活血散瘀洗药配合康复功能训练对踝关节骨折患者关节功能恢复和疼痛的影响  

Effect of Huoxue Sanyu Lotion Combined with Rehabilitation Function Training on Joint Function Recovery and Pain for Patients with Ankle Joint Fractures

作　　者：易倩[1] 陈罗西[1] 常朗 YI Qian;CHEN Luoxi;CHANG Lang(Department of Rehabilitation,Sichuan Provincial Orthopedics Hospital,Chengdu Sichuan 610041,China;Department of Orthopedics,Shuangliu District Tra-ditional Chinese Medicine Hospital of Chengdu City,Chengdu Sichuan 610200,China)

机构地区：[1]四川省骨科医院康复科,四川成都610041 [2]成都市双流区中医医院骨科,四川成都610200

出　　处：《四川中医》2021年第5期140-144,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：中国民族医药学会科研课题,(编号:2017KYXM-Z171-39)。

摘　　要：目的:观察活血散瘀洗药配合康复功能训练对踝关节骨折患者关节功能恢复和疼痛的影响。方法:两组患者行骨折切开复位内固定术,对照组术后给予康复功能训练,观察组在此基础上加予活血散瘀洗药熏洗治疗,评价两组治疗前及治疗10周后的中医证候主要症状积分、治疗10周后的中医证候疗效,对比两组治疗前及治疗10周后的踝关节疼痛程度[视觉模拟评分法(VAS)]、踝关节功能恢复情况(AOFAS踝-后足评分系统)、踝关节主动活动度(踝关节背伸、跖屈的角度)及日常生活活动能力[日常生活活动能力评定量表(ADL)]。结果治疗10周后,两组中医证候主要症状积分较治疗前有显著性降低(P<0.05),观察组显著低于对照组(P<0.05);观察组的临床总有效率显著高于对照组(90.74%vs 74.07%,P<0.05);治疗10周后,两组VAS评分较治疗前有显著性降低(P<0.05),观察组显著低于对照组(P<0.05),两组AOFAS踝-后足评分较治疗前有显著性提升(P<0.05),观察组显著高于对照组(P<0.05);治疗10周后,两组踝关节伸直角度及屈曲角度较治疗前均有显著性增加(P<0.05),观察组显著大于对照组(P<0.05);治疗10周后,两组ADL评分较治疗前有显著性提高(P<0.05),观察组显著高于对照组(P<0.05)。结论:活血散瘀洗药配合康复功能训练治疗踝关节骨折患者疗效显著,能明显改善患者患侧疼痛,促进其踝关节功能恢复,提高其踝关节活动度和,利于其日常生活活动能力提高。Objective: To explore the effect of Huoxue Sanyu Lotion combined with rehabilitation function training on joint function recovery and pain for patients with ankle joint fractures. Methods: The two groups of patients underwent open reduction and internal fixation for fractures, and a controlled group was given rehabilitation function training after surgery, and an observation group was given Huoxue Sanyu Lotion for fumigation treatment on this basis. The main syndromes scores before treatment and after 10 weeks of treatment and the efficacy of TCM syndromes after 10 weeks of treatment were evaluated in the two groups. The ankle joint pain [Visual Analogue Scale(VAS)], ankle joint function recovery(AOFAS ankle-hindfoot scoring system), active ranges of motions of ankle joint(dorsiflexion angle and plantarflexion angle of ankle joint) and activities of daily living(ADL) were compared between the two groups before treatment and after 10 weeks of treatment. Results: After 10 weeks of treatment, the main symptoms scores of TCM syndromes in the two groups were significantly lower than those before treatment(P < 0.05), and the scores of the observation group were significantly lower than those of the controlled group(P < 0.05). The total clinical effective rate in the observation group was significantly higher than that in the controlled group(90.74% vs 74.07%, P < 0.05). After 10 weeks of treatment, the VAS score of the two groups was significantly decreased compared with that before treatment(P < 0.05), and the score of the observation group was significantly lower than that of the controlled group(P < 0.05), and the AOFAS ankle-hindfoot score of the two groups were significantly improved compared with those before treatment(P < 0.05), and the scores of the observation group were significantly higher than those of the controlled group(P < 0.05). After 10 weeks of treatment, the dorsiflexion angle and plantarflexion angle of ankle joint in the two groups were significantly increased compared with those before treatment(

关 键 词：踝关节骨折 活血散瘀洗药 康复功能训练 关节功能恢复 疼痛 

分 类 号：R274.12[医药卫生—中医骨伤科学]