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目的:观察平乐郭氏荣肌法治疗儿童创伤后肘关节僵直的康复疗效,为确定规范手法操作规程及临床推广提供临床依据。方法:选择创伤后肘关节僵直儿童患者,随机分为治疗组和对照组各36例,治疗组以平乐郭氏荣肌法治疗,对照组以传统手法治疗,均1次/d,15d为1个疗程,连续治疗4个疗程后采用肘关节屈伸活动度和美国特种外科医院(HSS)肘关节功能评分标准比较两组患者的康复疗效。结果:最后治疗组32例,对照组31例坚持治疗,两组患者肘关节屈伸活动度和HSS肘关节功能评分比较差异有统计学意义(P<0.05);康复疗效比较治疗组总有效率:90.63%,对照组总有效率:70.97%.结论:平乐郭氏荣肌法规范化操作规程治疗儿童创伤后肘关节僵直的康复疗效明显优于传统手法。
OBJECTIVE: To observe the curative effect of Pingle Guo-Rong-Musi method in the treatment of elbow joint stiffness after trauma in children, and to provide a clinical basis for determining the norm manipulation and clinical promotion. Methods: Thirty-six children with post-traumatic elbow stiffness were randomly divided into treatment group (36 cases) and control group (36 cases). The treatment group was treated by Pingle-Guo Rong-Rong method while the control group was treated by traditional method. 1 course of treatment, continuous treatment of 4 courses after the use of elbow flexion and extension activities and the United States Special Hospital (HSS) elbow function score criteria to compare the rehabilitation of patients in both groups. Results: The final treatment group, 32 cases, the control group, 31 cases of persistent treatment, two groups of patients with elbow flexion and extension activities and HSS elbow joint function score difference was statistically significant (P <0.05); rehabilitation efficacy comparison treatment group total efficiency: 90.63% in the control group, and 70.97% in the control group.Conclusion: The Pulao Kwok Wing Method standardized operation procedure is superior to the traditional method in treating elbow stiffness after trauma.