正骨理筋手法联合双氯芬酸二乙胺外用在足踝关节损伤患者术后康复中的应用

摘要/Abstract

摘要： 目的探讨正骨理筋手法联合双氯芬酸二乙胺外用在足踝关节损伤患者术后康复中的应用效果。方法选择2018年9月~2022年1月在北京市昌平区中西医结合医院诊治的足踝关节损伤术后患者100例作为研究对象,根据治疗方法不同把患者分为手法组与对照组,每组50例。对照组给予双氯芬酸二乙胺外用治疗,手法组在对照组治疗的基础上给予正骨理筋手法治疗,两组都治疗观察14 d,记录与观察患者的预后情况。结果手法组的治疗总有效率明显高于对照组,差异有统计学意义（P<0.05）。两组治疗后的血液表观黏度与红细胞沉降率（ESR）水平都低于治疗前,且手法组治疗后各项水平均明显低于对照组,差异有统计学意义（P<0.05）。两组治疗后的疼痛评分与肿胀体积都显著低于治疗前,且手法组明显低于对照组,差异有统计学意义（P<0.05）。治疗后3个月,手法组的足踝关节功能显著高于对照组,差异有统计学意义（P<0.05）。结论正骨理筋手法联合双氯芬酸二乙胺外用在足踝关节损伤患者术后康复中的应用,能促进缓解疼痛与降低肿胀体积,还可改善患者的血液流变学状况,提高总体治疗效果与足踝关节功能优良性。

关键词: 正骨理筋手法, 双氯芬酸二乙胺, 足踝关节损伤, 疼痛, 血液流变, 肿胀体积

Abstract: Objective To explore the application effects of bone-setting and tendon-setting manipulation combined with external application of diclofenac diethylamine in postoperative rehabilitation of patients with ankle joint injury. Methods A total of 100 postoperative patients with foot and ankle joint injuries who were diagnosed and treated in Changping District Hospital of Integrated Traditional Chinese and Western Medicine in Beijing from September 2018 to January 2022 were retrospectively selected as the research objects, and the patients were divided into the manipulation group and the control group with 50 cases in each group accorded to depend on the treatment method. The control group were given diclofenac diethylamine topical treatment, and the manipulation group were given bone-setting and tendon-setting manipulation based on the treatment of the control group. Both groups were treated for 14 days, and the prognosis of the patients were recorded and observed. Results The total effective rates of the manipulation group were significantly higher than the control group (P<0.05). The blood apparent viscosity and erythrocyte sedimentation rate in the two groups after treatment were lower than those before treatment (P<0.05), and the manipulation group were also significantly lower than those in the control group (P<0.05). The pain score and swelling volume in the two groups after treatment were significantly lower than those before treatment (P<0.05), and the manipulation group were also significantly lower than that in the control group (P<0.05). At three months after treatment, the excellent and good rates of ankle joint function in the manipulation group were significantly higher than the control group (P<0.05). Conclusion The application of bone-setting and tendon-setting manipulation combined with external application of diclofenac diethylamine in postoperative rehabilitation of patients with ankle joint injury can promote pain relief and reduce swelling volume, and can also improve the hemorheology of patients, and improve the overall therapeutic effect and ankle joint injury.Excellent rate of joint function.

Key words: bone-setting and tendon manipulation, diclofenac diethylamine, foot and ankle joint injury, pain, blood flow, swelling volume

中图分类号:

R244.1

金冰, 王俊鹏, 郝宝东. 正骨理筋手法联合双氯芬酸二乙胺外用在足踝关节损伤患者术后康复中的应用[J]. 中华养生保健, 2022, 40(24): 25-28.

JIN Bing, WANG Jun-peng, HAO Bao-dong. Application of Bone-setting and Tendon-setting Manipulation Combined with External Application of Diclofenac Diethylamine in Postoperative Rehabilitation of Patients with Ankle Joint Injury[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(24): 25-28.

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