The Clinical Research Of Shujinxiyao Go With Function-orthosis To Lessen The Adhesion Of Flexor Tendon

Purpose: summarize the recognition and investigation progress ofadhesion of tendon on traditional medicine of china and modern medicine;to explore the effective of utilizing shujinxiyao go withhand-function-orthosis on lessen the adhesion ofprothesis-Flexor-tendon.Method: after consult a number of literatures in ancient ormodern, internal or abroad, to summarize and evaluation the pathogenesy ofadhesion of tendon, and the current situation of the measure to prophylaxisor lessen it. Through prospective antithetical investigation, overview 30patient who is post-op of flexor tendon. Over the operation, supply theexperiment group with wash of shujinxiyao, and do active exercise whichis under the control of function orthosis. And the control group fixedwith passive exercise 4 weeks, then do independence functionalexercise. Detect the total active movement (TAM)of the finger in distinctstage. The course is 12 weeks.Consequence: According to Traditional Chinese Medicine(TCM),adhesion of tendon belong to "pa disease", "poly-tendon".Itsetiological factor include "endopenia of healthy energy" and "inwardinvasion of cold and dampness". Obstruct and stuff of evil factoraffecting health,stagnation of vital energy and blood, imperforation ofarteries and veins, are the key point of the pathogenesis. Its locationis in muscle, meridian, joint. Modern medicine consider it is concernedwith musculotendinous nutriture in the reparation. Now the method usedto lessen the adhesion of tendon in clinic include: regulation of cell proliferation, physico-insulation, physicotherapeutics, earlymobilization, wash of Chinese crude drug, etc.The "Daoyin", "Wash of Chinese crude drug" have sharp-cut featureon the precaution. Daoyin through these way to lessen the adhesion oftendon:form pressurize-pump effect, impulse the flow of QI and blood, tospeed up neoformation and metabolism, mechanically interrupt, stresseffection, etc. Wash of Chinese crude drug can form these effect to lessenthe adhesion:promote the circulation of blood and lymph, improve nutritureand metabolism of injury part.Guiding by the theory of "Daoyin", "Wash of Chinese crude drug",doclinical research of "shujinxiyao go with function-orthosis to lessen theadhesion of Flexor tendon. After detect the total active movement (TAM)ofthe finger in distinct stage of 30 patient: 15 of experiment group(whichwash with shujinxiyao, and do active exercise which is under the controlof function orthosis after the operation);compare with 15 of controlgroup(which fixed with passive exercise 4 weeks, then do independencefunctional exercise after the operation).In distinct stage within 12weeks, the hand function of experiment group are always outweigh thencontrol group. After 12 weeks treatment, the rate of fineness ofexperiment group is lO0％,compare with 83.34％of control group. Manage byt-test, p＜0.05, there are significant difference between two groups.Conclusion: adhesion of tendon is common in hand surgery, TCM hassatisfying theory to guide the lessen of adhesion. Wash with shujinxiyaogo with hand-function-orthosis could lessen the adhesion, make good effectin clinic. It could lessen the adhesion of tenden markedly, recovercheir-function of patient. For its convenient, easy use, cheapness, surelyeffect, little side effect, big safety factor, there are favourableapplication outlook for it.