世界中医药

目的：探讨中药烫熨对改善老年上肢骨折中后期功能的康复效果。方法：选择2012年4月至2015年5月我院接诊的上肢骨折80例患者进行研究。随机分为观察、对照组各40例。对照组患者实施常规的护理干预和运动锻炼，治疗组患者在对照组的前提下实施中药烫熨，详细登记分析2组患者的疗效情况。结果：治疗组的优良病率达97.50%要明显多于对照组的47.50%，2组比较具有统计学意义（P<0.05）；并且治疗组没有出现差的病例数，对照组疗效差25.00%，2组比较具有统计学意义（P<0.05）；2组患者治疗后关节活动度治疗之前都有明显的好转，HSS、ADL评分都所增加，治疗组患者治疗后骨折骨端骨痂生长情况要好于对照组，2组比较有统计学意义（P<0.05）。结论：中药烫熨可以有效地改善老年上肢骨折中后期上肢功能的康复，中药熏洗在加之护理干预及其运动锻炼，对老年上肢骨折后患者肢体功能的恢复效果良好，可以减低上肢骨折患者康复所需耗费的时间，值得在临床中广泛地推广和应用。

English Summary:

To observe effect of TCM(Traditional Chinese Medicine) ironing on functional rehabilitation in elder patients with upper extremity fractures in middle and later stage. Methods: Eighty patients with upper extremity fractures(enrolled into our hospital from February 2012 to May 2015) were selected. They were randomly divided into observation group and control group with forty cases in each. The control group was treated by routine nursing intervention and exercise, and the observation group was treated by TCM ironing except for that. The curative effect of the two methods were compared. Results: Obvious improvement rate in the observation group is 97.50%, higher than that of the control group(47.50%), and there were significant difference(P<0.05). Besides, the observation group does not show poor cases, while poor efficacy in the control group was 25.00%, and there were significant differences(P<0.05). Patients in both groups shows better HSS, ADL scores than before treatment, yet the observation group patients have better performance in bone fracture callus growth than the control group, and there were significant differences (P<0.05). Conclusion: TCM ironing can effectively improve the rehabilitation of the upper extremity fractures in elderly patients in middle and later stage. TCM ironing plus nursing intervention and exercise can help patients to recover fast. It is worthy of clinical promotion.

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