风湿病与关节炎
風濕病與關節炎
풍습병여관절염
Rheumatism and Arthritis
2015年
10期
24-26,62
,共4页
韩宗昌%李无%王战朝%石福明%孟庆阳
韓宗昌%李無%王戰朝%石福明%孟慶暘
한종창%리무%왕전조%석복명%맹경양
膝关节功能障碍%中药熏洗%CPM%胫骨平台骨折
膝關節功能障礙%中藥熏洗%CPM%脛骨平檯骨摺
슬관절공능장애%중약훈세%CPM%경골평태골절
knee joint dysfunction%Chinese herbal fumigating and washing%CPM%fracture of tibial plateau
目的：观察中药熏洗联合CPM治疗胫骨平台骨折术后功能障碍的临床疗效。方法：将54例胫骨平台骨折术后膝关节功能障碍的患者随机分为中药熏洗组、CPM组联合组，每组18例。中药熏洗组采用中药熏洗治疗，CPM组采用CPM机治疗，联合组以中药熏洗联合CPM机功能锻炼进行治疗。疗程均为3周。观察3组优良率及HSS评分。结果：联合组膝关节活动度优良率优于中药熏洗组和CPM组（P <0.05），中药熏洗组优于CPM组（P <0.05）。术后6个月随访时，联合组HSS评分及优良率均显著高于中药熏洗组和CPM组（P <0.05），中药熏洗组优于CPM组（P <0.05）。结论：中药熏洗联合CPM能够较好地治疗胫骨平台骨折术后膝关节功能障碍，松解膝关节周围软组织粘连，改善膝关节功能活动，临床效果较好。
目的：觀察中藥熏洗聯閤CPM治療脛骨平檯骨摺術後功能障礙的臨床療效。方法：將54例脛骨平檯骨摺術後膝關節功能障礙的患者隨機分為中藥熏洗組、CPM組聯閤組，每組18例。中藥熏洗組採用中藥熏洗治療，CPM組採用CPM機治療，聯閤組以中藥熏洗聯閤CPM機功能鍛煉進行治療。療程均為3週。觀察3組優良率及HSS評分。結果：聯閤組膝關節活動度優良率優于中藥熏洗組和CPM組（P <0.05），中藥熏洗組優于CPM組（P <0.05）。術後6箇月隨訪時，聯閤組HSS評分及優良率均顯著高于中藥熏洗組和CPM組（P <0.05），中藥熏洗組優于CPM組（P <0.05）。結論：中藥熏洗聯閤CPM能夠較好地治療脛骨平檯骨摺術後膝關節功能障礙，鬆解膝關節週圍軟組織粘連，改善膝關節功能活動，臨床效果較好。
목적：관찰중약훈세연합CPM치료경골평태골절술후공능장애적림상료효。방법：장54례경골평태골절술후슬관절공능장애적환자수궤분위중약훈세조、CPM조연합조，매조18례。중약훈세조채용중약훈세치료，CPM조채용CPM궤치료，연합조이중약훈세연합CPM궤공능단련진행치료。료정균위3주。관찰3조우량솔급HSS평분。결과：연합조슬관절활동도우량솔우우중약훈세조화CPM조（P <0.05），중약훈세조우우CPM조（P <0.05）。술후6개월수방시，연합조HSS평분급우량솔균현저고우중약훈세조화CPM조（P <0.05），중약훈세조우우CPM조（P <0.05）。결론：중약훈세연합CPM능구교호지치료경골평태골절술후슬관절공능장애，송해슬관절주위연조직점련，개선슬관절공능활동，림상효과교호。
Objective:To observe the clinical effect of Chinese herbal fumigating and washing combined with CPM in the treatment of knee joint dysfunction after operation on fracture of tibial plateau. Methods:54 cases of knee joint dysfunction after operation on fracture of tibial plateau fracture were randomly divided into a Chinese herbal fumigating and washing group(CHFWG),a CPM group,and a combined group,18 cases in each.The CHFWG was treated by Chinese herbal fumigating and washing,the CPM group by CPM alone and the combined group by Chinese herbal fumigating and washing combined with CPM.The three groups were treated for 3 weeks.Excellence rate and HSS score of the 3 groups were observed.Results:The excellence rate of the knee joint activity of the combined group was superior to those of the CHFWG and CPM group(P <0.05),and the excellence rate of the CHFWG was better than that of the CPM group(P <0.05). During the follow up after 6 months,the HSS score and excellence rate of the combined group were signiifcantly higher than those of the CHFWG and CPM group(P <0.05),and the CHFWG was better than the CPM group (P <0.05).Conclusion:Chinese herbal fumigating and washing combined with CPM can better treat the knee joint dysfunction after operation on fracture of tibial plateau,and improve the soft tissue conglutination and knee joint function,having a better clinical effect.
