摘要
目的 探究中药熏洗治疗儿童肱骨髁上骨折后肘关节功能障碍的应用效果.方法 选择2022年5月至2023年5月赣州市妇幼保健院收治的70例肱骨髁上骨折后肘关节功能障碍患儿作为研究对象,按照随机数字表法分为试验组(n=35)和对照组(n=35),对照组在石膏拆除后行单纯手法按摩配合肘关节功能锻炼,试验组在对照组的基础上进行中药熏洗,两组均治疗4周.比较两组患儿治疗4周后的肘关节功能恢复情况(Flynn肘关节临床评判标准)、中医证候积分(肘关节疼痛、肘关节僵硬、肘关节活动受限、疲乏无力)、恢复时间(肿痛消失时间、骨折愈合时间以及肘关节功能完全恢复的时间)以及并发症(肘内翻、前臂缺血性肌挛缩,桡神经损伤)发生情况.结果 试验组患儿治疗后的肘关节功能优良率高于对照组,差异有统计学意义(P＜0.05).试验组治疗后的肘关节疼痛、肘关节僵硬、肘关节活动受限、疲乏无力中医证候积分低于对照组,差异有统计学意义(P＜0.05).试验组患儿治疗后的肿痛消失时间、骨折愈合时间以及肘关节功能恢复时间均低于对照组,差异有统计学意义(P＜0.05).试验组患儿并发症总发生率低于对照组,差异有统计学意义(P＜0.05).结论 中药熏洗能够有效改善儿童肱骨髁上骨折后肘关节功能,降低患儿发生并发症的可能性.
Abstract
Objective To explore the application effect of traditional Chinese medicine fumigation in the treatment of chil-dren with elbow dysfunction after humeral supracondylar fracture.Methods A total of 70 children with elbow dysfunction after humeral supracondylar fracture who were treated in Ganzhou Women and Children's Health Care Hospital from May 2022 to May 2023 were selected as the research objects,and they were classified into experimental group(n=35)and control group(ni=35)by using the random number table method.The control group received simple manipulation massage combined with elbow function exercise after plaster removal,and the experimental groupwas given traditional Chinese medicine fumigation based on the control group.Both groups were treated for 4 weeks.The elbow function recovery status(Flynn elbow clinical evaluation criteria),scores of traditional Chinese medicine syndromes(elbow pain,elbow stiffness,elbow activity limitation,fatigue and weakness),recovery time(disappearance time of swelling pain,fracture healing time,complete recovery time of elbow function)and occurrence of complications(cubitus varus,forearm ischemic muscle contracture,radial nerve injury)were compared after 4 weeks of treatment.Results After treatment,the excellent and good rate of elbow joint function in experimental group was higher than that in control group,and the difference was statistically significant(P＜0.05).The scores of traditional Chinese medicine syndrome of elbow pain,elbow stiffness,elbow activity limitation,fatigue and weakness in experimental group were lower than those in control group after treatment,and the differences were statistically significant(P＜0.05).After treatment,the disappearance time of swelling pain,fracture healing time,complete recovery time of elbow function of experimental group were lower than those of control group,and the differences were statistically significant(P＜0.05).The total complication rate of experimental group was lower than that of control group,and the difference was statistically significant(P＜0.05).Conclusion Traditional Chinese medicine fumigation can effectively improve the elbow function after humeral supracondylar fracture and reduce the possibility of complications.
维普
万方数据