| 引用本文:郑璇燕.功能锻炼联合中药薰洗和手法在前交叉韧带重建术后康复治疗中的应用[J].世界中医药,2017,(01):. |
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| 功能锻炼联合中药薰洗和手法在前交叉韧带重建术后康复治疗中的应用 |
| Functional Exercise Combined with Chinese Medicine Fumigation and Washing in Application of Anterior Cruciate Ligament After Reconstruction Rehabilitation Treatment |
| 投稿时间：2016-05-25 |
| DOI：10.3969/j.issn.1673-7202.2017.01.023 |
| 中文关键词: 功能锻炼 中药薰洗 手法 前交叉韧带 |
| English Keywords:Functional exercise Chinese medicine fumigation and washing Methods Anterior cruciate ligament |
| 基金项目:惠州市科技计划项目(编号:20150809) |
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| 中文摘要: |
| 目的:研究功能锻炼联合中药薰洗和手法在前交叉韧带重建术后康复治疗中的应用。方法:选取2013年3月至2014年2月在本院行前交叉韧带重建术后康复治疗的70例患者,按照随机数表法分为试验组和对照组,每组35例。对照组采取功能锻炼法进行治疗,试验组在此基础上联合中药熏洗和手法进行治疗。比较2组患者在术前、术后6个月的HSS膝关节功能评分、膝关节疼痛视觉模拟评分、关节活动度、患肢大腿围度、关节肌肉力量变化情况。结果:治疗后,试验组的优良率88.57%(31/35)高于对照组54.28%(19/35)(P<0.05)。术后6个月,试验组的HSS膝关节功能评分(93.15±1.11)分高于对照组(84.36±2.56)分,疼痛视觉模拟评分(1.94±0.24)分低于对照组(3.56±0.52)分,组间比较差异有统计学意义(P<0.05)。试验组的关节活动度(121.14±13.56)度高于对照组(107.32±12.11)度,健、患侧大腿围度差(1.84±0.21) cm低于对照组(2.21±0.45)cm,组间比较差异有统计学意义(P<0.05)。试验组的股四头肌峰力矩、蝈绳肌峰力矩、股四头肌总功、蝈绳肌总功［(73.24±7.32)N·m、(46.32±6.15)N·m、(674.36±45.22)J、(654.61±42.15)J］高于对照组［(51.43±5.19)N·m、(33.56±3.67)N·m、(542.15±34.32)J、(514.24±23.56)J］(P<0.05)。结论:在前交叉韧带重建术后康复治疗中采取中药熏洗与手法并结合功能锻炼的方式,可改善膝关节疼痛感和活动度,促进膝关节功能的恢复,效果良好。 |
| English Summary: |
| To study the functional exercise combined with Chinese medicine fumigation and washing in the application of anterior cruciate ligament after reconstruction rehabilitation treatment. Methods:A total of 70 patients with anterior cruciate ligament reconstruction rehabilitation treatment from March 2013 to February 2013 in our hospital, were divided into trial group and control group according to the stochastic indicator method, with 35 cases in each group. Control group were treated with functional exercise, the trial group were given Chinese medicine fumigation and washing on the basis of control group. Patients of two groups in the preoperative and postoperative 6 months of HSS knee joint function score, visual analogue scale, knee joint ache, limb joint mobility thigh circumference and joint muscle strength changes were compared. Results:After treatment, the good rate of trial group was 88.57% (31/35), significantly higher than the control group′s 54.28% (19/35) (P<0.05). And 6 months after the surgery, trial groups′ HSS knee joint function score (93.15±1.11) points were higher than the control group (84.36±2.56) points, visual analog pain score (1.94±0.24) points lower than the control group (3.56±0.52)points, two groups had significantly difference (P<0.05). Enrichment of motion (121.14±13.56)degrees of trial group were higher than control group (107.32±12.11) degrees, lateral thigh circumference difference between the healthy and affected side of the trial group was(1.84±0.21) cm, significantly lower than the control group (2.21±0.45) cm (P<0.05). The quadriceps peak torque, darkthrone rope muscle peak torque, total energy, darkthrone rope quadriceps muscle total energy of the trial group were ［(73.24±7.32 mm)n·m, (46.32±6.15)n·m, (674.36±45.22)J, (654.61±42.15)J］ respectively, significantly higher than the control group′s ［(51.43±5.19 mm)n·m, (33.56±3.67)n·m, (542.15±34.32)J, (514.24±23.56)J］ (P<0.05). Conclusion:The functional exercise combined with Chinese medicine fumigation and washing can relieve the knee joint pain and improve its activity, promote the recovery of knee joint function in the application of anterior cruciate ligament after reconstruction rehabilitation treatment. |
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