[1]蔡东海,张 干,陈多军,等.通络开痹片对踝关节骨折术后关节功能康复影响研究*[J].陕西中医,2020,(8):1107.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.025]
　CAI Donghai,ZHANG Gan,CHEN Duojun,et al.The effect of Tongluo Kaibi tablet on the rehabilitation of joint function in patients with ankle fracture after operation[J].,2020,(8):1107.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.025]
点击复制

通络开痹片对踝关节骨折术后关节功能康复影响研究*
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年8期
页码:
1107
栏目:
临床研究
出版日期:
2020-08-05

文章信息/Info

Title:
The effect of Tongluo Kaibi tablet on the rehabilitation of joint function in patients with ankle fracture after operation
作者:
蔡东海1; 张 干2; 陈多军1; 许功效1
1.安徽省淮南朝阳医院骨科(淮南 232007); 2.安徽省立医院西区外科(合肥 230001)
Author(s):
CAI Donghai; ZHANG Gan; CHEN Duojun; et al.
Department of Orthopaedics,Chaoyang Hospital in Anhui Province(Huainan 232007)
关键词:
通络开痹片;  踝关节骨折;  骨折后期;  关节功能;  视觉模拟评分法
Keywords:
Tongluo Kaibi tablet;  Ankle fracture;  Late fracture;  Joint function;  VAS
分类号:
R683.42
DOI:
DOI:10.3969/j.issn.1000-7369.2020.08.025
文献标志码:
A
摘要:
目的: 探讨通络开痹片对踝关节骨折术后患者关节功能康复的影响。方法:选取踝关节骨折患者100例。采用随机数字表法分对照组和观察组各50例。对照组患者术后进行常规康复治疗。观察组在对照组基础上给予通络开痹片治疗。比较两组疗效及术后并发症情况,比较两组疼痛、肿胀、关节活动度、踝与后足功能评分及日常生活能力情况。结果:治疗后,两组视觉模拟评分和肿胀度评分降低,差异具有统计学意义(P<0.05)。术后1、2、3、4周,两组踝关节活动度(背伸、跖屈)明显改善,差异具有统计学意义(P<0.05)。术后1、2、3、4周,踝与后足功能评分及日常生活能力评分明显升高,其观察组比对照组更明显,差异具有统计学意义(P<0.05)。观察组总疗效(94.00%)明显优于对照组(80.00%),术后并发症发生率明显低于对照组(P<0.05)。结论:通络开痹片可改善踝关节骨折术后关节功能,临床疗效较好。
Abstract:
Objective:To explore the effect of Tongluo Kaibi tablet on the rehabilitation of joint function of patients with ankle fracture after operation.Methods:100 patients with ankle fracture were selected.50 cases in each group were divided into control group and observation group.The patients in the control group received routine rehabilitation treatment.The observation group was treated with Tongluo Kaibi tablet on the basis of the control group.Results:After the treatment,VAS score and swelling score of the two groups were reduced,and the observation group was more obvious(P<0.05).At 1,2,3 and 4 weeks after operation,the ankle joint mobility(dorsiflexion and plantar flexion)of the two groups was significantly improved,and the observation group was more obvious(P<0.05).At 1,2,3 and 4 weeks after operation,AOFAS and ADL scores were significantly higher in the observation group than in the control group(P<0.05).The total curative effect of the observation group(94.00%)was significantly better than that of the control group(80.00%),and the incidence of postoperative complications was significantly lower than that of the control group(P<0.05).Conclusion:Tongluokaibi tablet can improve the joint function after ankle fracture operation,and the clinical effect is satisfactory,which is worth further promotion and application.

参考文献/References:

[1] 黄 强,徐向阳,杨崇林,等.踝关节镜在诊治Danis-Weber B型踝关节骨折伴下胫腓联合损伤中的意义[J].中华创伤骨科杂志,2018,20(6):482-486.
[2] 孙志坚,孙 旭,孙伟桐,等.加速康复外科理念下踝关节骨折与桡骨远端骨折诊疗方案优化的专家调查[J].中华创伤骨科杂志,2019,21(10):864-868.
[3] 朱成栋,夏建忠,乔高山,等.术前3D打印设计结合微创经皮钢板内固定技术治疗胫骨中下段骨折的疗效分析[J].中华解剖与临床杂志,2019,24(5):477-482.
[4] 李 昊,卫志强,乔 梁,等.经皮加压空心螺钉内固定术对非粉碎性踝关节骨折患者术后骨折愈合及踝关节功能的影响[J].中国药物与临床,2019,19(16):2776-2778.
[5] 朱祥萍,吉 辉,雷德会.舒筋活血汤联合功能锻炼用于踝关节骨折术后功能恢复的临床疗效[J].中华中医药学刊,2018,36(7):1704-1706.
[6] 廖明新,王 岩,孙 宁,等.踝关节骨折中后踝骨折的发生率及手术固定的相关因素分析[J].中华创伤骨科杂志,2019,21(7):575-580.
[7] 阴 涛,郑遵成,陈梦婷,等.悬吊运动疗法对神经根型颈椎病患者表面肌电频域指标影响研究[J].陕西医学杂志,2018,47(6):739-741.
[8] 窦 静,崔雨杰,琚绍静,等.医护康一体化在儿童肱骨髁上骨折术后康复中的应用[J].中国煤炭工业医学杂志,2018,21(6):653-656.
[9] 钟 浪,邓小文,刘 雨,等.关节镜下应用双平行无头加压螺钉行踝关节融合术治疗踝关节炎的疗效分析[J].实用老年医学,2019,33(9):880-883.
[10] 黄 琼,罗玳红.通元针法结合西医常规疗法对脑梗死恢复期气虚血瘀证患者血小板活化指标的影响[J].国际中医中药杂志,2019,41(4):343-346.
[11] 吴少科,陈晓驷,陈海聪,等.皮质骨螺钉与Endobutton钢板治疗踝关节骨折合并下胫腓联合损伤的疗效比较[J].中华创伤骨科杂志,2018,20(12):1091.
[12] 张志强,夏贤生,吴秋敏,等.下胫腓螺钉固定治疗Lauge-Hansen旋前-外旋型踝关节骨折伴下胫腓联合分离的效果[J].中国当代医药,2019,26(19):115-118.
[13] 孙清泉.闭合复位经皮空心螺钉内固定对旋后-外旋型踝关节骨折患者术后骨折愈合及踝关节功能的影响[J].中国疗养医学,2019,28(7):742-743.
[14] 卜晓宇,孙建森.壮筋续骨汤联合锁定加压钢板内固定治疗胫骨平台骨折43例临床观察[J].陕西中医,2016,37(7):782-783.
[15] 李沛兴,周建华,黄伟韬.关节镜清理术结合白虎加桂枝汤治疗痛风性膝关节炎临床观察[J].实用中医药杂志,2019,35(6):713-714.

备注/Memo

备注/Memo:
*安徽省自然科学基金资助项目(10JJ3038)
更新日期/Last Update: 2020-08-10