中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
4期
14-17
,共4页
屈肌腱粘连%手部功能支具%功能锻炼%中药熏洗
屈肌腱粘連%手部功能支具%功能鍛煉%中藥熏洗
굴기건점련%수부공능지구%공능단련%중약훈세
Flexor tendon adhesions%Hand function brace%Functional exercise%Herbal fumigation
目的：评价手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗对减轻屈肌腱粘连的临床疗效与安全性。方法：采用随机对照试验，确定了97例屈肌腱损伤术后患者。拟通过屈肌腱修复术后，49例应用手部功能支具调控下进行早期主、被动功能锻炼及骨洗2方熏洗；另48例石膏托固定4周后进行功能锻炼及常规中药熏洗。治疗12周，4周为1个疗程。采用美国手外科学会推荐的TAM（Total Active Movement，TAM）系统评定方法，分别在第4周、8周及12周末评价两组的手功能TAM，并对两组数据进行比较。结果：4周末、8周末、12周末，实验组TAM改善均优于对照组。实验组优良率100%，对照组优良率81.82%。经Ridit检验，两组数据之间的差异有显著性（P<0.05）。结论：手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗，安全系数大，能够显著减轻肌腱修复术后的粘连，改善患者手部的功能。
目的：評價手部功能支具調控下進行早期功能鍛煉及骨洗2方熏洗對減輕屈肌腱粘連的臨床療效與安全性。方法：採用隨機對照試驗，確定瞭97例屈肌腱損傷術後患者。擬通過屈肌腱脩複術後，49例應用手部功能支具調控下進行早期主、被動功能鍛煉及骨洗2方熏洗；另48例石膏託固定4週後進行功能鍛煉及常規中藥熏洗。治療12週，4週為1箇療程。採用美國手外科學會推薦的TAM（Total Active Movement，TAM）繫統評定方法，分彆在第4週、8週及12週末評價兩組的手功能TAM，併對兩組數據進行比較。結果：4週末、8週末、12週末，實驗組TAM改善均優于對照組。實驗組優良率100%，對照組優良率81.82%。經Ridit檢驗，兩組數據之間的差異有顯著性（P<0.05）。結論：手部功能支具調控下進行早期功能鍛煉及骨洗2方熏洗，安全繫數大，能夠顯著減輕肌腱脩複術後的粘連，改善患者手部的功能。
목적：평개수부공능지구조공하진행조기공능단련급골세2방훈세대감경굴기건점련적림상료효여안전성。방법：채용수궤대조시험，학정료97례굴기건손상술후환자。의통과굴기건수복술후，49례응용수부공능지구조공하진행조기주、피동공능단련급골세2방훈세；령48례석고탁고정4주후진행공능단련급상규중약훈세。치료12주，4주위1개료정。채용미국수외과학회추천적TAM（Total Active Movement，TAM）계통평정방법，분별재제4주、8주급12주말평개량조적수공능TAM，병대량조수거진행비교。결과：4주말、8주말、12주말，실험조TAM개선균우우대조조。실험조우량솔100%，대조조우량솔81.82%。경Ridit검험，량조수거지간적차이유현저성（P<0.05）。결론：수부공능지구조공하진행조기공능단련급골세2방훈세，안전계수대，능구현저감경기건수복술후적점련，개선환자수부적공능。
Objective: To estimate the effects and safety of functional exercise and using Guxi-2 prescription fumigate-wash in treating flexor tendon adhesions under hand function brace. Methods: To apply randomized controlled trial. 97 cases of flexor tendon adhesions were selected. After flexor tendon repair surgery, 49 cases in experiment group (EG) were treated by active and passive functional exercise and using Guxi-2 prescription fumigate-wash based on hand function brace;while the other 48 patients in control group (CG) were treated by functional exercise and using conventional TCM fumigate-wash. Treated for 12 weeks. 4 weeks in one course. Adopt total active movement (TAM) evaluation system which is recommended by American Society of Surgery of the Hand (ASSH). The TAM of the 2 groups were estimated and contrasted at the end of 4th, 8th and 12th week. Results:At the end of 4th week, 8th week, 12th week, EG’s TAM gained a more advantage than CG’s. The fineness rate of EG is 100%, and that of CG is 81.82%. The difference of date’s between the two groups was conspicuous by Ridit test. Conclusion: Under hand function brace, functional exercise plus using Guxi-2 prescription fumigate-wash have great safety factor, can relieve the adhesion of flexor tendon remarkably.
