| 动力支具配合舒筋洗外用颗粒治疗掌指关节侧副韧带挛缩 |
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Received:July 09, 2019
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| 作者 | Author | 单位 | Unit | E-Mail |
| 谢丽娟 |
XIE Li-juan |
佛山市中医院修复重建外科, 广东 佛山 528000 |
Department of Reparative and Reconstructive Surgery, Foshan Hospital of TCM, Foshan 528000, Guangdong, China |
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| 杨松 |
YANG Song |
佛山市中医院修复重建外科, 广东 佛山 528000 |
Department of Reparative and Reconstructive Surgery, Foshan Hospital of TCM, Foshan 528000, Guangdong, China |
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| 王应琼 |
WANG Ying-qiong |
佛山市中医院修复重建外科, 广东 佛山 528000 |
Department of Reparative and Reconstructive Surgery, Foshan Hospital of TCM, Foshan 528000, Guangdong, China |
2311007841@qq.com |
| 叶惠萍 |
YE Hui-ping |
佛山市中医院修复重建外科, 广东 佛山 528000 |
Department of Reparative and Reconstructive Surgery, Foshan Hospital of TCM, Foshan 528000, Guangdong, China |
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| 期刊信息：《中国骨伤》2020年33卷，第3期，第219-223页 |
| DOI：10.12200/j.issn.1003-0034.2020.03.006 |
| 基金项目:佛山市卫生局课题（编号：20180076）；佛山市十三五医学重点专科建设项目（编号：FSZDZK135019） |
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目的：探讨手部动力支具配合舒筋洗外用颗粒治疗掌指关节侧副韧带挛缩的临床疗效。
方法：自2017年6月至2019年1月将收治的50例掌指关节侧副韧带挛缩患者分为试验组和对照组，每组25例。试验组男17例，女8例；年龄19~63（40.53±9.42）岁；患指36指；病程23~82（52.37±11.20）d；予手部动力支具配合舒筋洗外用颗粒熏洗治疗。对照组男15例，女10例；年龄21~58（42.11±8.36）岁；患指32指；病程18~71（48.24±12.50）d；予掌指关节松动训练治疗。观察两组患指疼痛症状、屈伸功能等情况，采用疼痛评分（VAS）评价疼痛缓解程度，采用握力大小评价患手握力恢复情况，采用关节总主动活动度（TAM）评价患指掌指关节功能恢复情况，并且记录两组患者二次手术及并发症发生情况。
结果：所有患者获得8周的随访。治疗前后试验组VAS评分、掌指关节TAM、患手握力分别为（4.22±1.09）分vs（1.98±1.01）分，（17.40±6.31）° vs（70.95±7.68）°，（4.83±3.09）kg vs（23.17±10.54）kg，对照组分别为（4.66±0.95）分vs（2.84±1.06）分，（16.25±5.66）° vs（59.14±10.61）°，（5.06±4.05）kg vs（16.25±9.66）kg；两组治疗后均较治疗前改善，差异有统计学意义（P<0.05）；治疗后试验组VAS、TAM、握力较对照组明显改善，差异有统计学意义（P<0.05）。治疗后两组均无并发症发生。试验组1例，对照组8例需二次手术治疗，差异有统计学意义（P<0.05）。
结论：手部动力支具配合舒筋洗外用颗粒能够明显缓解患指疼痛症状，促进患手握力的恢复，增加关节主动活动度，安全性好，为治疗掌指关节侧副韧带挛缩行之有效的保守治疗方法之一。 |
| [关键词]:掌指关节 侧副韧带 挛缩 |
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| Dynamic orthosis with Shujinxi(舒筋洗,SJX) external granule for the treatment of collateral ligament contracture of metacarpophalangeal joint |
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Abstract:
Objective: To explore clinical efficacy of hand power device and Shujinxi(舒筋洗,SJX) external granule in treating collateral ligament contracture of metacarpophalangeal joint.
Methods: Fifty patients with collateral ligament contracture of metacarpophalangeal joint from June 2017 to January 2019 were divided into experimental and control group,25 patients in each group. In experimental group,there were 17 males and 8 females aged from 19 to 63 years old with an average of (40.53±9.42) years old;36 affected fingers;the courses of disease ranged from 23 to 82 days with an average of (52.37±11.20) days;treated with hand power device and SJX external granule. In control group,there were 15 males and 10 females aged from 21 to 58 years old with an average of (42.11±8.36) years old;32 affected fingers; the courses of diseases ranged from 18 to 71 days with an average of (48.24±12.50) days; treated with loose training of metacarpophalangeal joints. Symptoms of pain of affected finger,flexion and extension function were observed between two groups,VAS score was used to evaluate relieve degree of pain,grip size was used to evaluate recovery of grip,total active motion was applied to assess recovery of metacarpophalangeal joints,the second operation and occurrence of complications between two groups were compared.
Results: All patients were followed up about 8 weeks. VAS score,total active motion of metacarpophalangeal joints and grip of affected finger before and after treatment in experimental group were (4.22±1.09) point vs (1.98±1.01) point,(17.40±6.31)° vs (70.95±7.68)°,(4.83±3.09) kg vs (23.17±10.54) kg respectively,while in control group were (4.66±0.95) point vs (2.84±1.06) point,(16.25±5.66)° vs (59.14±10.61)°,(5.06±4.05) kg vs (16.25±9.66) kg;there were statistical difference between two groups before and after treatment,and these items in experimental group after treatment were higher than that of control group(P<0.05). There were no complications occurred between two groups. One patient in experimental group and 8 patients in control group needed to be the second operation,and had significance difference(P<0.05).
Conclusion: Hand power device and SJX external granule could obviously relieve symptoms of pain of affected finger,improve recovery of grip strength,increase total active motion,and has good safety. It is an effective method for treating for the treatment of collateral ligament contracture of metacarpophalangeal joint. |
| KEYWORDS:Metacarpophalangeal joint Collateral ligaments Contracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 谢丽娟,杨松,王应琼,叶惠萍.动力支具配合舒筋洗外用颗粒治疗掌指关节侧副韧带挛缩[J].中国骨伤,2020,33(3):219~223 |
| 英文格式: | XIE Li-juan,YANG Song,WANG Ying-qiong,YE Hui-ping.Dynamic orthosis with Shujinxi(舒筋洗,SJX) external granule for the treatment of collateral ligament contracture of metacarpophalangeal joint[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(3):219~223 |
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