中药烫熨对老年肱骨近端骨折患者术后中后期功能的改善效果分析  

Analysis of the effect of traditional Chinese medicine ironing on improving function of senile patients with proximal humeral fractures in the middle and late postoperative period

作　　者：官龙洲 潘希彬 钟云祥 蔡国雄 黄少泉 谢延华 GUAN Long-zhou;PAN Xi-bin;ZHONG Yun-xiang(Department of Orthopedics,Heyuan Hospital of Traditional Chinese Medicine,Heyuan 517000,China)

机构地区：[1]广东省河源市中医院骨三区,517000

出　　处：《中国实用医药》2021年第20期182-185,共4页China Practical Medicine

摘　　要：目的探讨老年肱骨近端骨折患者术后选择中药烫熨进行治疗后对中后期功能的改善效果。方法60例老年肱骨近端骨折行手术治疗的患者,采用数字奇偶法分为治疗组和常规组,每组30例。常规组采用常规方法(穴位贴敷、穴位按摩以及运动锻炼)进行术后康复治疗,治疗组在常规组基础上联合中药烫熨方法进行术后康复治疗。对比两组治疗效果及治疗前后肩关节活动度、抑郁自评量表(SDS)评分、视觉模拟评分法(VAS)评分。结果治疗组治疗总有效率为93.33%,高于常规组的63.33%,差异具有统计学意义(P<0.05)。治疗后,治疗组肩关节外展度、屈伸度分别为(65.59±5.35)、(107.66±10.59)°,均大于常规组的(44.71±4.03)、(92.79±10.63)°,差异具有统计学意义(P<0.05)。治疗后,治疗组SDS、VAS评分分别为(25.65±1.83)、(4.63±0.59)分,均低于常规组的(32.71±1.53)、(6.33±0.22)分,差异具有统计学意义(P<0.05)。结论采用中药烫熨方法可使老年肱骨近端骨折患者术后疗效明显提升,明显改善患者关节活动情况、心理状态以及疼痛程度,最终实现老年肱骨近端骨折患者中后期功能的显著改善。Objective To discuss the effect of traditional Chinese medicine ironing on improving function of senile patients with proximal humeral fractures in the middle and late postoperative period.Methods A total of 60 senile patients with proximal humeral fractures were divided into treatment group and conventional group according to odd-even number method,with 30 cases in each group.The conventional group received conventional method(acupoint application,acupoint massage and exercise)for postoperative rehabilitation,and the treatment group received traditional Chinese medicine ironing on the basis of conventional group for postoperative rehabilitation.The therapeutic effect,joint motion,self-rating depression scale(SDS)score and visual analogue scale(VAS)score before and after treatment were compared between groups.Results The total effective rate 93.33%of the treatment group was higher than 63.33%of conventional group,and the difference was statistically significant(P<0.05).After treatment,the shoulder abduction,flexion and extension of the treatment group were(65.59±5.35)and(107.66±10.59)°,which were greater than(44.71±4.03)and(92.79±10.63)°of the conventional group,and the difference was statistically significant(P<0.05).After treatment,the SDS and VAS score of the treatment group were(25.65±1.83)and(4.63±0.59)points,which were lower than(32.71±1.53)and(6.33±0.22)points of the conventional group,and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine ironing can obviously improve the efficacy of senile patients with proximal humeral fractures,and significantly improve the patients’joint motion,psychological state and pain degree,and finally achieve a significant improvement in the function of elderly patients with proximal humeral fracture in the middle and late period.

关 键 词：老年肱骨近端骨折 中药烫熨 疗效 关节活动情况 抑郁自评量表评分 视觉模拟评分法评分 

分 类 号：R687.3[医药卫生—骨科学]