摘要
目的分析下肢骨折患者术后采取壮骨活血中药联合运动康复锻炼对其膝关节功能的影响。方法80例下肢骨折术后患者为研究对象,根据随机数字表法分为对照组与研究组,每组40例。对照组接受常规运动康复锻炼,研究组在对照组基础上联合壮骨活血中药治疗。对比两组干预前后关节功能恢复情况及并发症发生率。结果同干预前相比,两组干预后的最大屈曲角度、美国特种外科医院膝关节功能评定量表(HSS)评分、Fugl-Meyer运动功能评分量表(FMA)评分升高,最大伸直角度减小,对比存在统计学差异(P<0.05);研究组干预后最大屈曲角度(123.25±8.16)°、HSS评分(71.26±7.26)分、FMA评分(31.25±2.49)分高于对照组的(108.16±7.35)°、(60.17±6.45)分、(25.39±1.77)分,最大伸直角度(8.19±2.74)°小于对照组的(12.36±3.46)°,对比存在统计学差异(P<0.05)。研究组并发症发生率10.00%低于对照组的27.50%,对比存在统计学差异(P<0.05)。结论针对下肢骨折术后患者,采取壮骨活血中药联合运动康复锻炼干预有助于改善患者的膝关节功能,临床可进一步推广运用。
Objective To analyze the effect of traditional Chinese medicine for strengthening bone and promoting blood circulation combined with exercise rehabilitation on knee joint function of patients with lower limb fractures.Methods 80 patients with lower limb fractures were selected as the research subjects.They were divided into a control group and a study group based on a random number table method,40 cases per group.The control group received routine exercise rehabilitation,and the study group received traditional Chinese medicine for strengthening bone and promoting blood circulation based on the control group.The recovery of knee joint function before and after the intervention and the incidence of complications were compared between the two groups.Results Compared with before the intervention,the maximum flexion angle,hospital for special surgery(HSS)score,and the Fugl-Meyer assessment scale(FMA)score in both groups increased after the intervention,while the maximum extension angle decreased.There were statistically significant differences in the comparison(P<0.05).After the intervention,the maximum flexion angle of the study group was(123.25±8.16)°,the HSS score was(71.26±7.26)points,and the FMA score was(31.25±2.49)points,which were higher than those of the control group[(108.16±7.35)°,(60.17±6.45)points,and(25.39±1.77)points];the maximum extension angle(8.19±2.74)°of the study group was smaller than(12.36±3.46)°of the control group;there were statistically significant differences in comparison(P<0.05).The incidence of complications 10.00%in the study group was lower than 27.50%in the control group,and there were statistically significant differences in the comparison(P<0.05).Conclusion For patients with lower limb fractures,the combination of traditional Chinese medicine for strengthening bone and promoting blood circulation and exercise rehabilitation intervention can help improve the knee joint function,and can be further promoted and applied in clinical practice.
作者
黎明艳
王宪瑞
游先菊
廖华
LI Ming-yan;WANG Xian-rui;YOU Xian-ju(Department of Orthopaedics and Traumatology,Nankang District Hospital of Traditional Chinese Medicine,Ganzhou 341400,China)
出处
《中国实用医药》
2025年第20期145-147,共3页
China Practical Medicine
关键词
壮骨活血中药
运动康复锻炼
下肢骨折
膝关节功能
Traditional Chinese medicine for strengthening bones and promoting blood circulation
Exercise rehabilitation
Lower limb fractures
Knee joint function