舒筋活血洗剂联合持续静态牵伸训练治疗创伤后肘关节僵硬的疗效观察  

An observation of the curative effect of Shujin Huoxue lotion combined with continuous static stretching training on posttraumatic elbow stiffness

作　　者：庄研 林焱斌 ZHUANG Yan;LIN Yanbin(Department of Orthopaedics,Fuzhou Second Hospital Affiliated to Xiamen University,Fujian,Fuzhou 350007,China)

机构地区：[1]厦门大学附属福州第二医院骨科,福建福州350007

出　　处：《中国医药科学》2020年第20期218-221,240,共5页China Medicine And Pharmacy

摘　　要：目的观察舒筋活血洗剂联合持续静态牵伸训练治疗创伤后肘关节僵硬的临床效果。方法选取2015年3月~2019年3月于我院住院治疗的创伤后肘关节僵硬患者56例,随机分为治疗组和对照组,每组各28例。两组在持续静态牵伸训练前,治疗组予舒筋活血洗剂熏洗治疗,对照组予热水熏洗,共治疗5周。观察两组肘关节美国特种外科医院(HSS)评分、日常生活活动能力(ADL)评分、出现异位骨化比例、有再行关节松解术意愿者比例及中医证候疗效。结果在中医证候疗效中,治疗组总有效率为100.00%,高于对照组的89.29%,差异有统计学意义(P<0.05)。在HSS评分及ADL评分上,治疗后两组患者均较治疗前明显升高,且治疗组高于对照组,差异有统计学意义(P<0.05)。在骨折术后6个月肘关节异位骨化病例增加量及有再行关节松解术意愿者比例,治疗组均少于对照组,差异有统计学意义(P<0.05)。结论舒筋活血洗剂联合持续静态牵伸训练治疗创伤后肘关节僵硬,能进一步改善患者肘关节功能及生活能力,有利于减少异位骨化及再手术的发生,临床疗效佳。Objective To observe the clinical efficacy of Shujin Huoxue lotion combined with continuous static stretching training in the treatment of post-traumatic elbow stiffness.Methods A total of 56 patients with posttraumatic elbow stiffness hospitalized in our hospital from March 2015 to March 2019 were selected and randomly divided into the treatment group and the control group,with 28 patients in each group.Before continuous static stretching training of the two groups,the treatment group was treated with Shujin Huoxue lotion fumigation and the control group was treated with hot water fumigation.The treatments lasted 5 weeks.The scores of American Hospital for Special Surgery(HSS),the scores of activities of daily living(ADL),the proportion of heterotopic ossification,the proportion of people willing to have arthrolysis again and the curative effect of TCM syndrome of the two groups were observed.Results In terms of the curative effect of TCM syndrome,the total effective rate in the treatment group was 100.00%,which was higher than that in the control group was 89.29%,with statistically significant difference(P<0.05).In terms of HSS scores and ADL scores,those of both groups after treatment were significantly higher than before treatment,and those of the treatment group were higher than those of the control group,with statistically significant difference(P<0.05).At 6 months after fracture surgery,the increased number of cases of heterotopic ossification of elbow joint and the proportion of people willing to have arthrolysis again in the treatment group were both smaller than in the control group,with statistically significant difference(P<0.05).Conclusion The treatment of post-traumatic elbow stiffness with Shujin Huoxue lotion combined with continuous static stretching training can further improve the patients'elbow joint function and living ability,which helps to reduce the occurrence of heterotopic ossification and reoperation.It produces satisfying clinical effect.

关 键 词：创伤后肘关节僵硬 舒筋活血洗剂 持续静态牵伸 

分 类 号：R684[医药卫生—骨科学]