赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效观察.docx

赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效观察
赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效观察
摘要：
背景：指屈肌腱修复术是治疗手指屈肌腱断裂的常见手术，但手术后可能会出现粘连并影响手指的功能恢复。赤木洗剂是一种常用的治疗粘连的药物，本研究旨在观察赤木洗剂治疗指屈肌腱修复术后粘连的临床疗效。
方法：本次研究共选取50例指屈肌腱修复术后出现粘连的患者。患者随机分为观察组和对照组，观察组接受赤木洗剂治疗，对照组接受传统治疗。观察组在术后第3天开始每天使用赤木洗剂进行局部冲洗和按摩，治疗期为4周。对照组使用传统的物理疗法治疗。在治疗前和治疗后，采用活动幅度和粘连评分量表对患者进行评估。
结果：观察组治疗后的活动幅度明显大于对照组，差异有统计学意义（P<0.05）。在治疗后的粘连评分中，观察组的评分比对照组低，差异有统计学意义（P<0.05）。观察组患者的满意度明显高于对照组（P<0.05）。
结论：赤木洗剂能够有效地治疗指屈肌腱修复术后的粘连，提高手指的活动功能恢复。它具有较好的疗效和患者满意度，可以作为指屈肌腱修复术后粘连的重要治疗方法。
关键词：赤木洗剂，指屈肌腱修复术，粘连，临床疗效观察
Abstract：
Background:Flexortendonrepairsurgeryisacommonprocedurefortreatingfingerflexortendonrupture,butpost-operativeadhesionmayoccurandaffectfingerfunctionrecovery.Chimuwashisacommonlyuseddrugfortreatingadhesions.ThisstudyaimstoobservetheclinicaleffectsofChimuwashinthetreatmentofpost-operativeadhesionsfollowingflexortendonrepairsurgery.
Methods:Atotalof50patientswithpost-operativeadhesionsfollowingflexortendonrepairsurgerywereselectedforthisstudy.Thepatientswererandomlydividedintoanobservationgroupandacontrolgroup,withtheobservationgroupreceivingtreatmentwithChimuwashandthecontrolgroupreceivingtraditionaltreatment.TheobservationgroupstartedusingChimuwashforlocalflushingandmassagefromthethirddayaftersurgery,foratreatmentperiodof4weeks.Thecontrolgroupreceivedtraditionalphysicaltherapy.Beforeandaftertreatment,thepatientswereevaluatedusingtherangeofmotionandadhesionscoringsystem.
Results:Therangeofmotionintheobservationgroupaftertreatmentwassignificantlygreaterthanthatinthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05).Inthepost-treatmentadhesionscoring,theobservationgrouphadlowerscoresthanthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05).Thesatisfactionrateintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup(P<0.05).
Conclusion:Chimuwashcaneffectivelytreatpost-operativeadhesionsfollowingflexortendonrepairsurgeryandimprovefingerfunctionrecovery.Ithasgoodefficacyandpatientsatisfaction,andcanbeconsideredasanimportanttreatment