摘要
目的:探讨中药内服加中药熏洗对手外伤术后康复的临床疗效。方法:将84例手外伤术后拆除缝线后1周内的患者随机分为观察组和对照组各42例。两组均采用常规康复训练,观察组在此基础上采用活血通络复方内服,1剂/d及外用复方熏洗。两组疗程均为8周。观察血液循环状态、上肢功能指数(UEFI)及6个月后遗留症状。结果:观察组血液循环状态评分高于对照组(P<0.01),血液循环状态分级观察组优于对照组(P<0.05);观察组总主动活动度(TAM)及UEFI均明显优于对照组(P<0.01);观察组优良率83.33%,优于对照组的52.38%(P<0.01);治疗后6个月,两组遗留症状评分观察组低于对照组(P<0.05)。结论:中药内服加中药熏洗对手外伤术后康复有显著的临床效果。
Objective：To explore the traditional Chinese medicine and Chinese herbal fumigation and washing for postoperative rehabilitation of hand injury. Method： Eighty-four cases of hand trauma after the removal of the suture within 1 week were randomly divided into the observation group and the control group （n=42 each）. Two groups were treated with routine rehabilitation training. Based on the routine treatment, decoction of activating blood circulation and dredging collaterals was given in the observation group daily supplemented by fumigation and washing of an external prescription. Two groups were treated for 8 weeks. Blood circulation, upper extremity function of （UEFI） and the remaining symptoms after 6 months were investigated. Result： After treatment, blood circulation status score in the observation group was higher than that of the control group （P〈0.01）, blood circulation classification in the observation group better than that in control group （P〈0.05）. In the observation group, TAM and UEFI were significantly better than those in the control group （P〈0.01）. In the observation group, the excellent and good rate was 83.33%, higher than 52.38% of the controls （P〈0.01）. After 6 months treatment, the legacy symptom score in two groups showed significant difference by rank sum test （ P〈0.05）. Conclusion： Traditional Chinese medicine with Chinese herbal fumigation and washing for postoperative rehabilitation of hand injury has significant clinical effect, worthy of further study.
出处
《中国实验方剂学杂志》
CAS
北大核心
2013年第5期333-335,共3页
Chinese Journal of Experimental Traditional Medical Formulae
基金
苏州园区科技支撑项目(sysd2011069)
关键词
手外伤
康复
活血通络方
中药熏洗
hand injury
rehabilitation
prescription for activating blood circulation and dredging collaterals
Chinese herbal fumigation and washing
