温针灸联合康复训练治疗胫骨平台骨折术后关节僵硬的临床效果和安全性分析  

The Analysis of Clinical Effect and Safety of Warm Needle Moxibustion Combined with Rehabilitation Training in the Treatment of Postoperative Tibial Plateau Fracture Joint Stiffness

作　　者：梁友[1] LIANG You(Department of Orthopedics,Jinan Hospital of Traditional Chinese Medicine,Jinan Shandong,250014,China)

机构地区：[1]济南市中医医院骨科,山东济南250014

出　　处：《反射疗法与康复医学》2021年第2期10-13,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨温针灸联合康复训练治疗胫骨平台骨折术后患者关节僵硬的效果。方法选择2018年1月—2020年6月在济南市中医医院行手术治疗的90例胫骨平台骨折患者为研究对象,按随机数字表法分为两组,每组45例。常规组进行常规康复训练,实验组在常规组基础上采用温针灸。分析两组术后膝关节功能恢复情况。结果治疗后,实验组的总有效率为97.8%,高于常规组的82.2%,差异有统计学意义(P<0.05)。在术后第7天,比较两组膝关节评分(纽约特种外科医院膝关节评分,HSS),差异无统计学意义(P>0.05);在术后1、3个月后,实验组的HSS评分均高于常规组,组间差异有统计学意义(P<0.05)。治疗前,两组的各项膝关节被动活动度、疼痛评分及各项生活质量评分比较,组间差异无统计学意义(P>0.05)。治疗后,实验组的各项膝关节被动活动度均优于常规组,组间差异有统计学意义(P<0.05)。治疗后,实验组的疼痛评分低于常规组,差异有统计学意义(P<0.05)。治疗后,实验组的各项生活质量评分均高于常规组,组间差异有统计学意义(P<0.05)。结论在胫骨平台骨折术后,采用常规康复训练联合温针灸实施康复治疗,可有效改善患者膝关节功能,缓解疼痛,改善患者预后质量,促进其康复,适宜临床深入研究与推广应用。Objective To discuss the effect of rehabilitation training and warm needle moxibustion to treat the joint stiffness of patients after tibial plateau fracture surgery.Methods 90 patients with tibial plateau fractures who underwent surgical treatment at Jinan Traditional Chinese Medicine Hospital from January 2018 to June 2020 were selected for the study.They were divided into two groups according to the random number table method,with 45 cases in each group.The conventional group used conventional rehabilitation training,and the experimental group used warm needle moxibustion on the basis of the conventional group.The functional recovery of the knee joint in the two groups after surgery was analyzed.Results After treatment,the total effective rate of the experimental group was 97.8%,which was higher than 82.2%of the conventional group,and the difference was statistically significant(P<0.05).At the 7th d postoperatively,comparing the knee scores of the two groups(New York Special Surgery Hospital Knee Joint Score,HSS),there was no statistically significant difference(P>0.05);after 1 and 3 months postoperatively,the HSS scores of the knee joint in the experimental group were higher than those in the conventional group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the passive knee mobility,pain scores and quality of life scores between the two groups(P>0.05).After treatment,all the passive activities of the knee joint in the experimental group were better than those in the conventional group,and the differences between the groups were statistically significant(P<0.05).After treatment,the pain score of the experimental group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).After treatment,the quality of life scores of the experimental group were higher than those of the conventional group,and the differences between the groups were statistically significant(P<0.0

关 键 词：胫骨平台骨折 手术治疗 温针灸 康复训练 关节僵硬 安全性 

分 类 号：R683[医药卫生—骨科学]