低温等离子刀成形术联合中药熏洗治疗陈旧性踝关节扭伤的临床疗效观察

发布时间：2018-06-20 05:15

本文选题：陈旧性踝关节扭伤 + 低温等离子刀成形术　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的通过低温等离子刀成形术联合中药熏洗治疗陈旧性踝关节扭伤的临床疗效观察,根据治疗前后患者的踝关节症状、体征等进行科学的分析,为临床规范化治疗提供治疗依据。方法将征集的黑龙江中医药大学附属一院骨伤一科2015年03月01日至2016年03月31日期间门诊及住院患者,且符合诊断标准的单侧陈旧性踝关节扭伤患者68例,随机分为低温等离子刀成形术组(治疗组)34例,小针刀组(对照组)34例,低温等离子刀成形术组和小针刀组均予以中药物熏洗患踝关节。15天一个疗程,2个治疗疗程后观察其踝关节指标。观察治疗过程中有无并发症及不良反应,并记录下治疗组和对照组治疗前与治疗后踝关节的症状体征的变化及改善情况。结果整个治疗过程中无并发症及不良反应,两组治疗后其VAS疼痛评分较治疗前明显减低,疼痛明显缓解。治疗组中34例,痊愈8例,痊愈率为23.53%,总有效率为97.06%。对照组中34例,痊愈6例,痊愈率为17.65%,总有效率为94.12%。美国足踝联合会AOFAS踝与足功能评分分值及Baird-Jackson踝关节评分分值明显得到提升,减轻了病患的痛苦,改善了病患的症状。治疗结束后无论从VAS视觉模拟评分分值、治愈显效有效情况、美国足踝联合会AOFAS踝与足功能评分分值、Baird-Jackson踝关节评分分值、患者踝关节疼痛度、踝关节功能、运动工作能力等比治疗前均得到了显著的疗效。且低温等离子刀成形术组疗效比小针刀组更佳。结论低温等离子刀成形术能够有效缓解患者陈旧性踝关节扭伤症状。在临床上安全性能好、创伤小、副作用少,能减轻病患的痛苦,改善病患的症状。值得临床推广。
[Abstract]:Objective to observe the clinical effect of low temperature plasma knife angioplasty combined with fumigation and washing of traditional Chinese medicine for the treatment of old ankle sprain, and to make a scientific analysis according to the symptoms and signs of ankle joint of the patients before and after treatment. To provide treatment basis for clinical standardized treatment. Methods Sixty-eight patients with unilateral old ankle sprain were recruited from the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine from March 01, 2015 to March 31, 2016, and 68 old ankle sprain patients met the diagnostic criteria. They were randomly divided into low temperature plasma knife group (34 cases), small needle knife group (34 cases), and small needle knife group (34 cases). Hypothermia plasmaplasty group and small needle knife group were treated with middle drug fumigation and washing ankle joint for 15 days. The ankle index was observed after 2 courses of treatment. The changes and improvement of ankle symptoms and signs before and after treatment in the treatment group and control group were recorded. Results there were no complications and adverse reactions in the whole course of treatment. After treatment, the VAS pain score of the two groups was significantly lower than that before treatment, and the pain was obviously relieved. In the treatment group, 34 cases were cured, 8 cases were cured, the cure rate was 23.53 and the total effective rate was 97.06. In the control group, 34 cases were cured, 6 cases were cured, the cure rate was 17.65%, the total effective rate was 94.12%. The AOFAS ankle and foot function score and the Baird-Jackson ankle score of the American ankle Federation were significantly improved, which alleviated the pain and improved the symptoms of the patients. After treatment, no matter from the visual analogue score of VAS, the effective condition of cure, the score of AOFAS ankle and foot function of American ankle Federation, the score of Baird-Jackson ankle, the degree of ankle joint pain, the function of ankle joint. The working ability of exercise was more effective than that before treatment. The therapeutic effect of low temperature plasma knife group was better than that of small needle knife group. Conclusion low-temperature plasma knife surgery can effectively relieve the old ankle sprain symptoms. Good clinical safety, less trauma, less side effects, can alleviate the pain of patients and improve their symptoms. It is worth popularizing in clinic.
【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】：R274.9

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