冷热交替中药浸浴对手指屈肌腱损伤手功能康复的影响  

Effect of Alternating Hot and Cold Chinese Medicine Bath on Hand Function Rehabilitation of Finger Flexor Tendon Injury

作　　者：张玉明[1,2] 张秀芳 张小林[2] 陈杰 张明[1,2] ZHANG Yu-ming;ZHANG Xiu-fang;ZHANG Xiao-lin(Department of rehabilitation,Xuzhou central hospital of Xuzhou clinical college of Xuzhou medical university,Xuzhou,Jiangsu 221009)

机构地区：[1]徐州市中心医院康复医学科-徐州医科大学徐州临床学院,江苏徐州221009 [2]徐州市康复医院-徐州医科大学附属徐州康复医院

出　　处：《中国伤残医学》2023年第2期14-18,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：江苏省青年医学人才基金(QNRC2016376);徐州市卫健委青年医学科技创新项目(XWKYHT20200027)。

摘　　要：目的:观察对手指屈肌肌腱损伤的手外伤患者进行冷热交替的中药浸浴在改善手功能障碍中的临床疗效。方法:选择2017年1月-2020年6月在徐州市中心医院和徐州市康复医院门诊及住院治疗的手指屈肌肌腱损伤患者30例,随机分为对照组和观察组。2组患者均行常规手部康复训练,包括手指关节松动治疗、超声波治疗和作业治疗。对照组治疗前行红外线照射治疗,观察组则先行冷热交替中药浸浴。治疗前和治疗4周后对2组患者进行患手肿胀程度、疼痛、握力、患手指总活动范围以及Carroll手功能评定进行评估对比。结果:治疗后2组患者在患侧手肿胀程度、疼痛、手指握力、患侧手指总活动范围以及Carroll手功能评定方面的结果均有明显提高,而观察组在患侧手肿胀程度、疼痛、患侧手指总活动范围以及Carroll手功能评定方面评估结果较对照组疗效改善更明显,且2组间差异有统计学意义(P<0.05),而手指握力相比2组无显著性差异(P>0.05)。结论:冷热交替中药浸浴可显著改善手指屈肌腱损伤者手部肿胀,缓解疼痛,提高手指关节活动总范围,并能显著提高患者手指功能。Objectives:To observe the clinical effect of traditional Chinese medicine soaking bath on hand injury patients with finger flexor tendon injury in improving hand dysfunction.Methods:Thirty patients with finger flexor tendon injury were randomly divided into control group and observation group.Patients in both groups received routine hand rehabilitation training,including finger joint loosening therapy,ultrasound therapy and occupational therapy.The control group was treated with infrared radiation while the observation group was treated with traditional Chinese medicine bath alternately.The degree of swelling,pain,grip strength,total range of motion of affected fingers and Carroll hand function were evaluated and compared between the two groups before treatment and 4 weeks after treatment.Results:After treatment in two groups of patients suffering from side hands the degree of swelling,pain,finger grip strength,total range of fingers and Carroll hand function assessment results were improved obviously,and the treatment group in the side hand swelling degree,pain,total active motion and Carroll hand function assessment evaluation results more significantly than control group to improve curative effect,and the differences between the two groups was statistically significant(P<0.05),while the finger grip strength compared two groups have no significant difference(P>0.05).Conclusion:The traditional Chinese medicine soaking bath with alternating heat and cold can significantly improve the hand swelling of the patients with finger flexor tendon injury,relieve the pain,improve the total range of finger joint motion,and significantly improve the finger function of the patients.

关 键 词：中药浸浴 手指屈肌肌腱损伤 手功能 

分 类 号：R493[医药卫生—康复医学]