中药熏洗配合手功能康复训练对手外伤术后功能康复的影响  

The effect of traditional Chinese medicine fumigation and washing combined with hand function rehabilitation training on postoperative functional recovery of hand injuries

作　　者：孙泉 卢巍[1] 钟世荣[1] 胡琰如 熊远香 Sun Quan;Lu Wei;Zhong Shirong;Hu Yanru;Xiong Yuanxiang(Jiangxi Provincial People's Hospital(The First Affiliated Hospital of Nanchang Medical College)Nanchang,Jiangxi 330000)

机构地区：[1]江西省人民医院(南昌医学院第一附属医院),江西南昌330000

出　　处：《辽宁医学杂志》2024年第4期19-22,共4页Medical Journal of Liaoning

基　　金：江西省中医药管理局科技计划项目,编号:2022A044;江西省中医药管理局整脊手法重点研究室。

摘　　要：目的探究中药熏洗配合手功能康复训练对手外伤患者术后功能康复的影响。方法选取2020年1月—2022年12月于本院进行手术治疗的60例手外伤患者,按随机数表法分组,分为对照组(n=30)、干预组(n=30),对照组术后进行手功能康复训练,基于此,干预组联合中药熏洗干预,干预8周;于干预前、后,比较两组血液循环状态、上肢功能[上肢功能指数(UEFI)]、手肌力[徒手肌力评定(MMT)]、生活质量[健康调查简表(SF-36)]。结果干预后,干预组血液循环状态、手肌力等级均优于对照组,有统计学差异(P<0.05);干预后,两组UEFI、SF-36评分均升高,且干预组高于对照组,有统计学差异(P<0.05)。结论中药熏洗配合手功能康复训练应用于手外伤中,可改善血液循环状态,提高手肌力及上肢功能,进而提高患者生活质量。Objective To explore the effect of traditional Chinese medicine fumigation and washing combined with hand function rehabilitation training on postoperative functional recovery of hand injury patients.Methods Sixty patients with hand injuries who underwent surgical treatment in our hospital from January 2020 to December 2022 were randomly divided into a control group(n=30)and an intervention group(n=30)using a random number table method.The control group received postoperative hand function rehabilitation training.Based on this,the intervention group was combined with traditional Chinese medicine fumigation and washing for 8 weeks;Before and after intervention,the blood circulation status,upper limb function(UEFI),hand muscle strength(MMT),and quality of life(SF-36)were compared between the two groups.After the intervention,the blood circulation status and hand muscle strength level of the intervention group were better than those of the control group,with statistical differences(P<0.05);After intervention,the UEFI and SF-36 scores of both groups increased,and the intervention group was higher than the control group,with a statistical difference(P<0.05).Conclusion The application of traditional Chinese medicine fumigation and washing combined with hand function rehabilitation training in hand injuries can improve blood circulation,hand muscle strength,and upper limb function,thereby improving the quality of life of patients.

关 键 词：手外伤 手功能康复训练 中药熏洗 术后功能康复 

分 类 号：R658.2[医药卫生—外科学]