| 引用本文:宫大伟，王飞，谢波.针刺夹脊穴联合中药内服外用对肱骨髁间骨折术后患者视觉模拟评分法和生命质量评分及关节功能的影响[J].世界中医药,2018,(12):. |
|
| 针刺夹脊穴联合中药内服外用对肱骨髁间骨折术后患者视觉模拟评分法和生命质量评分及关节功能的影响 |
| Effects of Acupuncture Jiaji(EX-B2)Acupoints Combined with Oral Administration of Chinese Medicine on VAS,QOL Score and Joint Function in Patients with Intercondylar Fracture of Humerus |
| 投稿时间：2017-10-19 |
| DOI：10.3969/j.issn.1673-7202.2018.12.045 |
| 中文关键词: 肱骨踝间骨折 中药内服外用 针刺夹脊穴 关节功能 生命质量 骨折手术 视觉模拟评分法 疗效 |
| English Keywords:Humerus ankle fracture Chinese medicine for oral use and external use Acupuncture Jiaji(EX-B2) Joint function Quality of life Fracture surgery VAS score Curative effect |
| 基金项目:威海市科技发展计划项目(2014GNS044) |
|
| 摘要点击次数: 753 |
| 全文下载次数: 800 |
| 中文摘要: |
| 目的：研究针刺夹脊穴联合中药内服外用对肱骨髁间骨折术后患者是视觉模拟评分法（VAS）、生命质量（QOL）评分及关节功能的影响。方法：选取2014年2月至2016年2月文登整骨医院收治的肱骨踝间骨折患者100例。按照随机数字表法均分为对照组和观察组，每组50例。对照组予以常规骨折术治疗，观察组则在对照组的基础上予以针刺夹脊穴联合中药内服外用治疗。分别比较2组临床治疗总有效率，治疗2周后、4周后的疼痛情况、生命质量情况、肘关节功能变化情况。结果：观察组临床治疗总有效率为96.00%（48/50），明显高于对照组的84.00%（42/50），差异有统计学意义（P<0.05）。治疗4周后观察组VAS评分为（2.05±0.95）分，明显低于对照组的（3.57±0.91）分，而QOL评分为（88.86±11.25）分，明显高于对照组的（80.54±10.65）分，差异有统计学意义（P<0.05）。治疗4周后观察组ROM、Mayo评分分别为（105.87±22.38）分、（91.85±6.29）分，均明显高于对照组的（87.27±24.19）分、（82.57±7.31）分，差异有统计学意义（P<0.05）。观察组并发症发生率为6.00%（3/50），明显低于对照组的22.00%（11/50），差异有统计学意义（P<0.05）。结论：针刺夹脊穴联合中药内服外用可提高肱骨髁间骨折术后患者临床疗效，同时缓解患者疼痛，提高生命质量，且有效改善关节功能，具有较好的安全性。 |
| English Summary: |
| To study the effects of acupuncture Jiaji(EX-B2)acupoint combined with oral administration of Chinese medicine on visual analogue scales(VAS),the quality of life(QOL)score and joint function in patients with humeral intercondylar fracture after operation.Methods:A total of 100 cases with humeral intercondylar fracture admitted to our hospital from February 2014 to February 2016 were randomly divided into observation group and control group,with 50 cases in each group.The control group received conventional fracture surgery treatment,and the observation group was added acupuncture combined with Chinese medicine external treatment.The total clinical efficiency,pain,the quality of life,changes of elbow joint function after 2 weeks and 4 weeks after treatment were compared.Results:The total clinical effective rate of the observation group was 96.00%(48/50),which was significantly higher than the control group 84.00%(42/50).There was statistical significance between the groups(P<0.05).After 4 weeks of treatment,the VAS score of the observation group was 2.05±0.95 points,which was significantly lower than 3.57±0.91 points of the control group.QOL score was 88.86±11.25 points,which was significantly higher than 80.54±10.65 points of the control group.There was statistical significance between the groups(P<0.05).The ROM and Mayo scores of the observation group after 4 weeks of treatment were 105.87±22.38 and 91.85±6.29,which were significantly higher than 87.27±24.19,82.57±7.31 in the control group.There was statistical significance between the groups(P<0.05).The complication rate of the observation group was 6%(3/50),which was significantly lower than 22%(11/50)of the control group.There was statistical significance between the groups(P<0.05).Conclusion:Acupuncture Jiaji(EX-B2)combined with oral administration of Chinese medicine can improve the clinical curative effect of patients with humeral intercondylar fracture after operation,and relieve the pain of patients,improve the quality of life,and improve the joint function,with good safety.It is worthy of clinical application. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
