[1]杨占宇,王旼娴,龙青燕,等.手法淋巴引流结合肌内效贴治疗中早期手碾压伤患者肿胀的临床研究[J].中华老年骨科与康复电子杂志,2021,(03):164-169.[doi:10.3877/cma.j.issn.2096-0263.2021.03.007]
　Yang Zhanyu,Wang Minxian,Long Qingyan,et al.A clinical study of treatments to edema by manual lymphatic drainage combined with kinesio taping on patients with hand crushing injury in early-middle phase[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(03):164-169.[doi:10.3877/cma.j.issn.2096-0263.2021.03.007]
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手法淋巴引流结合肌内效贴治疗中早期手碾压伤患者肿胀的临床研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2021年03期
页码:
164-169
栏目:
康复医学
出版日期:
2021-06-05

文章信息/Info

Title:
A clinical study of treatments to edema by manual lymphatic drainage combined with kinesio taping on patients with hand crushing injury in early-middle phase
作者:
杨占宇; 王旼娴; 龙青燕; 黄犇; 周学梅; 郭艳萍
215132 苏州瑞盛康复医院康复医学科
Author(s):
Yang Zhanyu;  Wang Minxian;  Long Qingyan;  Huang Ben;  Zhou Xuemei;  Guo Yanping
Department of Rehabilitation, Suzhou Ruisheng rehabilitation hospital, Suzhou 215132, China
关键词:
手损伤;  肌内效贴;  手法淋巴引流
Keywords:
Hand injuries;  Kinesio taping;  Manual lymphatic drainage
DOI:
10.3877/cma.j.issn.2096-0263.2021.03.007
文献标志码:
A
摘要:
目的 观察手法淋巴引流结合肌内效贴治疗中早期手掌碾压伤术后患者肿胀的疗效。方法 前瞻性收集临床确诊为手掌部碾压伤病程1个月以上、肿胀较重的患者30例，按随机数字表法分成对照组（n=15）和试验组（n=15）。对照组给予常规手法治疗、肌肉力量、超声波、低频、蜡疗、作业训练、中药薰药等治疗。试验组执行对照组相同治疗方案基础上增加手法淋巴引流结合肌内效贴治疗。以上治疗每日1次，7 d一个疗程，连续治疗3个疗程。于治疗前和治疗后对两组患者的上肢综合功能（DASH评分）、手部灵活性（9孔木插板）、手部肿胀程度（手掌围度）进行评估。结果 治疗后，两组患者治疗后DASH评分[（46±12、41±6）分]、9孔木插板时间[（39±5、32±4）秒]、手掌围度[（21.8±1.1、21.6±1.3）cm]与治疗前比较，差异均有统计学意义（P＜0.05），治疗后试验组的DASH评分、手掌围度、9孔木插板时间均优于对照组，差异有统计学意义（P＜0.05）。结论 手掌部碾压伤患者在常规康复治疗基础上增加手法淋巴引流及肌内效贴治疗，可以改善患者手部肿胀程度，促进手功能恢复。
Abstract:
Objective To investigate the efficacy of manual lymphatic drainage combined with kinesio taping in the treatment of edema on patients with hand crushing injury in early-middle phase. Methods All 30 patients with severe edema after hand crushing injury for over 1 month were randomly divided into control group (n=15) and experimental group (n=15). The control group received routine rehabilitation therapy, including manipulation, strength training, ultra-sound and low-frequency electronic pulse therapy, kerotherapy, occupational therapy and herbal fumigating. The experimental group received manual lymphatic drainage combined with kinesio taping on the basis of routine rehabilitation therapy. Both groups were treated once a day for 3 weeks. DASH scale, 9-hole peg test, palm girth measurement were used to assess upper extremity function, finger mobility and edema before and after treatment. Results Three weeks after treatments, the DASH scores (46±12, 41±6)points, the time required to insert nine-hole wooden board(39±5, 32±4)s and palm circumference (21.8±1.1, 21.6±1.3)cm were improved in these groups as compared with those before treatments,differences were statistically significant (P<0.05). As compared with control group, the DASH scores, the time required to insert nine-hole wooden board and palm circumference were also improved, differences were statistically significant (P<0.05). Conclusion On the basis of routine rehabilitation therapy, manual lymphatic drainage combined with kinesio taping can alleviate the edema and promote the recovery of hand function.

备注/Memo

备注/Memo:
基金项目：苏州市相城区科技计划项目民生科技专项（No.201705）
更新日期/Last Update: 2021-06-29