,China)

机构地区：[1]平湖市中医院

出　　处：《中医正骨》2019年第10期17-20,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察海桐皮汤薰洗在掌指骨骨折术后康复治疗中的应用价值。方法:将78例接受手术治疗的掌指骨骨折患者随机分为2组,每组39例。常规组术后进行掌指关节屈伸运动,每次30min;薰洗组在常规组的治疗基础上采用海桐皮汤薰洗患处,先薰蒸患处30min,待药液温度合适后,将手放在药液中浸泡20min;两组均每日康复治疗2次,连续2周为1个疗程,共治疗2个疗程。分别于康复治疗前及康复治疗开始后4周、8周、12周,采用《中华医学会手外科学会上肢部分功能评定试用标准》中手指总主动活动度评定法评价患指功能。结果:康复治疗前,薰洗组患指功能可17例、差22例,常规组患指功能可19例、差20例;2组患者的患指功能比较,差异无统计学意义(R薰洗组=40.50,R常规组=38.50,Z=-0.451,P=0.652)。康复治疗开始后4周,薰洗组患指功能优9例、良14例、可13例、差3例,常规组患指功能优4例、良10例、可14例、差11例;薰洗组的患指功能优于常规组(R薰洗组=33.27,R常规组=45.73,Z=-2.533,P=0.011)。康复治疗开始后8周,薰洗组患指功能优18例、良15例、可6例,常规组患指功能优10例、良14例、可15例;薰洗组的患指功能优于常规组(R薰洗组=33.69,R常规组=45.31,Z=-2.409,P=0.007)。康复治疗开始后12周,薰洗组患指功能优19例、良16例、可4例,常规组患指功能优12例、良17例、可10例;薰洗组的患指功能优于常规组(R薰洗组=34.82,R常规组=44.18,Z=-1.971,P=0.049)。结论:对于接受手术治疗的掌指骨骨折患者,术后在常规康复治疗的基础上采用海桐皮汤薰洗患处,可以促进患指功能恢复。Objective: To observe the applied values of steaming and washing therapy with Haitongpi Tang(海桐皮汤,HTPT) in postoperative functional rehabilitation in patients with metacarpal and phalangeal fractures. Methods: Seventy-eight patients who received surgery for metacarpal and phalangeal fractures were selected and randomly divided into conventional group and steaming-washing group,39 cases in each group. The metacarpophalangeal joint flexion-extension was performed in all patients in the 2 groups,30 minutes at a time. Moreover,the patients in steaming-washing group were treated with steaming and washing therapy with HTPT at the fractured parts for 30 minutes,and then their hands were immersed into HTPT at suitable temperature for 20 minutes. The rehabilitation treatments were performed on all patients twice a day for consecutive 2 courses of treatment,consecutive 2 weeks for each course. The function of affected finger was evaluated by using evaluation method of total active motion of finger which was extracted from Trial standard of upper limb function evaluation issued by Hand Surgery Branch of Chinese Medical Association before rehabilitation treatment and at 4,8 and 12 weeks after the beginning of the rehabilitation treatment respectively. Results: The function of affected finger was evaluated before rehabilitation treatment,and 17 patients obtained a fair result and 22 poor in steaming-washing group;while 19 patients obtained a fair result and 20 poor in conventional group. There was no statistical difference in the function of affected finger between the 2 groups( Rsteaming-washing group = 40. 50,Rconventional group = 38. 50,Z =- 0. 451,P = 0. 652). The function of affected finger was evaluated at 4 weeks after the beginning of the rehabilitation treatment, and 9 patients obtained an excellent result,14 good,13 fair and 3 poor in steaming-washing group;while 4 patients obtained an excellent result,10 good,14 fair and 11 poor in conventional group. The steaming-washing group surpassed the conventional gr

关 键 词：掌骨 指骨 骨折 康复 薰洗 海桐皮 

分 类 号：R274.9[医药卫生—中西医结合]