舒筋外洗颗粒熏洗对跟骨骨折术后足功能恢复的临床研究

发布时间：2018-04-25 09:27

本文选题：跟骨骨折 + 术后　；参考：《广州中医药大学》2015年硕士论文

【摘要】：目的：观察舒筋外洗颗粒熏洗结合功能锻炼在跟骨骨折术后足功能恢复的临床疗效。方法：从广州中医药大学附属骨伤科医院创伤骨科选择自2014年1月至2015年3月间在院治疗的37例跟骨骨折患者,按就诊先后顺序随机分为治疗组(A组)、对照组(B组),两组患者入院后均行外侧L型切口行切开复位内固定术,术后在指导下行相应的功能锻炼。在术后21天术口拆线后进入本研究阶段,治疗组为舒筋外洗颗粒熏洗结合功能锻炼,对照组为单纯功能锻炼。所有患者在治疗后的指定时间复查,随访时间为9个月。结果：1、在骨折术后VAS疼痛评分方面,进入本研究前的两组VAS评分进行统计学对比后P0.05,无统计学意义,说明实验前两组差异不大,可进行实验研究；术后40天时治疗组的VAS评分比对照组低,两者统计学对比P0.05,具有统计学意义；术后60天时治疗组VAS评分比对照组低,且两者的统计学对比P0.05,具有统计学意义。2、在骨折愈合时间方面,治疗组要略短于对照组,两组对比具有统计学差异。3、在足功能评分方面,术后6个月时治疗组评分高于对照组,且两者对比具有统计学意义；术后9个月时治疗组评分高于对照组,两组对比有统计学意义。结论：舒筋外洗颗粒熏洗结合功能锻炼与单纯功能锻炼相比,前者在跟骨骨折术后足功能恢复过程中具有显著的疗效,可有效缓解足跟部疼痛症状、促进骨折愈合,改善患肢的功能。
[Abstract]:Objective: to observe the clinical effect of Shujin Waixi granule fumigation combined with functional exercise in the recovery of foot function after calcaneal fracture. Methods: from January 2014 to March 2015, 37 patients with calcaneal fracture were selected from trauma orthopedics department of affiliated orthopedics hospital of Guangzhou University of traditional Chinese Medicine. The patients were randomly divided into treatment group A group and control group B according to the order of treatment. The patients in both groups were treated with open reduction and internal fixation with lateral L-incision after admission, and the corresponding functional exercise was performed under the guidance of postoperative operation. The treatment group was treated with Shujin outer-washing granule fumigation combined with functional exercise, while the control group was simple functional exercise. All patients were followed up for 9 months at a specified time after treatment. Results in the aspect of VAS pain score after fracture operation, there was no significant difference between the two groups (P0.05) after entering the study, which indicated that there was no significant difference between the two groups before the experiment, so the experimental study could be carried out. The VAS score of the treatment group was lower than that of the control group at 40 days after operation, and the VAS score of the treatment group was lower than that of the control group on the 60th day after operation. In the fracture healing time, the treatment group was a little shorter than the control group, the two groups had statistical difference. The foot function score of the treatment group was higher than that of the control group at 6 months after operation. The score of the treatment group was higher than that of the control group at 9 months after operation, and the comparison between the two groups had statistical significance. Conclusion: compared with simple functional exercise, the former has remarkable curative effect in the recovery of foot function after operation of calcaneal fracture, which can effectively relieve the pain symptoms of heel and promote fracture healing. Improve the function of the affected limb.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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