舒筋活血汤联合推拿按摩对老年踝关节骨折患者术后踝关节功能恢复的影响

目的 在中医理论基础上单纯予以舒筋活血汤、推拿按摩治疗老年踝关节骨折对患者术后踝关节功能的恢复极有帮助,但将二者联合应用于该病治疗的案例却鲜有报道。故本文探析舒筋活血汤联合推拿按摩对患者术后踝关节功能恢复的影响,为该病的临床治疗开拓更有效的治疗途径。 方法 选取浙江中医药大学附属江南医院骨科2017年1月—2019年1月收治的老年踝关节骨折患者140例进行前瞻性研究,按随机数字表法将其分成A、B组,各70例,A组单纯予以舒筋活血汤治疗,B组在A组治疗的基础上联合推拿按摩辅助治疗。将所有受试者的各项临床资料均纳入SPSS 21.0统计学软件处理,分别采用Baird-Jackson、AOFAS评分系统、关节肿胀评分评价关节功能恢复情况。 结果 随访1年后发现,A组Baird-Jackson评分系统的优良率(84.06%)较B组(95.38%)低,A组AOFAS踝-后足评分系统的优良率(82.61%)较B组(93.85%)低。2组治疗前关节肿胀评分比较差异无统计学意义[(1.73±0.31)分vs.(1.78±0.29)分,P>0.05],A组治疗后关节肿胀评分显著低于B组[(0.59±0.17)分vs.(0.71±0.24)分,P<0.05]。 结论 在老年踝关节骨折患者的临床治疗中,科学、合理地予以舒筋活血汤联合推拿按摩对改善踝关节功能有较大帮助,效果很好,有较好的临床应用与推广价值。 

The effect of Shujin Huoxue Decoction combined with massage on the recovery of ankle function in elderly patients with ankle fracture after operation

Objective Based on the theory of traditional Chinese medicine, it is very helpful to treat the elderly ankle fracture with Shujin Huoxue Decoction and massage, but there are few reports about the combination of them. Therefore, this paper will explore the effect of Shujin Huoxue Decoction on the angle displacement, radian displacement and movement obstacle of ankle joint after operation in the way of comparative study, so as to open up a more effective treatment way for the clinical treatment of this disease. Methods A total of 140 elderly patients with ankle fracture admitted to the Department of Orthopaedics, Jiangnan Hospital affiliated to Zhejiang University of Traditional Chinese Medicine, from January 2017 to January 2019, were selected for prospective study. They were randomly divided into group A and group B, with 70 cases in each group. Group A was treated with Shujin Huoxue Decoction alone, while group B was treated with massage on the basis of group A. All the clinical data of all subjects were included in SPSS 21.0 statistical software. Baird-Jackson, American Orthopaedic Foot & Ankle Society(AOFAS) scoring system and joint swelling score were used to evaluate the recovery of joint function, and the angular displacement, radian displacement and dyskinesia of the two groups before and after treatment were evaluated. Results After 1 year follow-up, the excellent and good rate of Baird Jackson scoring system in group A(84.06%) was lower than that in group B(95.38%), the excellent and good rate of AOFAS ankle hind foot scoring system in group A(82.61%) was lower than that in group B(93.85%). There was no significant difference in joint swelling scores of all patients in group B before treatment(1.73±0.31 vs. 1.78±0.29, P>0.05), but the scores of above joint swelling in group A were significantly lower than those in group B after treatment(0.59±0.17 vs. 0.71±0.24, P<0.05). Conclusion In the clinical treatment of elderly patients with ankle fracture, scientific and reasonable Shujin Huoxue Decoction combined with massage is of great help to improve ankle function, with good effect and good clinical application and popularization value.