摘要
目的观察低频电刺激联合中药热敷治疗肘关节骨折术后功能障碍的临床疗效及对患者疼痛的影响。方法选择浙江康复医院2020年3月-2022年3月期间收治的肘关节骨折患者58例进行研究,按照随机分配的原则将其分为观察组(n=29)和对照组(n=29)。对照组术后采用常规的康复治疗联合低频电刺激治疗,观察组患者在对照组基础上增加中药热敷治疗。评价对比两组患者治疗后的临床效果,对两组患者的疼痛程度以视觉模拟评分量表(VAS)进行评分比较,采用Mayo肘关节功能评分对患者治疗前后肘关节运动功能进行评分比较,并对两组患者治疗过程中不良反应发生率进行评价比较。结果①观察组治疗后的临床总有效率为93.1%(27/29),对照组治疗后的临床总有效率为72.4%(21/29),组间对比差异显著。②治疗后患者的VAS评分均降低,且观察组低于对照组,两组患者治疗后的Mayo评分均显著升高,且观察组高于对照组,组间差异显著(P<0.05)。③治疗后,观察组关节伸直度低于对照组,关节屈曲度、前臂旋前度、前臂旋后度均明显高于对照组,差异显著(P<0.05)。④观察组和对照组不良反应发生率分别为13.8%(4/29)和6.9%(2/29),组间比较,差异无统计学意义(P>0.05)。结论与常规康复治疗相比,对肘关节骨折术后患者采用低频电刺激联合中药热敷治疗能够获得更为显著的治疗效果,进一步减轻患者的术后疼痛感,改善患者肘关节的运动功能,且治疗安全性好,临床应用价值高,值得推荐。
Objective To investigate the clinical efficacy of low-frequency electrical stimulation combined with traditional Chinese medicine hot compress in the treatment of postoperative dysfunction of elbow fracture and its effect on pain in patients.Methods A total of 58 patients with elbow fracture admitted to our hospital from March 2020 to March 2022 were selected for study,and they were divided into observation group(n=29)and control group(n=29)according to the principle of random allocation.The control group used conventional rehabilitation combined with low-frequency electrical stimulation therapy after surgery,and the patients in the observation group added Chinese medicine hot compress treatment on the basis of the control group.To assess the clinical effects of the two groups after treatment.The pain degree was compared by visual analogue score scale(VAS),and the Mayo elbow function score was used to score and compare the elbow motor function before and after treatment,and the incidence of adverse reactions during treatment was evaluated and compared between the two groups.Results①The total clinical response rate of the observation group after treatment was 93.1%(27/29),and the total effective rate of clinical treatment in the control group was 72.4%(21/29),and the comparison between the groups was significant.②The VAS score of the patients after treatment was reduced,and the observation group was lower than that of the control group,and the Mayo score of both groups was significantly increased after treatment,and the observation group was higher than that of the control group,and the difference between the groups was significant(P<0.05).③After treatment,the degree of joint elongation in the observation group was lower than that in the control group,and the degree of joint flexion,forearm pronation and forearm pronation were significantly higher than those in the control group,P<0.05.④The incidence of adverse reactions in the observation group and the control group was 13.8%(4/29)and 6.9%(2/29),respectively,and there was no significant difference between the groups(P>0.05).Conclusion Compared with conventional rehabilitation treatment,low-frequency electrical stimulation combined with traditional Chinese medicine hot compress treatment for patients with elbow fracture can obtain a more significant therapeutic effect,which can further reduce the postoperative pain effect of patients,improve the motor function of the patient's elbow joint,and the treatment safety is good,the clinical application value is high,and it is worth recommending.
作者
黄能文
朱苏生
王银萍
Huang Nengwen;Zhu Susheng;Wang Yinping(Zhejiang Rehabilitation Hospital,Hangzhou,Zhejiang 310016,China)
出处
《首都食品与医药》
2024年第2期141-143,共3页
Capital Food Medicine
关键词
肘关节骨折
低频电刺激
中药热敷
功能障碍
疼痛
Elbow fracture
low-frequency electrical stimulation
Chinese herbal hot compress
Dysfunction
pain
