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张国兴,丘开亿,黄 友,童 钟,赵陈宁,陈翠珍.基于肌骨超声评价电针对手部肌腱修复术后粘连的效果[J].中国康复医学杂志,2020,(1):50~53
基于肌骨超声评价电针对手部肌腱修复术后粘连的效果    点此下载全文
张国兴  丘开亿  黄 友  童 钟  赵陈宁  陈翠珍
广东省工伤康复医院,广东省广州市,510440
基金项目:广东省中医药局面上项目(20171039)
DOI:10.3969/j.issn.1001-1242.2020.01.010
摘要点击次数: 79
全文下载次数: 57
摘要:
      摘要 目的:利用肌骨超声评估及总主动关节活动度(TAM)、功能独立性评定(FIM)观察电针的应用对手部肌腱损伤修复术后的临床效果。 方法:收集符合标准的手部肌腱损伤修复术后患者40例,并随机分为电针组和对照组各20例。两组患者均需接受康复宣教、物理因子治疗、支具配戴等综合治疗,而电针组在此基础上增加电针治疗。在治疗前,治疗后4周和8周分别使用肌骨超声评估肌腱粘连程度,并评估患者TAM和FIM。 结果:治疗4周后,2组患者重度粘连所占比例显著低于治疗前(P<0.05),TAM、FIM评分均显著高于治疗前(P<0.05)。治疗后电针组患者重度粘连所占比例低于对照组,TAM高于对照组(P<0.05),但两组患者治疗后FIM评分差异并无显著性意义(P>0.05)。治疗8周后,电针组患者重度粘连所占比例,TAM均显著优于组内治疗后4周及对照组治疗后8周(P<0.05),但电针组FIM评分较组内治疗后4周及对照组治疗后8周不具有显著性差异(P>0.05)。 结论:电针治疗对手部肌腱修复术后的粘连是积极有效的,治疗后患者受损手部的运动功能得到了极大的提升。
关键词:电针  手部肌腱损伤  肌骨超声  功能独立性评定  总主动关节活动度
Effects of electroacupuncture on adhesion after hand tendons injury repair based on musculoskeletal ultrasound exploration    Download Fulltext
Guangdong Provincial Work Injury Rehabilitation Center, Guangdong, Guangzhou, 510440 and Guangdong Provincial Work Injury Rehabilitation Center, Guangdong, Guangzhou, 510440
Fund Project:
Abstract:
      Abstract Objective: To explore the effect of electroacupuncture on adhesion after hand tendons injury repair based on musculoskeletal ultrasound examination, total active motion (TAM) and functional independence measure (FIM). Method: Forty patients were assigned randomly into control group (n=20) and electroacupuncture group (n=20). Both groups received rehabilitation education, physical modalities treatment and splint protection. In addition, electroacupuncture group received electroacupuncture treatment. Outcome variables included the degree of tendon adhesion, TAM and FIM before and after 4 and 8 weeks treatment. Result: There was significant difference in the proportion of severe tendon adhesion and TAM within group or between groups after 4 or 8 weeks treatment(P<0.05). There was also significant difference in FIM scores within group after 4 weeks treatment(P<0.05), But no significant difference was found in FIM scores within group between 4 and 8 weeks treatment or between groups after 4 and 8 weeks treatment(P>0.05). Conclusion: The electroacupuncture on adhesion after hand tendons injury repair is effective, which can greatly promote hand function and is worthy of clinical promotion and application.
Keywords:electroacupuncture  hand tendons injury  musculoskeletal ultrasound  FIM  TAM
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