中药熏洗治疗踝关节损伤的效果观察

目的探讨中药熏洗治疗急性踝关节损伤的效果。方法将44例急性踝关节损伤患者随机分为观察组和对照组各22例。对照组损伤局部外贴跌打损伤药膏,观察组加用中药熏洗损伤局部。结果观察组总有效率为95.5%,对照组为63.6%,两组比较,差异有显著性意义(P<0.05)。结论中药熏洗配合跌打损伤药膏治疗踝关节损伤能减轻患者患肢疼痛,有利于恢复患肢功能。     

中药熏洗治疗肛周湿疹效果观察

目的 探讨中药熏洗治疗肛周湿疹的疗效。方法 将86例肛周湿疹患者随机分为观察组和对照组各43例，对照组用醋酸肤轻松软膏涂于患处，2次／d；观察组采用中药熏洗，每次30min，早晚各1次。结果 观祭组总有效率为88.4％,对照组为67．4％，两组比较，差异有显著性意义（P〈0．05）。结论 中药熏洗治疗肛周湿疹可以通过热力和药力作用使肛门周围血管扩张，药物直达病所，效果显著。     

中药熏洗治疗肛周湿疹效果观察

目的探讨中药熏洗治疗肛周湿疹的疗效.方法将86例肛周湿疹患者随机分为观察组和对照组各43例,对照组用醋酸肤轻松软膏涂于患处,2次/d;观察组采用中药熏洗,每次30 min,早晚各1次.结果观察组总有效率为88.4%,对照组为67.4%,两组比较,差异有显著性意义(P＜0.05).结论中药熏洗治疗肛周湿疹可以通过热力和药力作用使肛门周围血管扩张,药物直达病所,效果显著.     

中药熏洗治疗中风后肢体肿胀效果观察

对50例中风后偏瘫病人的肿胀肢体行中药熏洗,2次／d,连续10d后评价疗效。结果有效率92．0％(46／50)。提示中药熏洗能有效消除中风后偏瘫肢体肿胀。     

中药熏洗治疗术后膝踝关节僵直

中药熏洗治疗术后膝踝关节僵直孟建国因股骨踝上截骨及足部肌腱替代所致术后膝、踝关节僵直，在临床上常见。国内文献报道，围股骨髁上截骨所致膝关节屈曲受限占全部合并症的５６．５％１。作者从１９８８年以来，采用中药熏洗的方法治疗儿麻后遗症矫形术后膝、踝关节僵直...     

手术内固定配合中药熏洗治疗成人陈旧性踝关节骨折脱位

目的分析手术治疗配合中药熏洗治疗成人陈旧性踝关节骨折脱位的疗效。方法自2004年1月～2009年10月,对58例成人陈旧性踝关节骨折脱位病例行手术切开复位内固定配合术后中药熏洗治疗,按AOFAS评分标准进行疗效评定。结果 58例患者均获随访,平均3年。按AOFAS评分标准,踝关节评分优37例,良16例,可5例,优良率91.4。结论对成人陈旧性踝关节骨折脱位,无明显软骨变性,关节软骨面无明显碎裂、塌陷,无明显创伤性关节炎及严重骨质疏松者选择切开复位内固定,术后配合中药熏洗,临床疗效确切,可最大程度减少患者痛苦,促进肢体功能恢复。     

中药熏洗治疗婴儿尿布皮炎疗效观察

目的观察中药煎剂治疗婴儿尿布皮炎的临床疗效。方法将71例尿布皮炎患儿随机分为西药组34例和中药组37例。西药组根据病情选用达可宁霜或百多邦涂搽患处，每天2次，病情重者先用红外线照射5～10min，再涂药；中药组取马齿苋、车前草等煎制成外洗液对婴儿局部进行熏洗，各治疗3d。结果中药组治疗效果显著优于西药组（P〈0．05，P〈0．01）。结论中药熏洗治疗婴儿尿布皮炎安全有效。     

