关节活络法联合中药熏洗对创伤后腕指关节康复的影响  

Effect of joint activating method combined with fumigation and washing with traditional Chinese medicine on wrist and finger joint re-habilitation after trauma

作　　者：尹罗娟[1] 余静 陈姣凤 谢心军[1] 廖若夷[2] Yin Luojuan;Yu Jing;Chen Jiaofeng;Xie Xinjun;Liao Ruoyi(Department of Orthopedics,First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410021,China)

机构地区：[1]湖南中医药大学第一附属医院骨伤科,湖南长沙410021 [2]湖南中医药大学第一附属医院护理部,湖南长沙410021

出　　处：《护理学杂志》2023年第5期54-57,共4页Journal of Nursing Science

基　　金：国家自然科学基金资助项目(81874476);湖南省中医药管理局科研计划项目(2020073);湖南中医药大学2019年度校级科研基金项目(2019XJJJ069)。

摘　　要：目的探讨关节活络法结合中药熏洗对创伤后腕指关节康复的影响。方法将60例创伤后腕、指关节僵硬患者按照随机数字表法分为对照组和观察组各30例。对照组予以自主关节训练,观察组在对照组的基础上给予关节活络法联合中药熏洗治疗。观察两组治疗效果,干预前和干预3个月后腕指关节功能、关节功能活动度、疼痛和炎症因子水平。结果干预3个月后,观察组总有效率显著高于对照组,腕手关节功能和腕关节屈曲、伸展评分显著优于对照组,疼痛评分和炎症因子水平显著低于对照组(均P<0.05)。结论使用关节活络法联合中药熏洗治疗可更好地调节创伤后腕、指关节僵硬患者炎症水平,减轻疼痛,改善腕、指关节功能和活动度。Objective To explore the effect of joint activating method combined with fumigation and washing with traditional Chinese medicine on wrist and finger joint rehabilitation after trauma.Methods A total of 60 patients with wrist and finger joint stiffness after trauma were randomized into a control group and an experimental group using a random number table,with 30 cases in each group.The control group conducted independent joint training,while the experimental group additionally received joint activating method combined with fumigation and washing with traditional Chinese medicine.The clinical therapeutic effect,wrist and finger joint function,joint function activity,pain and inflammatory factors in the two groups before the intervention and 3 months after the intervention were observed.Results Three months after the intervention,when compared with the control group,the total effective rate of the experimental group was significantly higher,the scores of wrist-hand joint function,wrist joint flexion and extension in the experimental group were significantly higher,and its VAS score and levels of inflammatory factors were significantly lower(all P<0.05).Conclusion Application of joint activating method combined with fumigation and washing with traditional Chinese medicine can better regulate the inflammation level of patients with wrist and finger joint stiffness after trauma,relieve their pain,and improve their wrist and finger joint function and mobility.

关 键 词：腕指关节 僵硬 关节活络法 中药熏洗 炎症因子 关节功能 关节活动度 疼痛 

分 类 号：R473.6[医药卫生—护理学] R248[医药卫生—临床医学]