赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效观察
发布时间：2018-10-31 13:10
【摘要】：目的：观察赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效。方法：依据纳入及排除标准,本研究收集2014年12月至2015年09月在实习医院骨手显微外科门诊和住院就诊的需行指屈肌腱修复术的患者40例,根据随机对照原则平均分为试验组和对照组,其中试验组20人,对照组20人。两组均给予早期清创,采用改良Kessller肌腱缝合法行肌腱修复手术并石膏外固定,术后给予消肿抗炎、改善循环等对症治疗,术后4周两组均拆除石膏,试验组伤肢局部行中药熏洗并配合主被动功能锻炼,2周为1个疗程,连续2个疗程。对照组除熏洗时水液内不放中药外,其它均与试验组相同。治疗4周后两组均随访4周。于术后第4、第8和第12周分别测量患者伤指掌指关节(MP)、近侧指间关节(PIP)、远侧指间关节(DIP)主动屈曲度数,伸直受限度数及伤指肿胀消退情况,并进行疼痛评分。统计分析将采用SPSS 20.0统计分析软件进行计算。所有数据采用均数±标准差(X±S)进行描述,所有的统计检验均采用双侧t检验或秩和检验或χ2检验；P值≤0.05将被认为所检验的差别有统计学意义。结果：通过对一般资料进行分析,试验组和对照组在性别、年龄、损伤区域等方面均无明显差异(P0.05)。治疗4周后以及4周随访期结束后,两组患指总主活动度均有明显恢复,试验组明显优于对照组,且两组具有显著性差异(P0.05)；试验组患指功能活动评定优良率分别为70%、63.3%,而对照组患指功能活动评定优良率分别为35.7%、28.6%,试验组明显高于对照组,且两组具有显著性差异(P0.05)；伤指肿胀消退个数和疼痛评分两组间也存在明显差异(P0.05),说明试验组肿胀、疼痛等症状改善情况较对照组明显。整个试验过程中两组均无不良事件产生。结论：赤木洗剂熏洗外用疗法能显著增加患指总主活动度,提升指功能活动评定优良率,以及改善患指疼痛及肿胀程度,是治疗指屈肌腱修复术后粘连的一种方便、有效、安全的疗法。
[Abstract]:Objective: to observe the clinical effect of Chimu lotion in repairing postoperative adhesions of flexor digitorum tendon. Methods: according to the criteria of inclusion and exclusion, 40 patients with flexor digitorum tendon repair were collected from December 2014 to September 2015 in the outpatient and inpatient department of bone and hand microsurgery in practical hospital. According to the principle of random control, the experimental group and control group were divided into two groups: the experimental group (20) and the control group (20). Both groups were treated with early debridement, tendon repair with modified Kessller tendon suture and external plaster fixation. The patients in both groups were treated with anti-inflammatory and anti-inflammatory treatment, improving circulation and other symptomatic treatment. The gypsum was removed in both groups at 4 weeks after operation. The experimental group was treated with traditional Chinese medicine fumigation and active and passive function exercise, 2 weeks as a course of treatment and 2 consecutive courses of treatment. The control group was the same as the experimental group except that the traditional Chinese medicine was not put in the water during fumigation and washing. After 4 weeks of treatment, both groups were followed up for 4 weeks. At the 4th, 8th and 12th week after operation, the active flexion degree of (DIP) in the distal interphalangeal joint of the (MP), proximal interphalangeal joint of the injured metacarpophalangeal joint, the degree of limited extension and the swelling of the injured finger were measured, respectively. Pain scores were also scored. The statistical analysis will be calculated by SPSS 20.0 statistical analysis software. All data were described by mean 卤standard deviation (X 卤S) and all statistical tests were performed by bilateral t test or rank sum test or 蠂 2 test. Results: there was no significant difference in sex, age and injury area between the experimental group and the control group by analyzing the general data (P0.05). After 4 weeks of treatment and the end of the follow-up period of 4 weeks, the total main activity of the affected fingers in the two groups recovered significantly, and the experimental group was significantly better than the control group, and there was significant difference between the two groups (P0.05). The excellent and good rate of functional activity assessment of affected fingers in the test group was 70 and 63.3, respectively, while that in the control group was 35.728. 6, which was significantly higher than that in the control group. There was significant difference between the two groups (P0.05). There were also significant differences between the two groups (P0.05), indicating that the symptoms of swelling and pain in the experimental group were better than those in the control group. There were no adverse events in both groups during the whole trial. Conclusion: the fumigation and external application of Chimu lotion can significantly increase the total main motion of the affected fingers, improve the rate of functional activity evaluation of the affected fingers, and improve the pain and swelling of the affected fingers. It is a convenient and effective method for the treatment of adhesions of flexor digitorum tendon after repair. A safe cure.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9
本文编号：2302311
[Abstract]:Objective: to observe the clinical effect of Chimu lotion in repairing postoperative adhesions of flexor digitorum tendon. Methods: according to the criteria of inclusion and exclusion, 40 patients with flexor digitorum tendon repair were collected from December 2014 to September 2015 in the outpatient and inpatient department of bone and hand microsurgery in practical hospital. According to the principle of random control, the experimental group and control group were divided into two groups: the experimental group (20) and the control group (20). Both groups were treated with early debridement, tendon repair with modified Kessller tendon suture and external plaster fixation. The patients in both groups were treated with anti-inflammatory and anti-inflammatory treatment, improving circulation and other symptomatic treatment. The gypsum was removed in both groups at 4 weeks after operation. The experimental group was treated with traditional Chinese medicine fumigation and active and passive function exercise, 2 weeks as a course of treatment and 2 consecutive courses of treatment. The control group was the same as the experimental group except that the traditional Chinese medicine was not put in the water during fumigation and washing. After 4 weeks of treatment, both groups were followed up for 4 weeks. At the 4th, 8th and 12th week after operation, the active flexion degree of (DIP) in the distal interphalangeal joint of the (MP), proximal interphalangeal joint of the injured metacarpophalangeal joint, the degree of limited extension and the swelling of the injured finger were measured, respectively. Pain scores were also scored. The statistical analysis will be calculated by SPSS 20.0 statistical analysis software. All data were described by mean 卤standard deviation (X 卤S) and all statistical tests were performed by bilateral t test or rank sum test or 蠂 2 test. Results: there was no significant difference in sex, age and injury area between the experimental group and the control group by analyzing the general data (P0.05). After 4 weeks of treatment and the end of the follow-up period of 4 weeks, the total main activity of the affected fingers in the two groups recovered significantly, and the experimental group was significantly better than the control group, and there was significant difference between the two groups (P0.05). The excellent and good rate of functional activity assessment of affected fingers in the test group was 70 and 63.3, respectively, while that in the control group was 35.728. 6, which was significantly higher than that in the control group. There was significant difference between the two groups (P0.05). There were also significant differences between the two groups (P0.05), indicating that the symptoms of swelling and pain in the experimental group were better than those in the control group. There were no adverse events in both groups during the whole trial. Conclusion: the fumigation and external application of Chimu lotion can significantly increase the total main motion of the affected fingers, improve the rate of functional activity evaluation of the affected fingers, and improve the pain and swelling of the affected fingers. It is a convenient and effective method for the treatment of adhesions of flexor digitorum tendon after repair. A safe cure.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9
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1 穆卫强;赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效观察[D];福建中医药大学;2016年
，本文编号：2302311
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