中药熏洗治疗肛门疾患95例

中药熏洗是治疗肛门疾患的重要方法之一，它能减轻病人痛苦，加速康复。我科1994～1996年，根据辨证施治的原则，针对不同的肛门疾患，制定了三种不同的熏洗药方，经临床应用，与单纯PP坐浴比较，效果良好．报告如下。1临床资料1．1对象：190例肛门疾患病人随机分观察组（中药熏洗）和对照组（PP坐浴）各95例，每组男67例，女28例。疾病种类为各类型混合痔，炎性外痔，肛裂，出血性内痔，血栓性外痔，肛fi湿疹，肛疹等。观察组年龄最大68岁．最小20岁，平均41．7岁。住院最长39d，最短4d（炎性外痔消炎后出院），平均13d。对照组年龄最大6…     

Ⅰ期根治术联合中药熏洗治疗肛周脓肿的效果观察

目的 探讨Ⅰ期根治术联合中药熏洗对肛周脓肿患者的临床应用效果.方法 回顾性分析2019-01—2020-04金水区总医院普外科行Ⅰ期根治术治疗的64例肛周脓肿患者的临床资料.按术后处理方法分为自拟消痈止痛汤熏洗组(观察组)和高锰酸钾坐浴组(对照组),各32例.比较2组患者的基线资料.记录术后患者疼痛的视觉模拟评分(VA...     

中药局部熏洗治疗郁积性皮炎的疗效观察

目的:探讨中药局部熏洗对郁积性皮炎的治疗效果观察。方法:回顾性分析2006年～2009年我科收治郁积性皮炎患者28例,将其随机分为对照组和治疗组,治疗组加用足部中药局部熏洗治疗,观察对比两组临床疗效。结果:治疗组例痊愈率是92.9%,对照组例痊愈率是78.6%,(P<0.05),治疗组治愈率明显高于对照组。结论:中药局部熏洗治疗郁积性皮炎治愈率高,值得临床推广。     

理筋手法联合传统膏药治疗踝关节扭伤

目的:探讨理筋手法联合传统膏药治疗踝关节扭伤的疗效。方法:选取踝关节扭伤患者128例,依据随机数字表法分为理膏组和膏药组各64例,膏药组给予传统膏药治疗,理膏组在此基础上给予理筋手法治疗,比较两组疼痛(VAS评分)、肿胀、美国矫形外科足踝协会足功能评分(AOFAS)、治疗疗效、不良反应。结果:治疗7 d、14 d后,理膏组VAS评分分别为(1.65±0.18)分、(1.05±0.12)分,肿胀评分分别为(1.06±0.12)分、(0.62±0.08)分,膏药组VAS评分分别为(2.18±0.26)分、(1.58±0.17)分,肿胀评分分别为(1.32±0.15)分、(0.96±0.11)分,两组治疗后评分明显低于治疗前,且理膏组明显低于膏药组(P0.01);治疗7 d、14 d后,理膏组AOFAS得分分别为(75.12±7.68)分、(92.34±9.66)分,膏药组AOFAS得分分别为(68.47±7.12)分、(80.76±8.45)分,两组治疗后得分明显高于治疗前,且理膏组明显高于膏药组(P0.001);理膏组有效率为97%,明显高于膏药组的84%(P0.05);两组治疗期间均无不良反应发生。结论:理筋手法联合传统膏药治疗踝关节扭伤,可有效改善患者疼痛、肿胀和足功能,有利于提高疗效,且具有良好的安全性。     

Acute Ankle Syndesmosis Injury In Athletes

Abstract An overview is given on acute injury of the syndesmosis in athletes. This paper outlines the anatomy, physical examination, diagnostic possibilities, trauma mechanism and methods of treatment. Widening of the tibiofibular space requires temporally tibiofibular tapped screw fixation. The 3.5 or 4.5 mm and tri- or four cortical placement are discussed.     

