中药熏洗配合CPM改善胫骨平台骨折术后膝关节功能的临床观察

发布时间：2018-12-17 18:49

【摘要】：目的:本研究旨在观察利用中药熏洗配合CPM机功能锻炼对改善胫骨平台骨折术后膝关节功能的临床疗效,并为临床上治疗胫骨平台骨折术后关节僵硬提供真实可靠的临床资料和数据支持。方法:分析自2014年6月至2015年8月期间,根据基本的诊断指标,经过纳入和排除方法,选取的44例胫骨平台骨折术后患者。本课题将44例胫骨平台骨折术后患者分为2组,即治疗组和对照组。治疗组采用中药熏洗合CPM机功能锻炼,对照组单纯采用CPM机功能锻炼。两组患者给予相应的术后处理,且均在术后1周开始进行CPM机功能锻炼直至出院,出院后继续自主功能锻炼指导。术后2周,伤口愈合拆线后除了CPM机功能锻炼,治疗组给予患肢中医骨伤熏洗汤熏洗治疗。对两组患者进行住院观察及门诊随访,并记录住院天数、膝关节肿胀程度及活动度、膝关节HSS评分、VAS评分等,将数据进行统计学分析,比较两组之间的差异有无统计学意义。结果:1、中药熏洗组和对照组在住院天数方面的差异无统计学意义(P0.05)。2、中药熏洗组和对照组在术后2周在肿胀程度上无统计学差异(P0.05),经过治疗后,术后4周两组在消肿程度上有明显的差异,中药熏洗组明显优于对照组。3、中药熏洗组和对照组在术后半年在膝关节活动度上有明显差异,中药熏洗组明显优于对照组。4、中药熏洗组和对照组在术后半年在膝关节HSS评分及VAS评分上有明显差异,中药熏洗组明显优于对照组。结论:胫骨平台骨折术后在改善局部症状、促进功能恢复方面,采用中药熏洗治疗结合CPM机功能锻炼的治疗组疗效优于仅仅采用CPM机功能锻炼的对照组。在膝关节肿胀程度、活动度、膝关节VAS评分和HSS评分方面,治疗组的中药熏洗结合CPM机功能锻炼优于对照组的单纯使用CPM机功能锻炼。由此我们认为中药熏洗配合CPM机功能锻炼应用于胫骨平台骨折术后康复治疗有较好的临床疗效,能够提高患者的生活质量,具有一定的应用及推广价值。
[Abstract]:Objective: to observe the clinical effect of Chinese medicine fumigation combined with CPM machine function exercise on the improvement of knee joint function after tibial plateau fracture. And to provide reliable clinical data and data for the treatment of tibial plateau fracture joint stiffness. Methods: from June 2014 to August 2015, 44 patients with tibial plateau fracture were selected according to the basic diagnostic index and the exclusion method. In this study, 44 patients with tibial plateau fracture were divided into two groups: treatment group and control group. The treatment group was treated with traditional Chinese medicine fumigation and washing combined with CPM machine function exercise, while the control group was only treated with CPM machine function exercise. The patients in both groups were given corresponding postoperative treatment, and all of them underwent CPM machine function exercise until discharge from hospital, and continued to exercise independently after discharge from hospital. 2 weeks after operation, the treatment group was treated with fumigation and washing decoction of traditional Chinese medicine bone injury in the treatment group, except for the function exercise of CPM machine after wound healing and thread removal. The inpatient observation and outpatient follow up of the two groups were carried out, and the days of hospitalization, the degree of knee joint swelling and movement, the knee joint HSS score and the VAS score were recorded. The data were analyzed statistically to compare the difference between the two groups. Results: 1. There was no significant difference in the length of hospitalization between the Chinese medicine fumigation group and the control group (P0.05). 2. There was no significant difference in the swelling degree between the traditional Chinese medicine fumigation group and the control group 2 weeks after operation (P0.05). At 4 weeks after operation, there were significant differences in the degree of swelling reduction between the two groups, the traditional Chinese medicine fumigation group was obviously superior to the control group, the traditional Chinese medicine fumigation group and the control group had obvious difference in knee joint motion at half a year after operation, and the traditional Chinese medicine fumigation group was obviously superior to the control group. The HSS score and VAS score of knee joint were significantly different between the traditional Chinese medicine fumigation group and the control group half a year after operation, and the traditional Chinese medicine fumigation group was better than the control group. Conclusion: in the aspect of improving the local symptoms and promoting the recovery of function after tibial plateau fracture, the curative effect of the treatment group treated with traditional Chinese medicine fumigation combined with CPM machine function exercise is better than that of the control group only using CPM machine function exercise. In terms of knee swelling degree, range of motion, VAS score and HSS score of knee joint, the Chinese medicine fumigation combined with CPM machine function exercise in the treatment group was better than that in the control group. It is concluded that fumigation and washing combined with functional exercise of CPM machine can improve the quality of life of patients with tibial plateau fracture.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

