CAJ | 학술논문

目的：探讨舒筋汤结合三步理筋手法用于手部Ⅱ区屈肌腱修复术后粘连的临床疗效。方法将90例（136指）手部Ⅱ区屈肌腱粘连患者随机分为治疗组（45例70指）和对照组（45例66指）。治疗组予以中药洗剂舒筋汤结合三部理筋手法治疗，对照组予以红外理疗灯照射结合手部术后常规功能锻炼法。通过测量手指总主动活动度（TAM）评定疗效。结果治疗组总有效率97.1%，对照组总有效率87.9%，两组比较差异有统计学意义（P＜0.05）。结论舒筋汤结合理筋手法对于治疗Ⅱ区屈肌腱术后粘连疗效明显，可极大限度改善手部功能。
목적：탐토서근탕결합삼보리근수법용우수부Ⅱ구굴기건수복술후점련적림상료효。방법장90례（136지）수부Ⅱ구굴기건점련환자수궤분위치료조（45례70지）화대조조（45례66지）。치료조여이중약세제서근탕결합삼부리근수법치료，대조조여이홍외리료등조사결합수부술후상규공능단련법。통과측량수지총주동활동도（TAM）평정료효。결과치료조총유효솔97.1%，대조조총유효솔87.9%，량조비교차이유통계학의의（P＜0.05）。결론서근탕결합리근수법대우치료Ⅱ구굴기건술후점련료효명현，가겁대한도개선수부공능。
Objective To discuss the clinical effect of adhesion after operation for treatment of zone II flexor tendon of hand by the integrated of the conditioning tendons soup and the three steps tendon-soothing maneuver. Methods 90 cases(136 fingers) of zoneⅡ flexor tendon adhesion of hand after operation were divided into the treatment group (45 cases,70 fingers) and the control group(45cases, 66 fingers) by random method.The treatment group was given conditioning tendons soup and three-steps tendon-soothing maneuver treatment, the control group was given infrared light irradiation and general postoperative functional exercises of hand. Total active motion(TAM) of fingers were measured to evaluate the efficacy. Results The total effective rates of the treatment group was 97.1%,and the control group was 87.9%,compared two groups, the difference was statistically significant(P < 0.05). Conclusion It has an obvious curative effect in treatment of zone II flexor tendon adhesion of hand after operation by integrated the conditioning tendons soup and the three steps tendon-soothing maneuver.It can improve the function of hand greatly.