CAJ | 학술논문

目的：探讨舒筋活血外洗方治疗旋后外旋型踝关节骨折合并三角韧带损伤的效果。方法选择在我院住院治疗的伴有三角韧带损伤的旋后外旋型Ⅳ度踝关节骨折患者38例，均采用切开复位内固定并修复损伤的三角韧带，术后分为治疗组和对照组，治疗组给予舒筋活血外洗方熏洗，采用改良Weber踝关节骨折评分标准对治疗效果进行评定。结果治疗组在疼痛、步行和踝关节功能的分值均明显低于对照组，其差异有统计学意义（P<0.05）。在活动、放射学及距下关节功能方面，两组分值无明显差异（P>0.05）。结论舒筋活血外洗方能有效改善旋后外旋型踝关节骨折合并三角韧带损伤患者的症状，在一定程度提高关节的功能。
목적：탐토서근활혈외세방치료선후외선형과관절골절합병삼각인대손상적효과。방법선택재아원주원치료적반유삼각인대손상적선후외선형Ⅳ도과관절골절환자38례，균채용절개복위내고정병수복손상적삼각인대，술후분위치료조화대조조，치료조급여서근활혈외세방훈세，채용개량Weber과관절골절평분표준대치료효과진행평정。결과치료조재동통、보행화과관절공능적분치균명현저우대조조，기차이유통계학의의（P<0.05）。재활동、방사학급거하관절공능방면，량조분치무명현차이（P>0.05）。결론서근활혈외세방능유효개선선후외선형과관절골절합병삼각인대손상환자적증상，재일정정도제고관절적공능。
Objective To investigate the medicinal Washing Treatment supination external rotation ankle fracture with deltoid ligament injury. Methods Treated in our hospital with deltoid ligament injury in patients with supination external rotation-type ankle fracture Ⅳ degree, 38 cases were treated with open reduction and internal fixation and repair of the deltoid ligament injury, surgery into the treatment group and the control group, the treatment group were given medicinal washing side Fumigation, using the modified Weber ankle fracture scoring criteria were assessed for treatment effect. Result In the treatment group in pain, walking and ankle function scores were significantly lower than the control group, the difference was statistical y significant (P <0.05). In the activity, radiology and functional aspects of the subtalar joint, the two groups had no significant difference in scores (P> 0.05).Conclusion Shujinhuoxue Washing order to effectively improve supination external rotation ankle fracture with deltoid ligament injury in patients with symptoms, to some extent, improve joint function.