| Objective:The aims of this study were to a treatment group and a control group of extension type fracture of distal radius (muscle and blood stasis) in patients with late the conduct of randomized controlled clinical research, through regular wrist function overall evaluation and self evaluation of patients, observation Lycopodii fumigation washing combined with functional exercise to promote extension type fracture of distal radius (muscle and blood stasis) late wrist joint function recovery in efficacy and safety, and to explore the late fracture of herbal fumigation rehabilitation mechanism and reduction and anatomical factors on functional recovery of affected, in order to develop Chinese medicine fumigation rehabilitation by advantages provide a basis.Methods:Take a prospective randomized controlled trial of research methods, we selected60cases of extension type fracture of distal radius (muscle and blood stasis) by manipulative reduction and splint fixation for the treatment of a case, according to the order were randomly divided into treatment group and control group, ensure patients according tol:1into the treatment group and control group. All patients underwent manipulative reduction and splint fixation after6weeks of release splint, the treatment group to be in Shenjin fumigation washing for8weeks with the wrist joint function exercise rehabilitation therapy, and control group was treated with Haitongpi Tang fumigation in8weeks with the wrist joint function exercise rehabilitation therapy, and in2weeks, fumigation in4weeks,8weeks wrist joint function evaluation (Sarmiento score) and patient self assessment (PRWE score), and measurement of distal radial imaging indexes (radial shortening length of palmar tilt, malformation, etc.).Results:1, removal of the splint after fumigation,4weeks,2weeks and8weeks at the wrist joint function evaluation and patient self-evaluation: compare between groups, the treatment group and subgroup (Lidstrom â… ,â…¡) were superior to the control group in the same grade. Description of extension type fracture of distal radius (muscle and blood stasis) manipulative reduction and splint fixation in patients, removal of the splint after application of sinew and fumigation washing combined with wrist joint function exercise with Haitongpi Tang fumigation wrist joint function exercise can better promote patient wrist joint function recovery;2, in the removal of the splint after fumigation in2week,4weeks,8weeks of wrist function evaluation and patient self-evaluation: group comparison, the treatment group is better than that of Lidstrom I Lidstrom â…¡ Lidstrom I; control group was superior to that of Lidstrom â…¡. Description of reduction degree of effect of intra-articular fractures of the distal radius late wrist joint function recovery, fumigating combined with functional exercise rehabilitation efficacy and reduction of the advantages and disadvantages are related;3,30cases in the treatment group after treatment by fumigation, none of the patients showed localized skin rashes, blisters, pain or skin itching and other adverse reactions, illustrate Lycopodii fumigation washing small irritation to the skin, with good safety.Conclusion:1, the extension type fracture of distal radius (muscle and blood stasis) application in Shenjin fumigation washing combined with wrist joint function exercise with Haitongpi Tang fumigation wrist joint function exercise can better promote patient wrist joint function recovery;2, reduction effect of intra-articular distal radial fracture of wrist joint function recovery in the late, fumigating combined with functional exercise rehabilitation efficacy and reduction of the advantages and disadvantages are related;3, the treatment group and the control group in the safety index showed no abnormalities, illustrate the application of sinew and fumigation washing clinical application is safe and reliable. |