中医理疗改善手部屈指肌腱Ⅱ区损伤修复术后肌腱粘连临床观察.docVIP

中医理疗改善手部屈指肌腱Ⅱ区损伤修复术后肌腱粘连的临床观察 　　[摘要]目的 探讨中医理疗改善手部屈指肌腱Ⅱ区损伤修复术后肌腱粘连的临床效果。方法 选取2016年1月～2017年1月我院收治的60例手部屈指肌腱Ⅱ区损伤患者作为研究对象，随机分为对照组和观察组，各30例。对照组术后采取石膏进行固定，在石膏固定4周后将其拆除，不使用其他康复治疗方法。观察组术后采用超激光及中医定向透药疗法进行辅助治疗，观察两组的临床疗效。结果 两组出院时的VAS评分低于入院时，差异有统计学意义（P0.05）。观察组出院时的VAS低于对照组，差异有统计学意义（P0.05）。观察组术后4、6、8周的手功能TAM评分均显著高于对照组同时间段，差异有统计学意义（P0.05）。观察组术后8周的手功能TAM优良率为93.3%，显著高于对照组的56.7%，差异有统计学意义（P0.05）。结论 中医理疗对屈指肌腱修复手术康复效果具有很大帮助，患者的康复优良率高。 　　[关键词]中医理疗；屈指肌腱断裂术后；超激光；中医定向透药；早期功能锻炼 　　[中图分类号] R685.4 [文献标识码] A [文章编号] 1674-4721（2017）06（b）-0139-03 　　[Abstract]Objective To explore the clinical effect of traditional Chinese medicine physiotherapy in improving the tendon adhesion of hand flexor tendon injury after repair of zone Ⅱ.Methods From January 2016 to January 2017，60 patients with flexor tendon injury of zone Ⅱ in our hospital were selected and randomly divided into the control group and the observation group，30 cases in each group.The control group was fixed with plaster after operation，and the plaster was removed after 4 weeks，no other rehabilitation methods were used.The observation group was treated with ultra-laser and traditional Chinese medicine directional drug therapy.The clinical efficacy of the two groups was compared.Results The VAS scores at the time of discharge in the two groups was lower than that at the time of admission，with significant difference （P0.05）.The VAS scores at the time of discharge in the observation group was lower than that in the control group，with significant difference （P0.05）.The TAM scores of hand function at 4，6 and 8 weeks after operation in the observation group was significantly higher than that in the control group at the same time，with significant difference （P0.05）.The excellent and good rate of TAM of hand function at 8 weeks after operation in the observation group was 93.3%，which was significantly higher than that of the control group （56.7%），with significant difference （P0.05）.Conclusion The effect of traditional Chinese medicine on the reh