三期功能锻炼联合中医三期用药对膝关节周围骨折康复效果的临床研究  

Clinical Study on the Rehabilitation Effect of Three Stage Functional Exercise Combined with Three Stage Traditional Chinese Medicine on Peripheral Knee Fracture

作　　者：刘德明 席云卫 赵林钢 马勇[2] 朱垚[1] 许春彦 

机构地区：[1]南京市六合区中医院骨伤科,江苏 南京 [2]南京中医药大学附属医院,江苏 南京

出　　处：《临床医学进展》2024年第2期3293-3300,共8页Advances in Clinical Medicine

摘　　要：目的:分析采用三期功能锻炼联合中医三期用药治疗膝关节周围骨折的康复效果。方法:选取膝关节周围骨折患者64例,采用随机数字表法随机分为2组,对照组32例,治疗组32例。对照组采用传统康复治疗方案。治疗组采用三期功能锻炼联合中医三期用药方案。术后2周、4周、12周对比两组患者的Lysholm膝关节评分(LKSS)、HSS膝关节评分。术后12周对比两组患者的治疗优良率、骨折临床愈合时间。结果:与术前对比,两组患者LKSS评分、HSS评分均明显升高,且各时间点治疗组均高于对照组,有统计学意义(P < 0.05)。两组患者经治疗均获得了较高的治疗优良率,且治疗组明显高于对照组,具有统计学意义(P < 0.05)。治疗组3个月内骨折临床愈合率显著高于对照组,有统计学意义(P < 0.05)。结论:采用三期功能锻炼联合中医三期用药的渐进式康复治疗方法,能够有效减轻膝关节疼痛,防止膝关节粘连强直,增加膝关节活动度,促进骨折愈合,加速膝关节周围骨折的康复。Objective: To analyze the rehabilitation effect of three stage functional exercise combined with three stage traditional Chinese medicine in the treatment of peripheral knee fracture. Methods: A total of 64 patients with peripheral knee fracture were randomly divided into 2 groups by random number table method, 32 cases in control group and 32 cases in treatment group. The control group was treated with traditional rehabilitation therapy. The treatment group was treated with three stage functional exercise combined with three stage traditional Chinese medicine. Lysholm knee joint score (LKSS) and HSS knee joint score were compared between the two groups at 2, 4 and 12 weeks after surgery. The rate of good treatment and the time of fracture healing were compared 12 weeks after operation. Results: Compared with the preoperative results, LKSS score and HSS score of the two groups were significantly increased, and the treatment group was higher than the control group at all time points, with statistical significance (P < 0.05). After treatment, both groups achieved a higher rate of excellent treatment, and the treatment group was significantly higher than the control group, with statistical significance (P < 0.05). The fracture healing rate within 3 months in the treatment group was significantly higher than that in the control group, with statis-tical significance (P < 0.05). Conclusion: The three stage functional exercise combined with the three stage traditional Chinese medicine can reduce knee pain, prevent knee stiffness and adhesion, in-crease knee motion, and accelerate the rehabilitation of knee fracture.

关 键 词：膝关节周围骨折 中医三期用药 三期功能锻炼 

分 类 号：R68[医药卫生—骨科学]