介绍一种踝关节损伤临床分型方法

目的　介绍一种踝关节损伤的临床分型方法。方法　通过回顾分析本院 1992年 7月～ 1999年 7月 6 85例踝关节损伤表现及X线片。结果　根据损伤部位制定出更简明更合理的临床诊断分型 ,共分六型。结论　新的临床诊断分型方法易掌握并对治疗有快捷的指导作用。     

Fixation Orientation in Ankle Fractures with Syndesmosis Injury

Accurate reduction of the syndesmosis has been shown to be an important prognostic factor for functional outcome in ankle injuries that disrupt the syndesmosis. The purpose of the present case series was to assess the fixation orientation and the position of the fibula within the tibial incisura after open reduction and internal fixation of ankle fractures with syndesmosis injury. Computed tomography was used to assess the accuracy of the reduction. Twelve patients were included in the present case series. A ratio representing the relationship between the tibia and fibula and the orientation of the syndesmotic fixation was measured preoperatively and postoperatively and compared with the uninjured contralateral ankle, representing the patient’s normal anatomy. The measurements were accomplished electronically to one tenth of 1 mm using Stentor Intelligent Informatics, I-site, version 3.3.1 (Phillips Electronics; Andover, MA). Posteriorly oriented syndesmotic fixation caused posterior translation of the fibula with respect to the tibia and anteriorly oriented syndesmotic fixation caused anterior translation.     

Effect of Extracorporeal Shockwave Therapy on Passive Ankle Stiffness in Patients With Plantar Fasciopathy

Plantar fasciopathy (PF) is the most common cause of heel pain. Extracorporeal shockwave therapy (ESWT) improves the gait pattern in patients with PF. However, the effects of ESWT on the biomechanics of the ankle in these patients remains unclear. Sixteen participants were included in the present study. Of the 16 participants, 8 patients with PF were assigned to receive extracorporeal shockwave therapy, and 8 healthy participants served as an external control group. ESWT was applied to the PF group for 1500 pulses at an energy flux of 0.26 mJ/mm² every 3 weeks for 3 sessions. The biomechanics of the ankle joints were then assessed using an isokinetic dynamometer, and a health-related quality of life questionnaire was administered at baseline and at the final follow-up session 12 weeks after the initial treatment. Passive stiffness was calculated and compared between the foot affected with PF, the opposite foot, and both feet of those in the healthy control group. The Kruskal-Wallis 1-way analysis of variance with repeated measures was performed, and statistical significance was considered present at the 5% (p ≤ .05) level. Ankle dorsiflexion in the affected limb increased from 14° ± 3° to 17° ± 2° after ESWT (p < .05). No statistically significant differences were noted in the strength of dorsiflexion or plantarflexion at baseline and after ESWT. However, a statistically significant increase in the ratio of strength in ankle dorsiflexion versus plantarflexion was found after ESWT (p < .05). No differences in the passive stiffness of the ankle joint were demonstrated. Patients reported an improved physical function score after ESWT (p < .05). An increased dorsiflexion/plantarflexion torque ratio and maximal dorsiflexion associated with decreased pain might contribute to the improved physical function after ESWT for PF.     

中药熏蒸联合功能锻炼治疗踝关节骨折术后患者的临床研究

目的:分析中药熏蒸联合功能锻炼治疗踝关节骨折术后患者的临床效果。方法:选取2017 年9 月—2019 年9 月间本院收治的86 例踝关节骨折术后患者,随机均分为两组,对照组术后行功能锻炼,试验组术后予以中药熏蒸联合功能锻炼,治疗3 周后对比分析两组患者的骨折恢复情况、中医证候评分、踝关节功能恢复效果及治疗效果。结果:术后3 周后,试验组骨性愈合时间、疼痛感消失时间、临床愈合时间及肿胀消失时间均比对照组短,且两组患者治疗后活动障碍、关节疼痛、关节压痛、关节肿胀及关节红热评分均比治疗前低,且试验组比对照组低,差异有统计学意义(P <0.05)。治疗后,试验组患者的Baird-Jackson 踝关节评分为(91.17±6.02)分,踝- 后足评分系统(AOFAS)评分为(90.95±7.14)分,高于对照组的(86.50±5.88)分及(83.27±6.93)分,差异有统计学意义(P <0.05)。治疗后,试验组的优良率为93.02%,高于对照组的76.74%,差异有统计学意义(P <0.05)。结论:中药熏蒸联合功能锻炼治疗踝关节骨折术后患者的临床效果显著,可促进骨折愈合,改善中医证候,并且促进踝关节功能恢复及疗效提高。