【相似文献】

相关期刊论文 前10条

1 陈红卫,赵钢生,鲍丰;胫骨平台骨折45例治疗分析[J];骨与关节损伤杂志;2000年06期

2 张贤;中西医结合治疗胫骨平台骨折70例报告[J];中医正骨;2000年01期

3 乔晓光,王大勇;火车调车员胫骨平台骨折特点[J];中华创伤杂志;2001年09期

4 张日富;胫骨平台骨折46例治疗体会[J];实用骨科杂志;2001年03期

5 林义明,陈婉贞;胫骨平台骨折20例治疗体会[J];现代中西医结合杂志;2001年03期

6 孙友良,杨景东,王亚明;42例胫骨平台骨折治疗体会[J];中国矫形外科杂志;2001年04期

7 于河见,徐后程,邓咏梅,于萍;胫骨平台骨折31例治疗方法探讨[J];青岛医药卫生;2001年02期

8 应国梁,陈刚;胫骨平台骨折的治疗体会[J];宜春学院学报(自然科学);2002年04期

9 刘新华,邓艳秋,陈福;胫骨平台骨折的治疗[J];中国基层医药;2002年07期

10 林志文;中西医结合治疗胫骨平台骨折58例小结[J];湖南中医药导报;2003年02期

相关会议论文 前10条

1 黄肖华;朱少廷;廖小波;段戡;黄海滨;欧伦;;复杂胫骨平台骨折24例治疗体会[A];第十三届全国中西医结合骨伤科学术研讨会论文集[C];2005年

2 黄俊武;王向阳;彭磊;郭晓山;池永龙;;胫骨平台骨折的微创治疗[A];浙江省中西医结合学会骨伤科专业委员会第十一次学术年会暨省级继续教育学习班论文汇编[C];2005年

3 王云;;胫骨平台骨折的临床治疗进展[A];2007年浙江省医学会骨科学学术会议暨浙江省抗癌协会骨软肿瘤学术会议论文汇编[C];2007年

4 张海波;王义生;;多层螺旋CT对胫骨平台骨折分型及治疗的临床价值[A];第18届中国康协肢残康复学术年会论文选集[C];2009年

5 沈楚龙;陈志维;马洪;;胫骨平台骨折治疗的效价评估[A];中华中医药学会骨伤分会第四届第二次会议论文汇编[C];2007年

6 江宁;周中;;中西医结合治疗复杂胫骨平台骨折21例[A];中华中医药学会骨伤分会第四届第二次会议论文汇编[C];2007年

7 林仲;陈稀露;林可;吴金国;何创新;;保守治疗胫骨平台骨折[A];中华中医药学会骨伤分会第四届第二次会议论文汇编[C];2007年

8 梅锦荣;李雄峰;祝跃明;罗斌;;胫骨平台骨折螺旋CT重建对手术治疗的指导意义[A];浙江省医学会创伤学分会成立大会暨2009年浙江省创伤学术年会论文汇编[C];2009年

9 方智敏;占蓓蕾;徐德洪;程华煜;;复杂胫骨平台骨折功能重建的临床疗效分析[A];浙江省医学会创伤学分会成立大会暨2009年浙江省创伤学术年会论文汇编[C];2009年

10 郑荣宗;;胫骨平台骨折的微创治疗[A];2009年浙江省骨科学学术年会论文汇编[C];2009年

相关重要报纸文章 前2条

1 ;新法治疗胫骨平台骨折[N];中国高新技术产业导报;2001年

2 张进川;胫骨平台骨折治疗添新法[N];中国医药报;2004年

相关博士学位论文 前1条

1 黄华军;胫骨平台骨折优化内固定手术的数字化设计与临床研究[D];南方医科大学;2015年

相关硕士学位论文 前10条

1 马凯;内侧入路治疗胫骨平台骨折时对鹅足不同处理方法的预后分析[D];河北医科大学;2015年

2 田野;2003年至2012年河北医科大学第三医院成人胫骨平台骨折的流行病学分析[D];河北医科大学;2015年

3 蔡谢潇;胫骨平台骨折手术入路和术后并发症的综述[D];河北医科大学;2015年

4 施t，

本文编号：2384649