运动疗法联合针刀治疗创伤后肘关节强直疗效观察

发布时间：2018-04-25 14:34

本文选题：创伤后肘关节强直 + 肘关节僵硬　；参考：《浙江中医药大学》2015年硕士论文

【摘要】：目的通过规范化的临床研究,系统观察并客观评价运动疗法联合针刀治疗创伤后肘关节强直的疗效,观察其对肘关节疼痛及功能恢复的影响,明确针刀及运动疗法的部分治疗特点,讨论针刀及运动疗法治疗创伤后肘关节强直的操作规范,推广其应用,为非手术疗法治疗本病提供一条新的有效途径。方法临床研究采用循证医学的方法,标准化的诊断和疗效评价标准,明确和规范各治疗方法参数,以肘关节疼痛评分及肘关节功能评分为观察指标,分别运用运动疗法联合针刀疗法及单纯针刀疗法及单纯运动疗法对105例经确诊为创伤后肘关节强直的患者进行对照治疗,以4周为一个观察疗程。疗程前后观察症状评分的变化。结果①临床研究显示：创伤后肘关节强直患者经运动疗法联合针刀治疗后,总有效率达到97.14%,明显优于单纯针刀组和单纯运动疗法组。②经统计结果分析,三种方法治疗创伤后肘关节强直其症状积分治疗前后组内比较增加明显(P0.01),疗程结束后组间临床症状积分差值联合组要明显优于其余两组(P0.05),单纯针刀组与单纯运动疗法组之间无显著差异(P0.05)。结论运动疗法联合针刀治疗创伤后肘关节强直总有效率优于单纯运动疗法及单纯针刀疗法。针刀疗法和运动疗法治疗创伤后肘关节强直总有效率无明显差异。
[Abstract]:Objective To observe and objectively evaluate the effect of sports therapy combined with needle knife in the treatment of elbow joint ankylosis through standardized clinical study, observe its effect on elbow joint pain and function recovery, clarify part of the treatment characteristics of acupotomy and exercise therapy, and discuss the operation rules of acupotomy and movement therapy in the treatment of elbow joint ankylosis after trauma. To provide a new and effective approach to the treatment of this disease by non operative therapy. Methods the clinical study adopted evidence-based medicine, standardized diagnosis and evaluation criteria, and defined and normalized the parameters of the treatment methods, with the elbow joint pain score and elbow joint work score as the observation index, and the combination of sports therapy combined with exercise therapy. Needle knife therapy, simple needle knife therapy and simple exercise therapy were used to treat 105 patients who had been diagnosed as ankylosis of the elbow joint. A course of observation was taken for 4 weeks. The changes of symptom scores were observed before and after the course of treatment. The efficiency was 97.14%, obviously superior to the simple needle knife group and the simple exercise therapy group. (2) the comparison between the three methods before and after the integral treatment of the ankylosis after trauma was obviously increased (P0.01). The combination group of the clinical symptom integral difference between the groups after the course of treatment was obviously superior to the other two groups (P0.05) and the simple needle knife. There was no significant difference between the group and the simple exercise therapy group (P0.05). Conclusion the total effective rate of motor therapy combined with needle knife in the treatment of post-traumatic elbow ankylosis is better than that of simple exercise therapy and simple needle knife therapy. There is no significant difference in the total effective rate of elbow joint ankylosis after trauma and acupuncture therapy and exercise therapy.

【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R684

【共引文献】