国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2013年
5期
394-396
,共3页
不稳定踝关节骨折%早期负重锻炼%石膏固定%关节功能%骨折愈合
不穩定踝關節骨摺%早期負重鍛煉%石膏固定%關節功能%骨摺愈閤
불은정과관절골절%조기부중단련%석고고정%관절공능%골절유합
Unstable ankle fracture%Early weight bearing exercise%Plaster fixed%Joint function%Fracture healing
目的 观察早期负重锻炼对不稳定性踝关节骨折患者术后功能恢复及骨折愈合的影响.方法 选择1999年1月至2010年1月四川省洪雅县中医医院骨伤科接受手术治疗的50例不稳定型踝关节骨折患者,按入院顺序随机分为两组各25例,两组患者术后均口服中药治疗,在此基础上治疗组于术后早期开始负重锻炼,对照组采用术后石膏固定2周后进行功能锻练,比较两组患者术后功能及骨折愈合情况.结果 ①治疗组踝关节周径差,术后24h为(2.78±0.67) cm,术后1周为(1.67±0.59) cm,与对照组同阶段[分别为(2.81±0.68) cm、(1.69±0.51)cm]比较,差异无统计学意义(P均＞0.05).术后6周时,治疗组踝关节周径差为(0.53±0.31) cm,明显小于对照组的(1.25±0.47) cm,两组比较差异有统计学意义(t＝6.39,P＜ 0.05).②治疗组患者治疗6周时肿胀缓解总有效率为96.0％,高于对照组的76.0％,两组比较差异有统计学意义(x2=4.15,P＜ 0.05).③疼痛指数:两组患者术后24 h、术后1周时和术后6周时比较,差异均无统计学意义(t值分别为0.33、0.68、0.28,P均＞0.05).④治疗组术后3个月Baird-Jackson评分为(73.28±6.11)分,对照组为(71.89±5.92)分,两组比较差异无统计学意义(P＞0.05)；术后6个月时治疗组为(95.21±8.25)分,高于对照组的(82.52±6.96)分,两组比较差异有统计学意义(P＜0.05).结论 早期负重锻炼可促进患肢血液回流,缓解肿胀,有利于不稳定踝关节骨折肢体功能恢复及骨折的愈合.
目的 觀察早期負重鍛煉對不穩定性踝關節骨摺患者術後功能恢複及骨摺愈閤的影響.方法 選擇1999年1月至2010年1月四川省洪雅縣中醫醫院骨傷科接受手術治療的50例不穩定型踝關節骨摺患者,按入院順序隨機分為兩組各25例,兩組患者術後均口服中藥治療,在此基礎上治療組于術後早期開始負重鍛煉,對照組採用術後石膏固定2週後進行功能鍛練,比較兩組患者術後功能及骨摺愈閤情況.結果 ①治療組踝關節週徑差,術後24h為(2.78±0.67) cm,術後1週為(1.67±0.59) cm,與對照組同階段[分彆為(2.81±0.68) cm、(1.69±0.51)cm]比較,差異無統計學意義(P均＞0.05).術後6週時,治療組踝關節週徑差為(0.53±0.31) cm,明顯小于對照組的(1.25±0.47) cm,兩組比較差異有統計學意義(t＝6.39,P＜ 0.05).②治療組患者治療6週時腫脹緩解總有效率為96.0％,高于對照組的76.0％,兩組比較差異有統計學意義(x2=4.15,P＜ 0.05).③疼痛指數:兩組患者術後24 h、術後1週時和術後6週時比較,差異均無統計學意義(t值分彆為0.33、0.68、0.28,P均＞0.05).④治療組術後3箇月Baird-Jackson評分為(73.28±6.11)分,對照組為(71.89±5.92)分,兩組比較差異無統計學意義(P＞0.05)；術後6箇月時治療組為(95.21±8.25)分,高于對照組的(82.52±6.96)分,兩組比較差異有統計學意義(P＜0.05).結論 早期負重鍛煉可促進患肢血液迴流,緩解腫脹,有利于不穩定踝關節骨摺肢體功能恢複及骨摺的愈閤.
목적 관찰조기부중단련대불은정성과관절골절환자술후공능회복급골절유합적영향.방법 선택1999년1월지2010년1월사천성홍아현중의의원골상과접수수술치료적50례불은정형과관절골절환자,안입원순서수궤분위량조각25례,량조환자술후균구복중약치료,재차기출상치료조우술후조기개시부중단련,대조조채용술후석고고정2주후진행공능단련,비교량조환자술후공능급골절유합정황.결과 ①치료조과관절주경차,술후24h위(2.78±0.67) cm,술후1주위(1.67±0.59) cm,여대조조동계단[분별위(2.81±0.68) cm、(1.69±0.51)cm]비교,차이무통계학의의(P균＞0.05).술후6주시,치료조과관절주경차위(0.53±0.31) cm,명현소우대조조적(1.25±0.47) cm,량조비교차이유통계학의의(t＝6.39,P＜ 0.05).②치료조환자치료6주시종창완해총유효솔위96.0％,고우대조조적76.0％,량조비교차이유통계학의의(x2=4.15,P＜ 0.05).③동통지수:량조환자술후24 h、술후1주시화술후6주시비교,차이균무통계학의의(t치분별위0.33、0.68、0.28,P균＞0.05).④치료조술후3개월Baird-Jackson평분위(73.28±6.11)분,대조조위(71.89±5.92)분,량조비교차이무통계학의의(P＞0.05)；술후6개월시치료조위(95.21±8.25)분,고우대조조적(82.52±6.96)분,량조비교차이유통계학의의(P＜0.05).결론 조기부중단련가촉진환지혈액회류,완해종창,유리우불은정과관절골절지체공능회복급골절적유합.
Objective To compare the influence of early weight bearing exercise and plaster fixed method on postoperative function and fracture healing of unstable ankle fracture patients.Methods 50 cases of unstable ankle fracture patients who did surgical treatment in our hospital were selected as the research object,and were randomly divided into an observation group and a control group.The observation group was applied with early postoperative weight bearing exercise,while the control group patients was applied with postoperative plaster fix with 2 weeks.The postoperative function and fracture healing situation of both groups were compared.Results At postoperative 24 hours and 1 week,the perimeter difference of two groups were not statistically different (P＞0.05).At postoperative 6 weeks,the perimeter difference was (0.53 ±0.31) cm in the observation group and (1.25±0.47)cm in the control group,the comparative differences was statistical significance (t=6.39,P＜0.05).The total effective rate of alleviate swelling in the observation group at postoperative 6 weeks was 96.0％,which was higher than that of the control group (76.0％) with statistical difference (x2=4.15,P＜0.05).At postoperative 24 hours,postoperative 1 week and postoperative 6 weeks,the pain index comparison difference between the two groups was not statistically significant (P＞0.05).The Baird-Jackson score of the observation group at postoperative 3 months was not different with the control group with statistically significant (P＞0.05) ; At the postoperative 6 months,the Baird-Jackson score of the observation group was (95.21 ± 8.25),which was higher than that in the control group (82.52±6.96) with statistical difference (t=5.88,P＜0.05).Conclusion The early weight bearing exercise can promote haemal circumfluence,relieve swelling,and be helpful for function recovery and fracture healing of unstable ankle fracture patients.
