桃红四物汤联合快速康复理念在踝关节骨折术后康复期的应用价值研究  

Application Value of Taohong Siwu Decoction Combined with Rapid Rehabilitation Concept in Postoperative Rehabilitation for Patients with Ankle Fractures

作　　者：徐虹霞[1] 杨紫樱 雷爽[1] XU Hongxia;YANG Ziying;LEI Shuang(Sichuan Pronincial Orthopaedic Hospital,Chengdu Sichuan 610041,China)

机构地区：[1]四川省骨科医院,四川成都610041

出　　处：《四川中医》2021年第4期160-163,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:研究桃红四物汤联合快速康复理念在踝关节骨折术后康复期的应用价值。方法:回顾性分析2018年4月至2019年4月于本院接受手术治疗的93例踝关节骨折患者临床资料,按照术后康复方案的差异分为研究组和对照组。其中研究组48例,对照组45例。对照组术后给予口服桃红四物汤;研究组在对照组的基础上给予快速康复理念下的训练。比较2组治疗前、治疗12周后踝关节运动度数(伸、屈、旋前和旋后)、踝-后足功能恢复情况[美国矫形外科足踝协会(AOFAS)踝-后足评分]及踝关节恢复情况(Baird踝关节评分);治疗前、治疗2d、4d及8d后肿胀及疼痛(VAS评分);比较2组临床疗效及并发症发生情况。结果:研究组临床总有效率为95.83%,对照组临床总有效率为82.22%;研究组临床总有效率高于对照组(P<0.05)。治疗12周后,研究组踝关节伸、屈、旋前及旋后角度均大于对照组,研究组AOFAS踝-后足评分与Baird踝关节评分均高于对照组(P<0.05)。治疗4d、8d后研究组肿胀值小于对照组,VAS评分低于对照组(P<0.05)。研究组并发症发生率(2.08%)低于对照组(11.11%)(P<0.05)。结论:桃红四物汤联合快速康复理念下训练,可改善踝关节骨折患者术后关节肿胀,减轻其术后疼痛,从而促进踝关节活动功能快速恢复,且减少康复期间并发症概率,值得临床推广。Objective:To study the application value of Taohong Siwu Decoction combined with rapid rehabilitation concept in postoperative rehabilitation for patients with ankle fractures.Methods:The clinical data of 93 patients with ankle fractures who underwent surgical treatment in our hospital from April 2018 to April 2019 were retrospectively analyzed.According to the difference in postoperative treatments,they were divided into a study group and a controlled group.There were 48 cases in the study group and 45 cases in the controlled group.The controlled group was given oral Taohong Siwu Decoction after operation,and the study group was supplemented with training of rapid rehabilitation.The ankle motion(extension,flexion,pronation and supination),the recovery of ankle-hindfoot function[Ankle-Hindfoot Score of American Orthopaedic Ankle and Ankle Association(AOFAS)]and ankle joint recovery(Baird Ankle Score)were compared between the two groups before treatment and after treatment for 12 weeks.The swelling value and pain(VAS score)between the two groups before treatment,2,4 and 8 days after treatment were compared.The clinical efficacy and complications between the two groups were compared.Results:The total clinical effective rate of the study group was 95.83%,and the total clinical effective rate of the controlled group was 82.22%.The total clinical effective rate of the study group was higher than that of the controlled group(P<0.05).After treatment for 12 weeks,the angles of ankle extension,flexion,pronation and supination in the study group were greater than those in the controlled group.The AOFAS ankle-hindfoot score and Baird ankle score of the study group were higher than those of the controlled group(P<0.05).After treatment for 4 and 8 days,the swelling value of the study group was lower than that of the controlled group,and the VAS score was lower than that of the controlled group(P<0.05).The incidence of complications in the study group(2.08%)was lower than that in the controlled group(13.33%)(P<0.05).Conclusion

关 键 词：桃红四物汤 快速康复理念 踝关节骨折 肿胀 疼痛 康复 

分 类 号：R274.12[医药卫生—中医骨伤科学]