理筋法推拿联合中药熏洗应用于桡骨远端骨折术后患者的效果  

Effect of tendon-regulating manipulation combined with Chinese herbal fumigation and washing on patients with distal radius fracture after surgery

作　　者：贾丽莹[1] 张曾 付丽萍[2] 马民 JIA Li-ying;ZHANG Zeng;FU Li-ping;MA Min

机构地区：[1]郑州市骨科医院急诊科,河南郑州450000 [2]郑州市骨科医院上肢骨科,河南郑州450000 [3]郑州市骨科医院康复医学科,河南郑州450000

出　　处：《中国疗养医学》2023年第8期829-832,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的分析桡骨远端骨折术后患者应用理筋法推拿联合中药熏洗的康复效果及其对腕关节活动度及炎症因子的影响。方法选取2021年6月至2022年10月郑州市骨科医院收治的96例桡骨远端骨折术后患者作为研究对象,依据随机数字表分组。两组均给予切开复位内固定术治疗,对照组48例术后4周给予理筋法推拿,实验组48例在此基础上增加中药熏洗。对比两组患者骨折愈合时间、中医证候积分、腕关节活动度、骨代谢指标。结果干预后,实验组肿胀(1.38±0.94)分、肢体困重(1.21±0.99)分、疼痛(1.29±0.97)分、局部僵硬(1.33±0.95)分,均低于对照组(2.17±0.56)分、(2.25±0.67)分、(2.13±0.49)分、(2.33±0.75)分(P<0.001)。干预后,实验组桡偏(19.52±3.70)°、尺偏(23.25±4.67)°、背伸(59.88±8.79)°、掌屈(54.48±8.19)°,均高于对照组(15.53±3.30)°、(18.19±4.30)°、(50.21±6.29)°、(46.48±7.23)°(P<0.001)。干预后,实验组总Ⅰ型胶原氨基端延长肽(tPINP)水平(77.04±8.21)ng/mL、骨钙素(OC)水平(137.68±11.34)ng/mL,均高于对照组(65.42±6.87)ng/mL、(124.20±9.67)ng/mL;Ⅰ型胶原羧基末端肽(sCTx)水平(0.30±0.06)μg/L,低于对照组(0.37±0.07)μg/L(P<0.001)。结论理筋法推拿联合中药熏洗能够有效加速桡骨远端骨折术后患者骨折愈合,减轻临床症状,提高腕关节活动度,改善骨代谢水平。Objective To analyze the rehabilitation effect of tendon-regulating manipulation combined with traditional Chinese medicine fumigation and washing on on patients with distal radius fracture after surgery,as well as its impact on wrist joint mobility and inflammatory factors.Methods 96 postoperative patients with distal radius fractures admitted to Zhengzhou Orthopedic Hospital from June 2021 to October 2022 were selected as the research subjects and grouped according to a random number table.Both groups were treated with open reduction and internal fixation surgery,while the control group(48 cases)received tendon-regulating manipulation 4 weeks after surgery,while the experimental group(48 cases)received traditional Chinese medicine fumigation and washing on this basis.The fracture healing time,traditional Chinese medicine syndrome scores,wrist joint mobility,and bone metabolism indicators between the two groups of patients were compared.Results After intervention,the scores of swelling(1.38±0.94),limb fatigue(1.21±0.99),pain(1.29±0.97),and local stiffness(1.33±0.95)in the experimental group were lower than those in the control group(2.17±0.56),(2.25±0.67),(2.13±0.49),and(2.33±0.75),P<0.001.After intervention,the radial deviation(19.52±3.70)°,ulnar deviation(23.25±4.67)°,dorsal extension(59.88±8.79)°,and palmar flexion(54.48±8.19)°in the experimental group were higher than the control group(15.53±3.30)°,(18.19±4.30)°,(50.21±6.29)°,and(46.48±7.23)°(P<0.001).After intervention,the levels of total N-terminal propeptide of typeⅠprocollagen(tPINP)(77.04±8.21)ng/mL and osteocalcin(OC)(137.68±11.34)ng/mL in the experimental group were higher than those in the control group(65.42±6.87)ng/mL and(124.20±9.67)ng/mL;Level of C-terminal peptide(sCTx)of typeⅠcollagen(0.30±0.06)μg/L was lower than the control group(0.37±0.07)μg/L(P<0.001).Conclusion The combination of tendon-regulating manipulation and traditional Chinese medicine fumigation and washing can effectively accelerate fracture hea

关 键 词：理筋法推拿 中药熏洗 桡骨远端骨折 腕关节活动度 

分 类 号：R687.3[医药卫生—骨科学]