中药熏洗对尺骨鹰嘴骨折术后肘关节早期功能的影响

发布时间：2018-03-26 13:44

本文选题：舒筋散瘀汤　切入点：尺骨鹰嘴骨折　出处：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：本研究意在评价舒筋散瘀汤熏洗对尺骨鹰嘴骨折术后肘关节功能恢复的安全性和有效性,为临床治疗提供理论依据。方法：全部病例来源于2015年01月至2016年01月黑龙江中医药大学附属第一医院骨二科、哈尔滨市解放军第二一一医院骨一科及哈尔滨市第五医院骨一科病房,根据病例纳入标准和病例排除标准,选择60例尺骨鹰嘴骨折的患者,并随机将其分为治疗组尺骨鹰嘴骨折术后中药外用配合功能锻炼治疗方案30例,对照组尺骨鹰嘴骨折术后单纯功能锻炼治疗方案30例。对两组的术后的疼痛、消肿程度、肘关节活动度及肘关节功能评分进行对比,以此作为临床疗效评价指标。最后所有数据采用SPSS19.0进行统计学分析。结果：实际统计的59例患者,两组的治疗效果均能有效改善肘关节功能,提高患者的生活质量；在经过4周的中药熏洗治疗后,治疗组的优良率达到93.3%,对照组的优良率为72.4%,前者的治疗效果明显优于后者,统计p0.05,两组存在显著性差异。结果亦证明进行中药熏洗治疗的患者无明显的临床不良反应事件,本方药安全可靠。结论：1、尺骨鹰嘴骨折术后的患者早期应用舒筋散瘀汤进行治疗,可有效的促进消肿、缓解疼痛,为肘关节功能锻炼创造条件,又可改善肘关节活动度,促进肘关节功能恢复。2、舒筋散瘀汤对尺骨鹰嘴骨折术后患者熏洗治疗安全有效。
[Abstract]:Objective: to evaluate the safety and efficacy of Shujin Sanyu decoction in the recovery of elbow function after ulnar olecranon fracture. Methods: from January 2015 to January 2016, all the cases were from the second Department of Bone of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. According to the criteria for inclusion of cases and exclusion criteria, 60 patients with olecranon fracture were selected according to the first Department of Bone of the 21st Hospital of Harbin people's Liberation Army and the first Ward of Department of Bone of the Fifth Hospital of Harbin. They were randomly divided into treatment group (30 cases) treated by external Chinese medicine combined with functional exercise after ulnar olecranon fracture, and control group (30 cases) treated by simple functional exercise after ulnar olecranon fracture. The range of motion of elbow joint and the score of function of elbow joint were compared as the evaluation index of clinical curative effect. Finally, all the data were analyzed statistically by SPSS19.0. After 4 weeks of fumigation and washing with Chinese medicine, the excellent and good rate of the treatment group was 93.3%, and the excellent and good rate of the control group was 72.4%, the former was obviously better than the latter. There was a significant difference between the two groups in p0.05. The results also showed that there were no significant adverse events in the patients treated with fumigation and washing of traditional Chinese medicine. Conclusion early application of Shujin Sanyu decoction in patients with olecranon fracture after operation can effectively promote swelling, relieve pain, create conditions for elbow function exercise, and improve elbow motion. Promote elbow function recovery. 2. Shujin Sanyu decoction is safe and effective for the treatment of ulnar olecranon fracture after fumigation.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.1

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