熏洗方配合功能锻炼运用在髌骨骨折术后康复疗效观察

发布时间：2019-05-15 00:36

【摘要】：目的观察熏洗方和功能锻炼对髌骨骨折术后,改善膝关节肿胀,活动不利,屈曲疼痛等功能情况。验证熏洗方在骨折后期术后康复的推广和宣传的作用。方法 68例患者按随机数表法被分为治疗组和对照组,两组在手术切开内固定术后并使用CPM机锻炼,治疗组于术后第2周行股四头肌锻炼。治疗组患者在2周后需使用下面组方内的中药进行熏洗,组方:威灵仙30g五加皮30g荆芥30g防风30g没药35g桂枝35g细辛15g。先将合适的锅准备好,然后将中药用纱布包好后放进锅内,加入清水2000ml先以大火煎开再改小火煎10min,停止加热后将药袋连同药液倒入盆中,先用药袋热敷患者膝关节及其周围部位,再用药液熏洗膝关节,每次熏洗30min连续熏洗1个月。对照组采用热水熏洗1个月,熏洗过程中,皮肤出现发红发热为适合,每天两次,每次30min,持续1个月。两组均在第三天行CPM机锻炼,治疗组于第二周始行股四头肌锻炼,方法为:股四头肌的功能训练:1.首先是直腿抬高训练2.股四头肌的等长收缩训练,直腿抬高训练负重的训练3.股四头肌等张收缩训练方法,4.股四头肌静力收缩练习结果 1.在膝关节疼痛值方面,治疗组患者在3至6周内的治疗效果好于对照组,对比后的差异性较为明显(p0.05)2.在膝关节肿胀方面,治疗组较对照组患者在第3,6周消肿程度快,有差异(P0.05)3.在膝功能评分方面,治疗组和对照组有差异(P0.05)说明治疗组膝关节功能术后康复较对照组有优势。结论本研究说明熏洗方结合功能锻炼对髌骨骨折术后康复有明显优势,熏洗方结合功能锻炼在膝关节功能恢复上有明显优势。
[Abstract]:Objective to observe the effects of fumigation and washing prescription and functional exercise on knee swelling, unfavorable movement and flexion pain after patellar fracture. To verify the role of fumigation prescription in the promotion and propaganda of postoperative rehabilitation in the later stage of fracture. Methods Sixty-eight patients were randomly divided into treatment group and control group. The treatment group was treated with CPM machine exercise after incision and internal fixation, and the treatment group was treated with quadriceps femoris exercise at the 2nd week after operation. After 2 weeks, the patients in the treatment group should be fumigated and washed with traditional Chinese medicine in the following prescription: Weiling Xian 30g Wujiapi 30g Schizonepeta tenuifolia 30g Fangfeng 30g myrrh 35g cinnamon branch 35g Asarum cassia 15g. First prepare the appropriate pot, then wrap the traditional Chinese medicine in gauze and put it into the pot, add clear water 2000ml to fry in high fire and then fry over low heat for 10 min. stop heating and pour the medicine bag with the medicine liquid into the pot. The knee joint of the patient and its surrounding parts were treated with hot compress of medicine bag, and then the knee joint was fumigated with liquid, and then fumigated with 30min for one month at a time. The control group was fumigated with hot water for 1 month. In the process of fumigation and washing, it was suitable for skin to appear redness and fever, twice a day for 30 minutes each time for 1 month. CPM machine exercise was performed in both groups on the third day, and quadriceps femoris exercise was performed in the treatment group in the second week. The methods were as follows: the functional training of quadriceps femoris was as follows: 1. The first is straight leg elevation training. 2. Equal length contraction training of quadriceps femoris, straight leg elevation training weight bearing training 3. Isometric contraction training method of quadriceps femoris, 4. Results of static contraction exercise of quadriceps femoris. In terms of knee joint pain, the therapeutic effect of the treatment group was better than that of the control group within 3 to 6 weeks, and the difference was more obvious (p0.05). In terms of knee swelling, the degree of detumescence in the treatment group was faster than that in the control group at the 3rd and 6th weeks (P 0.05). In terms of knee function score, there was difference between the treatment group and the control group (P 0.05), indicating that the postoperative rehabilitation of knee function in the treatment group was superior to that in the control group. Conclusion this study shows that fumigation prescription combined with functional exercise has obvious advantages in postoperative rehabilitation of patellar fracture, and fumigation and washing prescription combined with functional exercise has obvious advantages in knee joint functional recovery.
【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】：R274.1

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