中药熏洗联合康复锻炼对肘关节恐怖三联征功能恢复的影响

目的 观察中药熏洗联合康复锻炼对肘关节恐怖三联征术后关节功能恢复的影响.方法 将符合纳入标准的60例肘关节恐怖三联征术后患者按随机数字表法分为2组,每组30例.治疗组采用中药熏洗联合康复锻炼治疗,对照组采用康复锻炼治疗.2组均治疗8周.观察患者治疗前后肘关节活动度及De Boer YA肘关节功能评分变化,评价临床疗效.结果 治疗组优良率为83.3%(25/30)、对照组为60.0%(18/30),2组比较差异有统计学意义(χ2=4.021,P=0.044).治疗后8周,治疗组肘关节屈曲(126.98±10.46)°比(120.86±10.37)°,t=2.275]、过伸(8.26±1.23)°比(6.79±1.29)°,t=4.517]、旋前(80.46±8.60)°比(74.79±8.52)°,t=2.565]、旋后(78.53±8.26)°比(73.42±8.20)°,t=2.404]角度均大于对照组(P<0.05或P<0.01);De Boer YA肘关节功能评分中,疼痛(27.13±2.56)分比(24.86±2.42)分,t=3.529]、日常活动(32.26±4.24)分比(29.48±4.36)分,t=2.503]、运动(31.46±4.66)分比(28.74±4.59)分,t=2.277]评分及总分(90.42±8.76)分比(83.82±8.42)分,t=2.975]均高于对照组(P值均<0.01).结论 中药熏洗联合康复锻炼可促进肘关节恐怖三联征术后关节功能的恢复.

Clinical study on the effect of traditional Chinese medicine fumigation combined with rehabilitation exercise on the recovery of triad disease in elbow joint

Objective To observe the clinical effect of traditional Chinese medicine fumigation combined with rehabilitation exercise on the recovery of elbow joint function after triad disease of elbow joint. Methods Sixty patients with terrible triad disease of elbow were divided into treatment group and control group according to the random number table. The treatment group was treated with traditional Chinese medicine fumigation combined with rehabilitation exercise. The control group was treated with rehabilitation exercise. The clinical effect rates, elbow activity and De Boer YA elbow function score were observed at 4 weeks and 8 weeks after treatmentt. Results The total effect rate was 83.3% (25/30) in the treatment group and 60.0% (18/30) in the control group, and the difference between the two groups was statistically significant (χ2=4.021, P=0.044).After treatment,the elbow flexion(126.98 ± 10.46°vs.120.86 ± 10.37°,t=2.275),the hyperextension (8.26 ± 1.23° vs. 6.79 ± 1.29°, t=4.517), pronation (80.46 ± 8.60° vs. 73.42 ± 8.20°, t=2.404), and supination (78.53 ± 8.26° vs. 73.42 ± 8.20°, t=2.404) in the treatment group were significantly higher than those in the control group.. The De Boer YA elbow function score pain (27.13 ± 2.56 vs. 24.86 ± 2.42, t=3.529), Daily activities (32.26 ± 4.24 vs. 29.48 ± 4.36, t=2.503), movement (31.46 ± 4.66 vs. 28.74 ± 4.59, t=0.026), total score(90.42 ± 8.76 vs.83.82 ± 8.42,t=2.975)in the treatment group were significantly higher than those in the control group (Ps<0.05). Conclusions Traditional Chinese medicine fumigation combined with rehabilitation exercise can promote the recovery of elbow joint function in triad of elbow joint.