小针刀松解结合正清风痛宁注射液治疗肘关节挛缩的疗效研究.docxVIP

小针刀松解结合正清风痛宁注射液治疗肘关节挛缩的疗效研究 　　[摘要]目的分析讨论对肘关节挛缩患者进行小针刀松解和正清风痛宁注射液联合治疗的具体效果和实际价值。方法方便选取该院2017年1月—2018年12月肘关节挛缩患者72例，根据入院先后将其均分为两组，每组36例，对照组，应用小针刀松解治疗;观察组，应用小针刀松解+正清风痛宁注射液治疗。比较两组患者术前、术后1周、术后1月、术后3月hss评分和总有效率。结果术前，两组患者hss评分差异无统计学意义（p0.05）;术后1周、1月和3月，观察组hss评分明显高于对照组（t=5.502、5.480、3.897，p0.05）。观察组和对照组总有效率分别为97.23%和77.77%，观察组总有效率明显高于对照组（χ2=17.312，p0.05）。结论对肘关节挛缩患者进行小针刀松解和正清风痛宁注射液联合治疗可以有效改善患者上肢功能，整体治疗效果良好，在临床治疗中具有长远应用价值。 　　[关键词]小针刀松解;正清风痛宁注射液;肘關节挛缩 　　[中图分类号]r274[文献标识码]a[文章编号]1674-0742（2020）03（c）-0011-03 　　therapeuticeffectofxiaozhendaosongjiecombinedwithzhengqingfengtongninginjectiononelbowcontracture 　　zhaihong-ye 　　departmentofacupunctureandmoxibustion，thefirstclinicalhospitalofjilinacademyofchinesemedicalsciences，changchun，jilinprovince，130021china 　　[abstract]objectivetoanalyzeanddiscussthespecificeffectandpracticalvalueofxiaozhendaosongjiecombinedwithzhengqingfengtongninginjectioninthetreatmentofelbowcontracture.methods72casesofelbowjointcontractureinthehospitalfromjanuary2017todecember2018wereconvenientselectedanddividedintotwogroupsaccordingtotheadmissionorder.theobservationgroup，whichwastreatedwithxiaozhendaosongjie+zhengqingfengtongninginjection.hssscoresandtotalresponserateswerecomparedbetweenthetwogroupsofpatientsbeforesurgery，1weekaftersurgery，1monthaftersurgeryand3monthsaftersurgery.resultsbeforesurgery，therewasnostatisticallysignificantdifferenceinhssscoresbetweenthetwogroups（p0.05）.hssscoresintheobservationgroupweresignificantlyhigherthanthoseinthecontrolgroupat1week，1monthand3monthsaftertheoperation（t=5.502，5.480，3.897，p0.05）.thetotaleffectiverateofobservationgroupandcontrolgroupwas97.23%and77.77%，respectively.thetotaleffectiverateofobservationgroupwassignificantlyhigherthanthatofcontrolgroup（χ2=17.312，p0.05）.conclusionthecombinedtreatmentofxiaozhendaosongjieandzhengqingfengtongninginjectioncaneffectivelyimprovetheupperlimbfunctionofpatientswithelbowcontracture，andtheoveralltreatmenteffectisgood，whichhaslong-termclinicalvalue.