运动疗法联合中药熏洗治疗踝关节创伤性关节炎的疗效观察

发布时间：2018-01-21 13:37

本文关键词： 踝关节创伤性关节炎运动疗法中药熏洗　出处：《辽宁中医杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的:探讨运动疗法联合中药熏洗治疗踝关节创伤性关节炎的疗效。方法:回顾性研究2014年1月—2015年12月门诊收治的57例踝关节创伤性关节炎患者。按治疗方式的不同分成3组,A组12例采用运动疗法治疗,B组16例采用中药熏洗治疗,C组29例采用运动疗法联合中药熏洗治疗,全部患者均连续治疗6周。治疗结束后,分别采用疼痛视觉模拟评分(VAS)评估疼痛程度,Kofoed评分标准评价踝关节功能和临床疗效。结果:A组:治疗后VAS评分(3.50±0.80)分较治疗前(7.42±0.79)分降低(P0.05),治疗后Kofoed评分(79.08±8.35)分较治疗前(47.83±5.29)分增加(P0.05);B组:治疗后VAS评分(3.37±0.89)分较治疗前(7.56±0.76)分降低(P0.05),治疗后Kofoed评分(81.81±8.16)分较治疗前(48.75±4.14)分增加(P0.05);C组:治疗后的VAS评分(2.62±0.82)分较治疗前(7.44±0.99)分降低(P0.05),治疗后的Kofoed评分(86.69±5.35)分较治疗前(48.24±4.52)分增加(P0.05)。C组治疗后的VAS评分均值明显比A组和B组低(P0.05),A、B两组间治疗后的VAS评分均值无明显差异(P0.05);C组治疗后的Kofoed评分均值明显高于A组和B组(P0.05),A、B两组间治疗后的Kofoed评分均值无明显差异(P0.05);C组疗效明显优于A组和B组,差异具有统计学意义(P0.05),A组与B组的疗效无明显统计学差异(P0.05)。结论:运动疗法联合中药熏洗治疗踝关节创伤性关节炎,能有效地缓解疼痛、改善踝关节功能,具有较好的疗效,值得临床推广。
[Abstract]:Objective: to explore the therapeutic effect of exercise therapy combined with fumigation and washing of traditional Chinese medicine on traumatic arthritis of ankle joint. A retrospective study of 57 patients with traumatic ankle arthritis from January 2014 to December 2015 was conducted and divided into 3 groups. Group A (n = 12) were treated with exercise therapy, group B (n = 16) were treated with traditional Chinese medicine fumigation, group C (n = 29) were treated with exercise therapy combined with traditional Chinese medicine fumigation, all patients were treated continuously for 6 weeks. The pain degree was evaluated by visual analogue score of pain (VAS). Results in group A, the score of VAS was 3.50 卤0.80 after treatment, which was lower than that before treatment (7.42 卤0.79) (P < 0.05). P0.05). After treatment, the Kofoed score (79.08 卤8.35) was significantly higher than that before treatment (47.83 卤5.29) (P 0.05). Group B: after treatment, the VAS score (3.37 卤0.89) was lower than that before treatment (7.56 卤0.76) (P 0.05). After treatment, the Kofoed score (81.81 卤8.16) was significantly higher than that before treatment (48.75 卤4.14) (P 0.05). Group C: after treatment, the VAS score (2.62 卤0.82) was significantly lower than that before treatment (7.44 卤0.99) (P 0.05). The Kofoed score after treatment (86.69 卤5.35) was significantly higher than that before treatment (48.24 卤4.52) (P 0.05). The mean VAS score of group C was significantly lower than that of group A and group B (P 0.05). There was no significant difference in VAS scores between the two groups after treatment (P 0.05). The mean Kofoed score of group C was significantly higher than that of group A and group B (P 0.05). There was no significant difference in Kofoed score between group A and group B after treatment (P 0.05). The curative effect of group C was better than that of group A and group B, and the difference was statistically significant (P 0.05). Conclusion: exercise therapy combined with traditional Chinese medicine fumigation to treat traumatic arthritis of ankle joint can effectively relieve pain and improve ankle function. It has good curative effect and is worth popularizing in clinic.
【作者单位】：成都体育学院;四川省骨科医院;
【基金】：国家科技支撑计划(2012BAK21B01-02)
【分类号】：R684.3
【正文快照】： 踝关节创伤性关节炎一种常见的运动损伤性疾病,好发于足球、体操、跳伞、篮球、滑雪和田径等项目的运动员,其中以足球运动员最常见,故又称为足球踝。它是由于连续的物理性或机械性损伤导致的踝关节的关节软骨退变、增生、骨化以及关节周围软组织等一系列改变而引起关节疼痛、

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