首页|和伤散熏洗联合康复训练对老年Colles骨折患者术后腕关节功能的影响

和伤散熏洗联合康复训练对老年Colles骨折患者术后腕关节功能的影响

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目的:探讨和伤散熏洗联合康复训练对老年Colles骨折患者术后腕关节功能的影响.方法:选取 2020 年 7 月—2022 年 7 月在福建中医药大学附属康复医院行手术治疗的 60 例老年Colles骨折患者,通过随机数字表法分为对照组(30 例)和观察组(30 例).对照组术后进行康复训练干预,观察组在对照组基础上加用和伤散熏洗干预.比较两组总体优良率、安全性指标,干预前后疼痛程度、消肿指数和腕关节功能,腕关节活动度,X线相关影像学指标.结果:观察组优良率为 96.67%,较对照组的 63.33%显著更高(P<0.05).术后两组视觉模拟评分法(VAS)、Gartland-Werley腕关节功能评分均明显降低,观察组较对照组均明显更低;且观察组消肿指数较对照组显著更高(P<0.05).术后 12 周两组掌屈、背伸、桡偏、尺偏、旋前、旋后活动度均明显提高,观察组较对照组均明显更高(P<0.05).术后 12 周两组掌倾角、尺偏角、桡骨高度均明显提高,观察组较对照组均明显更高(P<0.05).两组干预过程中均未出现伤口红肿,皮肤过敏及烫伤情况.结论:应用和伤散熏洗联合康复训练对老年Colles骨折患者术后进行干预,显著提高患者总体优良率、腕关节活动度,改善疼痛程度、消肿指数、腕关节功能及X线相关影像学指标,且安全性较高.
Effect of Fumigation and Washing of Heshang Powder Combined with Rehabilitation Training on Wrist Joint Function in Elderly Patients with Colles Fracture after Operation
Objective:To explore the effect of fumigation and washing of Heshang Powder combined with rehabilitation training on postoperative wrist joint function in elderly patients with Colles fracture.Method:A total of sixty elderly patients with Colles fracture who underwent surgical treatment in Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2020 to July 2022 were selected and divided into control group(30 cases)and observation group(30 cases)by random number table method.The control group received rehabilitation training intervention after operation,and the observation group received additional intervention of fumigation and washing of Heshang Powder on the basis of the control group.The overall excellent and good rate,safety indexes,pain degree,swelling reduction index,wrist function,wrist motion and X-ray related imaging indexes before and after intervention were compared between the two groups.Result:The excellent and good rate of the observation group was 96.67%,which was significantly higher than 63.33%in the control group(P<0.05).After surgery,the VAS and Gartland-Werley wrist joint function scores of both groups decreased significantly,and those in the observation group were significantly lower than those in the control group;and the swelling index of the observation group was significantly higher than that of the control group(P<0.05).At 12 weeks after surgery,the mobility of palmar flexion,dorsiflexion,radial deviation,ulnar deviation,pronation and supination in both groups increased significantly,those in the observation group were significantly higher than those in the control group(P<0.05).At 12 weeks after surgery,the palm angle,ulnar deviation angle and radius height of both groups were significantly increased,and those in the observation group were significantly higher than those in the control group(P<0.05).During the intervention process,there were no cases of wound redness,swelling,skin allergies,or burns in both groups.Conclusion:The application of fumigation and washing of Heshang Powder combined with rehabilitation training for postoperative intervention in elderly Colles fracture patients significantly improves the overall excellent and good rate,wrist joint mobility,pain degree,swelling index,wrist joint function and X-ray related imaging indicators,and has high safety.

Fumigation and washing of Heshang PowderRehabilitation trainingColles fractureWrist joint function

黄琳森、付解辉、张泽升、夏锦标

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福建中医药大学附属康复医院运动医学科 福建 福州 350003

福建省康复技术重点实验室 福建 福州 350003

和伤散熏洗 康复训练 Colles骨折 腕关节功能

福建中医药大学校管科研课题

XB2022071

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(3)
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