Objective: Observing the influence of herbal fumigation and specificelectromagnetic spectrum Therapeutic Apparatus (TDP) of old interphalangealjoint ligament injury knuckles functional recovery observed changes in theirVAS score and swelling and other indicators to explore herbal fumigation ofold interphalangeal joint collateral ligament damage repair effect, in order toprovide a reliable basis for clinical application.Methods:60cases of patients with old ligament injury interpha-langealjoint side, both from January2012-October2013period Hospital of HebeiProvince orthopedic clinic. All patients included in the reference diagnosticcriteria and selection criteria and were randomly divided into a treatmentgroup of30patients in the control group of30patients, the treatment groupwere self-made orthopedic medicine Washing side Fumigation risk refers tothe composition: Tou Gu Cao30g, Shen Jin Cao30g, Zhi Cao Wu30g, ZhiChuan Wu30g, Mu Gua15g, Ai Ye15g, Gan Jiang15g, Chuan Jiao15g,Hong Hua15g, Chuan Xiong15g, Liu Ji Nu15g, Tu Yuan15g, Gui Zhi15g,Seng Zhi15g, Cang Zhu15g, Ji Xing Zi15g. Various drugs add water1500-2000ml, after soaking1h, boiling about30min, the liquid slag to go intosmall basins, pots placed on the treatment frame, so that means suffering fromthe liquid20-30cm, medicated smoked until the water temperature drops tothe human body can tolerate, the suffering that is immersed in the liquid20min, during the massage interphalangeal joint and interphalangeal jointactive and passive flexion and extension, among the best drug wash watertemperature is maintained at40℃.1times/d,7days for a course of treatment.The control group risk refers to the line of TDP irradiation treatment, every20-30min,1times/d,7days for a course of treatment.3groups of eachtreatment regimen.Observed treatment group and control group patients before and after treatment mean VAS score by hand to measure the degree of riskrefers to the swelling.Collected by hand, the observed experimental data entry indicators.Using SPSS13.0statistical processing, measurement data using mean±standard deviation (±S) described. All results for normality and homogeneityof variance test, measurement data if the homogeneity of variance t test, ifheterogeneity of variance is applied t ’test; count data using theχ2test.Adverse events/adverse reactions fourfold table usingχ2test, if the dataappears in a number of theories than5, using the Fisher method. All tests wereperformed using two-sided test, with P<0.05was considered statisticallysignificant.Results:1Comparing two groups of patients after a clinical efficacy: Excellenttreatment group was80.0%in the control group was70.0%excellent, by theχ2test, the treatment group than in the control group(P<0.05).2Comparison of VAS scores before and after treatment: two groups ofpatients before treatment VAS score balanced, the difference was notstatistically significant (P>0.05), two groups werecomparable.(1) Thetreatment groups: the first course of treatment and after treatment, thedifference was statistically significant (P<0.01);2,3compared with the firstcourse of treatment, the differences were statistically significant (P<0.01);Section3courses compared with the second course of treatment, thedifference was statistically significant (P<0.01).(2) The control group: beforeand after the first course of treatment, the difference was statisticallysignificant (P<0.05);2,3and the first course of treatment, the difference wasstatistically significant (P<0.05orP<0.01);3compared with the first twocourses of treatment, the difference was not statistically significant (P>0.05).(3) By comparing the two groups: the first course of treatment, the differencewas statistically significant (P<0.05);2,3course, the difference wasstatistically significant(P<0.01)3Two groups of patients before and after treatment of joint swelling degree: Before treatment, the degree of risk refers to the balance of swollenjoints, the difference was not statistically significant (P>0.05), comparable.(1)The treatment groups: the first course of treatment and after treatment, thedifference was statistically significant (P<0.05);2,3and the first course oftreatment, the difference was statistically significant (P<0.05orP<0.01);3compared with the first two courses of treatment, the difference wasstatistically significant (P<0.05).(2) The control group: before and after thefirst course of treatment, the difference was not statistically significant(P>0.05);2,3and the first course of treatment, the difference was statisticallysignificant (P<0.05orP<0.01);3compared with the first two courses oftreatment, the difference was statistically significant (P<0.05).(3) Bycomparing the two groups: the first course of treatment, the difference was notstatistically significant (P>0.05);2,3course, the difference was statisticallysignificant(P<0.05).4Observation and safety evaluation of adverse events/adverse reactions:In this experiment the implementation process, the treatment group and thecontrol group were not present skin allergies and other adverse reactions,burns, or other unforeseen circumstances arise, all belong to the safetyevaluation of grade Ⅰ.Conclusion:1Herbal fumigation and specific electromagnetic spectrum Therap-euticApparatus (TDP) can improve risk refers to the activity of the joint, butherbal fumigation treatments is better.2Herbal fumigation and specific electromagnetic spectrum Therap-euticApparatus (TDP) can improve the patient’s VAS score, indicating that bothtreatments have a better analgesic effect, analgesic effect of herbal fumigationis better.3Herbal fumigation and specific electromagnetic spectrum Therap-euticApparatus (TDP) can improve risk refers to swelling, indicating that bothtreatments have good swelling stasis, and herbal fumigation effect morepronounced. 4Herbal fumigation and specific electromagnetic spectrum Therap-euticApparatus (TDP) did not cause adverse effects/adverse events, indicating thatboth treatments were safe in clinical applications.5Herbal fumigation is a treatment of old interphalangeal joint collateralligament injury secure, less painful treatments. |