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[1]李衛(wèi)國,孫獻武,譚訓香,等.閉合復位內(nèi)外固定結(jié)合中醫(yī)康復治療肱骨近端骨折的臨床研究[J].中醫(yī)正骨,2016,28(05):1-4.
　LI Weiguo,SUN Xianwu,TAN Xunxiang,et al.Clinical study on closed reduction and internal & external fixation combined with TCM rehabilitation in the treatment of proximal humeral fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(05):1-4.
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閉合復位內(nèi)外固定結(jié)合中醫(yī)康復治療肱骨近端骨折的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年05期
頁碼:
1-4
欄目:
臨床研究
出版日期:
2016-05-20

文章信息/Info

Title:
Clinical study on closed reduction and internal & external fixation combined with TCM rehabilitation in the treatment of proximal humeral fractures
作者:
李衛(wèi)國; 孫獻武; 譚訓香; 劉雙雙
山東省文登整骨醫(yī)院,山東 文登 264400
Author(s):
LI Weiguo; SUN Xianwu; TAN Xunxiang; LIU Shuangshuang
The Wendeng Osteopath Hospital,Wendeng 264400,Shandong,China
關鍵詞:
肱骨骨折;  肩骨折;  骨折固定術;  中醫(yī)康復;  臨床試驗
Keywords:
humeral fractures;  shoulder fractures;  fracture fixation;  rehabilitation(TCM);  clinical trial
摘要:
目的:觀察閉合復位內(nèi)外固定結(jié)合中醫(yī)康復治療肱骨近端骨折的臨床療效。方法:將符合要求的87例肱骨近端骨折患者隨機分為2組,行閉合復位內(nèi)外固定術,術后分別采用中醫(yī)康復和常規(guī)康復治療。隨訪觀察2組患者的骨折愈合時間及肩關節(jié)功能恢復時間,并于治療20周后采用Constant-Murley肩關節(jié)評分標準評定療效。結(jié)果:所有患者均獲隨訪,隨訪時間8～18個月,中位數(shù)14個月。中醫(yī)康復組的骨折愈合時間及肩關節(jié)功能恢復時間均短于常規(guī)康復組[(11.94±1.20)周,(13.02±1.64)周,t=2.790,P=0.007;(15.80±2.11)周,(17.47±2.14)周,t=3.664,P=0.000]。Constant-Murley肩關節(jié)評分中,中醫(yī)康復組的疼痛評分低于常規(guī)康復組[(4.60±1.12)分,(5.40±1.14)分,t=3.239,P=0.002],日常活動評分及關節(jié)活動范圍評分高于常規(guī)康復組[(15.70±2.24)分,(14.64±1.90)分,t=2.362,P=0.020;(30.76±3.65)分,(28.47±4.23)分,t=2.714,P=0.008],而2組肌力評分比較,差異無統(tǒng)計學意義(t=1.628,P=0.107)。結(jié)論:對肱骨近端骨折實施閉合復位內(nèi)外固定后采用中醫(yī)康復治療,骨折愈合快,肩關節(jié)功能恢復好,值得臨床推廣應用。
Abstract:
Objective:To observe the curative effect of closed reduction and internal & external fixation combined with TCM rehabilitation in the treatment of proximal humeral fractures.Methods:Eighty-seven patients with proximal humeral fractures enrolled in the study were randomly divided into 2 groups,and were treated with closed reduction and internal & external fixation.After the surgery,the patients were treated with TCM rehabilitation(TCM rehabilitation group)and conventional rehabilitation(conventional rehabilitation group)respectively.The patients were followed up,and the fracture healing time and the shoulder function recovery time were observed and compared between the 2 groups.After 20-week treatment,the curative effect was evaluated by using Constant-Murley shoulder joint scoring criterion.Results:The patients in the 2 groups were followed up for 8-18 months with a median of 14 months.The fracture healing time and the shoulder function recovery time were shorter in TCM rehabilitation group compared to conventional rehabilitation group(11.94+/-1.20 vs 13.02+/-1.64 weeks,t=2.790,P=0.007; 15.80+/-2.11 vs 17.47+/-2.14 weeks,t=3.664,P=0.000).The Constant-Murley shoulder pain scores were lower in TCM rehabilitation group compared to conventional rehabilitation group(4.60+/-1.12 vs 5.40+/-1.14 points,t=3.239,P=0.002).The Constant-Murley shoulder daily activity scores and joint motion range scores were higher in TCM rehabilitation group compared to conventional rehabilitation group(15.70+/-2.24 vs 14.64+/-1.90 points,t=2.362,P=0.020; 30.76+/-3.65 vs 28.47+/-4.23 points,t=2.714,P=0.008).There was no statistical difference in muscle strength scores between the 2 groups(t=1.628,P=0.107).Conclusion:Short fracture healing time and good shoulder function can be obtained by using TCM rehabilitation in patients with proximal humeral fractures after closed reduction and internal & external fixation.

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更新日期/Last Update: 2016-10-30