早期制动联合骨科洗药治疗踝关节扭伤临床疗效观察

发布时间：2018-07-04 23:16

本文选题：石膏 + 骨科洗药　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:研究早期石膏制动联合骨科洗药治疗踝关节扭伤的临床疗效观察。方法:本研究资料来源于新疆医科大学附属中医医院门诊、急诊且第一诊断符合踝关节扭伤的患者。以随机(数字随机表)、盲法(单盲)、对照(前后对照与组间对照)试验方法,将踝位置伤害人员随机分为四组,观察组采用石膏制动联合骨科洗药治疗踝关节扭伤;对照组采用单纯石膏制动治疗踝关节扭伤,两组的基线(性别、年龄、部位)基本一致,治疗前AOFAS踝-后足功能评分无差异。四组分别于治疗前、治疗结束后测量观测指标:疼痛程度、AOFAS踝-后足功能评分。主观量表指标采用非参数统计方法进行分析,计量指标采用t检验,观测各指标治疗前后总体分值变化,并予以计算。结果:本次临床研究共入组60例患者,其中观察组45例(观察组1 15例,观察组2 15例,观察组3 15例)完成试验共45例;对照组15例,完成试验共15例。对照组VAS评分从治疗前为6.23±1.48下降到治疗后的3.23±1.80;观察组1VAS评分从治疗前为6.20±1.39下降到治疗后的1.73±1.12;观察组2VAS评分从治疗前为6.17±1.35下降到治疗后的1.70±1.09;观察组3VAS评分从治疗前为6.21±1.40下降到治疗后的1.20±1.01;治疗前后差异有显著性,治疗结束时组间差异有显著性;2.对照组AOFAS踝-后足功能评分从治疗前为46.23±10.46上升到治疗后的65.48±9.78;观察组AOFAS踝-后足功能评分从治疗前为47.90±11.46上升到治疗后的88.28±8.81;治疗前后差异有显著性,治疗结束时组间差异有显著性;3.临床疗效总有效率:对照组总有效率66.67%;观察组1总有效率86.67%;观察组2总有效率93.33%;观察组3总有效率93.33%。结论:通过本次研究发现治疗踝关节扭伤急性期早期石膏制动联合骨科洗药的临床疗效优于单纯的石膏制动,且早期石膏制动联合骨科洗药治疗踝关节扭伤临床疗效确切,治疗过程中未见明显并发症,简便易行有效且患者依从性较好。
[Abstract]:Objective: to study the clinical effect of early gypsum braking combined with orthopedic medicine in the treatment of ankle sprain. Methods: the data of this study were obtained from outpatient department of affiliated TCM Hospital of Xinjiang Medical University, who were diagnosed as ankle sprain for the first time. With random (digital random list), blind (single blind), control (before and after control and inter-group control) test methods, the ankle position injury personnel were randomly divided into four groups. The observation group was treated with gypsum brake combined with orthopedic medicine to treat ankle sprain. In the control group, the ankle sprain was treated by gypsum immobilization. The baseline (sex, age, position) of the two groups was basically the same, and there was no difference in AOFAS ankle-hind foot function score before treatment. The four groups were measured before and after treatment: AOFAS ankle-hind foot function score. The index of subjective scale was analyzed by non-parametric statistical method, and the measurement index was analyzed by t test. The changes of total score before and after treatment were observed and calculated. Results: there were 60 patients in this clinical study, 45 patients in the observation group (115 cases in the observation group, 215 cases in the observation group, 315 cases in the observation group) and 15 cases in the control group (15 cases in the control group). The VAS score in the control group decreased from 6.23 卤1.48 before treatment to 3.23 卤1.80 after treatment, in the observation group 1 VAS decreased from 6.20 卤1.39 before treatment to 1.73 卤1.12 after treatment, in observation group 2VAS decreased from 6.17 卤1.35 before treatment to 1.70 卤1.09 after treatment, and the 3VAS score in observation group decreased from pre-treatment to post-treatment. It decreased from 6.21 卤1.40 to 1.20 卤1.01 after treatment, and there was significant difference before and after treatment. At the end of treatment, there was a significant difference between the two groups. The scores of AOFAS ankle-hind foot function increased from 46.23 卤10.46 before treatment to 65.48 卤9.78 after treatment in the control group and from 47.90 卤11.46 before treatment to 88.28 卤8.81 after treatment in the observation group. The total effective rate was 66.67 in control group, 86.67 in observation group 1, 93.33 in observation group 2, 93.33 in observation group 3. Conclusion: the clinical effect of early gypsum braking combined with orthopedic washing in treatment of ankle sprain is better than that of simple gypsum braking, and the clinical effect of early gypsum braking combined with orthopedic washing in the treatment of ankle sprain is definite. There were no obvious complications in the course of treatment, which was simple and effective, and the compliance of patients was good.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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