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目的:探讨中医四联疗法对儿童伸直型肱骨髁上骨折术后功能康复的影响。方法:将60例儿童伸直型肱骨髁上骨折患者随机分为治疗组与对照组,每组30例,治疗组予中医四联疗法(中药熏洗、关节松动训练、运动疗法、冷疗),对照组行常规关节松动训练。随访测量肘关节屈伸活动范围,以Mayo标准评定患者肘关节功能。结果:随访6-18个月,平均10.7个月,治疗组患者术后肘关节活动范围均达到正常,对照组出现肘关节周围肌肉萎缩13例、肘关节僵硬4例、关节活动度降23例。对照组出现肘内翻8例(26.7%),治疗组出现肘内翻3例(10.0%)。两组疗效比较,治疗组优于对照组,差异有统计学意义(P<0.05)。治疗组Mayo评分优于对照组,差异有统计学意义(P<0.01)。结论:中医四联疗法可促进儿童肱骨髁上骨折术后肘关节功能的早期恢复。
Objective: To investigate the effect of quadruple therapy of traditional Chinese medicine (TCM) on functional rehabilitation of children with supracondylar fracture of humerus. Methods: Sixty cases of children with supracondylar humerus fractures were randomly divided into treatment group and control group, with 30 cases in each group. The treatment group was given TCM quadruple therapy (traditional Chinese medicine fumigation, joint loose training, exercise therapy and cold therapy) The control group received conventional joint loose training. Follow-up measurement of elbow flexion and extension activities, evaluation of elbow function Mayo standard. Results: The follow-up ranged from 6 to 18 months, an average of 10.7 months. The elbow range of the patients in the treatment group reached normal. The control group had 13 cases of muscle atrophy around the elbow, 4 cases of elbow stiffness and 23 cases of decreased joint mobility . In the control group, 8 patients (26.7%) had cubitus varus and 3 patients (10.0%) had cubitus varus in the treatment group. The curative effect of the two groups was better than that of the control group, the difference was statistically significant (P <0.05). The Mayo score in the treatment group was better than that in the control group, with significant difference (P <0.01). Conclusion: TCM quadruple therapy can promote early recovery of elbow joint function after supracondylar fracture of humerus in children.