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目的:观察中西医结合康复疗法对手外伤术后患者手功能恢复的影响。方法:将全部来自于本院2015年1月—2016年3月的手外伤患者,共70例随机分为治疗组和对照组各35例。全部患者均在本院行手术治疗后进行康复治疗。对照组:以常规康复训练为主,采用作业疗法、被动关节运动、被动和辅助运动、行抓握训练等。治疗组在对照组的基础上加以中医特色康复治疗方法,包括中药口服、针灸、中药熏洗。分别在治疗4、8周后,对两组患者的功能恢复情况进对比观察。结果:两组患者血运评分比较,治疗组优良率为82.85%,对照组优良率为71.43%,治疗组明显优于对照组,P<0.05。两组治疗4周后功能评分比较,对照组血液循环等级优良差的功能评分分别为(49.91±6.88)、(43.74±6.07)、(37.21±6.31)分;治疗组血液循环等级优良差的功能评分分别为(52.85±5.77)、(49.56±5.91)、(45.49±5.74)分。治疗组血液循环等级良和差的功能评分均高于对照组,P<0.05,P<0.01。两组治疗8周后功能评分比较,对照组血液循环等级优良差的功能评分分别为(58.09±5.34)、(50.22±5.97)、(41.39±5.87)分;治疗组血液循环等级优良差的功能评分分别为(61.78±7.62)、(56.65±6.19)、(52.88±6.66)分。治疗组血液循环等级良和差的功能评分均高于对照组,P<0.05,P<0.01。结论:中西医结合康复疗法有利于手外伤术后患者手功能恢复。
Objective: To observe the effect of Integrative Chinese and Western Rehabilitation Therapy on hand function recovery after hand injury. Methods: All 70 patients with hand injuries from our hospital from January 2015 to March 2016 were randomly divided into treatment group (35 cases) and control group (35 cases). All patients underwent surgical treatment in our hospital for rehabilitation. Control group: the main routine rehabilitation training, the use of home therapy, passive joint movement, passive and ancillary exercises, line grasping training. On the basis of the control group, the treatment group was given traditional Chinese medicine rehabilitation therapy, including traditional Chinese medicine oral administration, acupuncture and moxibustion and traditional Chinese medicine fumigation. After 4 and 8 weeks of treatment respectively, the comparison of functional recovery of the two groups of patients was carried out. Results: The blood grouping score of the two groups was 82.85% in the treatment group and 71.43% in the control group, which was significantly better in the treatment group than in the control group (P <0.05). The functional scores of the two groups after 4 weeks of treatment were (49.91 ± 6.88), (43.74 ± 6.07) and (37.21 ± 6.31) points, respectively. The poor blood circulation level in the treatment group The scores were (52.85 ± 5.77), (49.56 ± 5.91) and (45.49 ± 5.74) points respectively. The functional scores of good and poor grades of blood circulation in the treatment group were higher than those in the control group, P <0.05, P <0.01. The functional scores of the two groups after 8 weeks of treatment were (58.09 ± 5.34), (50.22 ± 5.97) and (41.39 ± 5.87) points, respectively. The excellent grade of poor blood circulation in the treatment group The scores were (61.78 ± 7.62), (56.65 ± 6.19) and (52.88 ± 6.66) points respectively. The functional scores of good and poor grades of blood circulation in the treatment group were higher than those in the control group, P <0.05, P <0.01. Conclusion: Integrative Chinese and Western medicine rehabilitation is beneficial to the recovery of hand function in patients with hand injury.