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[1]宋東寧,毛矛,朱廣平,等.海桐皮湯薰洗在掌指骨骨折術(shù)后康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2019,31(10):17-20.
　SONG Dongning,MAO Mao,ZHU Guangping,et al.Application of steaming and washing therapy with Haitongpi Tang(海桐皮湯)to postoperative functional rehabilitation in patients with metacarpal and phalangeal fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(10):17-20.
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海桐皮湯薰洗在掌指骨骨折術(shù)后康復(fù)治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年10期
頁(yè)碼:
17-20
欄目:
臨床研究
出版日期:
2019-10-20

文章信息/Info

Title:
Application of steaming and washing therapy with Haitongpi Tang(海桐皮湯)to postoperative functional rehabilitation in patients with metacarpal and phalangeal fractures
作者:
宋東寧; 毛矛; 朱廣平; 胡仕其
(平湖市中醫(yī)院,浙江 平湖 314200)
Author(s):
SONG Dongning; MAO Mao; ZHU Guangping; HU Shiqi
Pinghu Hospital of Traditional Chinese Medicine,Pinghu 314200,Zhejiang,China
關(guān)鍵詞:
掌骨;  指骨;  骨折;  康復(fù);  薰洗;  海桐皮
Keywords:
metacarpal bones;  finger phalanges;  fractures; bone;  rehabilitation;  steaming washing therapy;  erythrina variegata
摘要:
目的:觀察海桐皮湯薰洗在掌指骨骨折術(shù)后康復(fù)治療中的應(yīng)用價(jià)值。方法:將78例接受手術(shù)治療的掌指骨骨折患者隨機(jī)分為2組,每組39例。常規(guī)組術(shù)后進(jìn)行掌指關(guān)節(jié)屈伸運(yùn)動(dòng),每次30 min; 薰洗組在常規(guī)組的治療基礎(chǔ)上采用海桐皮湯薰洗患處,先薰蒸患處30 min,待藥液溫度合適后,將手放在藥液中浸泡20 min; 兩組均每日康復(fù)治療2次,連續(xù)2周為1個(gè)療程,共治療2個(gè)療程。分別于康復(fù)治療前及康復(fù)治療開(kāi)始后4周、8周、12周,采用《中華醫(yī)學(xué)會(huì)手外科學(xué)會(huì)上肢部分功能評(píng)定試用標(biāo)準(zhǔn)》中手指總主動(dòng)活動(dòng)度評(píng)定法評(píng)價(jià)患指功能。結(jié)果:康復(fù)治療前,薰洗組患指功能可17例、差22例,常規(guī)組患指功能可19例、差20例; 2組患者的患指功能比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(R^-薰洗組=40.50,R^-常規(guī)組=38.50,Z=-0.451,P=0.652)。康復(fù)治療開(kāi)始后4周,薰洗組患指功能優(yōu)9例、良14例、可13例、差3例,常規(guī)組患指功能優(yōu)4例、良10例、可14例、差11例; 薰洗組的患指功能優(yōu)于常規(guī)組(R^-薰洗組=33.27,R^-常規(guī)組=45.73,Z=-2.533,P=0.011)。康復(fù)治療開(kāi)始后8周,薰洗組患指功能優(yōu)18例、良15例、可6例,常規(guī)組患指功能優(yōu)10例、良14例、可15例; 薰洗組的患指功能優(yōu)于常規(guī)組(R^-薰洗組=33.69,R^-常規(guī)組=45.31,Z=-2.409,P=0.007)。康復(fù)治療開(kāi)始后12周,薰洗組患指功能優(yōu)19例、良16例、可4例,常規(guī)組患指功能優(yōu)12例、良17例、可10例; 薰洗組的患指功能優(yōu)于常規(guī)組(R^-薰洗組=34.82,R^-常規(guī)組=44.18,Z=-1.971,P=0.049)。結(jié)論:對(duì)于接受手術(shù)治療的掌指骨骨折患者,術(shù)后在常規(guī)康復(fù)治療的基礎(chǔ)上采用海桐皮湯薰洗患處,可以促進(jìn)患指功能恢復(fù)。
Abstract:
Objective:To observe the applied values of steaming and washing therapy with Haitongpi Tang(海桐皮湯,HTPT)in postoperative functional rehabilitation in patients with metacarpal and phalangeal fractures.Methods:Seventy-eight patients who received surgery for metacarpal and phalangeal fractures were selected and randomly divided into conventional group and steaming-washing group,39 cases in each group.The metacarpophalangeal joint flexion-extension was performed in all patients in the 2 groups,30 minutes at a time.Moreover,the patients in steaming-washing group were treated with steaming and washing therapy with HTPT at the fractured parts for 30 minutes,and then their hands were immersed into HTPT at suitable temperature for 20 minutes.The rehabilitation treatments were performed on all patients twice a day for consecutive 2 courses of treatment,consecutive 2 weeks for each course.The function of affected finger was evaluated by using evaluation method of total active motion of finger which was extracted from Trial standard of upper limb function evaluation issued by Hand Surgery Branch of Chinese Medical Association before rehabilitation treatment and at 4,8 and 12 weeks after the beginning of the rehabilitation treatment respectively.Results:The function of affected finger was evaluated before rehabilitation treatment,and 17 patients obtained a fair result and 22 poor in steaming-washing group; while 19 patients obtained a fair result and 20 poor in conventional group.There was no statistical difference in the function of affected finger between the 2 groups(R^-steaming-washing group=40.50,R^-conventional group=38.50,Z=-0.451,P=0.652).The function of affected finger was evaluated at 4 weeks after the beginning of the rehabilitation treatment,and 9 patients obtained an excellent result,14 good,13 fair and 3 poor in steaming-washing group; while 4 patients obtained an excellent result,10 good,14 fair and 11 poor in conventional group.The steaming-washing group surpassed the conventional group in the function of affected finger(R^-steaming-washing group=33.27,R^-conventional group=45.73,Z=-2.533,P=0.011).The function of affected finger was evaluated at 8 weeks after the beginning of the rehabilitation treatment,and 18 patients obtained an excellent result,15 good and 6 fair in steaming-washing group; while 10 patients obtained an excellent result,14 good and 15 fair in conventional group.The steaming-washing group surpassed the conventional group in the function of affected finger(R^-steaming-washing group=33.69,R^-conventional group=45.31,Z=-2.409,P=0.007).The function of affected finger was evaluated at 12 weeks after the beginning of the rehabilitation treatment,and 19 patients obtained an excellent result,16 good and 4 fair in steaming-washing group; while 12 patients obtained an excellent result,17 good and 10 fair in conventional group.The steaming-washing group surpassed the conventional group in the function of affected finger(R^-steaming-washing group=34.82,R^-conventional group=44.18,Z=-1.971,P=0.049).Conclusion:For patients who received surgery for metacarpal and phalangeal fractures,the combination therapy of steaming and washing therapy with HTPT at the fractured parts and conventional rehabilitation therapy can promote the recovery of affected finger function.

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通訊作者:宋東寧 E-mail:[email protected](收稿日期:2019-07-08 本文編輯:郭毅曼)
更新日期/Last Update: 2019-10-15