首页|五仙方治疗骨折术后不愈合临床研究

五仙方治疗骨折术后不愈合临床研究

扫码查看
目的 观察五仙方治疗骨折术后不愈合的临床疗效.方法 将60 例骨折术后不愈合患者随机分为2 组,对照组30 例予西医常规治疗,治疗组30 例在对照组治疗基础上加五仙方治疗,服用3 个月.比较2 组临床疗效及患者肿胀消退时间、止痛时间、骨痂生长时间、住院时间、骨折愈合时间,比较 2 组治疗前后红细胞聚集指数、全血黏度(低切)、全血黏度(中切)、全血黏度(高切)、血浆黏度、红细胞比容、健康调查简表(SF-36)评分、功能独立性评价量表(FIM)评分.结果 治疗组总有效率93.33%(28/30),对照组总有效率 70.00%(21/30),治疗组总有效率高于对照组(P<0.05).治疗组肿胀消退时间、止痛时间、骨痂生长时间、住院时间、骨折愈合时间均明显短于对照组(P<0.05).治疗后,2 组血液流变学指标红细胞聚集指数、全血黏度(高切)、全血黏度(中切)、全血黏度(低切)、血浆黏度、红细胞比容均低于本组治疗前(P<0.05),且治疗组均低于对照组(P<0.05).治疗后,2 组SF-36 情感职能、生理功能、社会功能、活力评分及FIM评分均较本组治疗前升高(P<0.05),且治疗组均高于对照组(P<0.05).结论 五仙方治疗骨折术后不愈合效果显著,能有效消肿止痛,促进骨痂生长,加快骨折愈合,改善患者血液流变学指标以及生活质量.
Study of Wuxian Formula on postoperative healing
Objective To investigate the effect of Wuxian Formula on postoperative healing.Methods Totally 60 pa-tients with postoperative fracture nonunion were randomly assigned to treatment group(routine Western medicine[RWM],n=30)or control group(Wuxian Formula plus RWM,n=30).The swelling regression time,analgesic time,callus formation time,hospitalization time,fracture healing time,red cell aggregation(RCA),whole blood viscosity(WBV)(low,medium,and high shear),plasma viscosity(PV),red blood cell volume(RBV),36-item Short Form Health Survey(SF-36),Func-tional Independence Measure(FIM)were included as comparators.The curative effect was assessed.Results The overall ef-fective rate in the treatment group was better than that in the control group(93.33%[28/30]vs 70.00%[21/30],[P<0.05],respectively).After treatment,the time to swelling regression,analgesic,callus formation,hospitalization,fracture healing were significantly shorter in the treatment group than in the control group(P<0.05).RCA,WBV(low,medium,and high shear),PV,RBV in the both groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).SF-36 scores(emotional function,physiological function,social function,vitality)and FIM scores in the both groups remarkably increased(P<0.05),the improvements in the treatment group were sig-nificantly better(P<0.05).Conclusion Wuxian Formula on postoperative healing has significant effects,which can effective-ly reduce swelling and relieve pain,promote callus growth,accelerate fracture healing,and improve hemorheological indicators and quality of life.

Fracture nonunionTraditional Chinese medicine therapy

邸振宇、赵海燕、赵凌燕

展开 >

河北省保定市第二医院骨二科,河北 保定 071000

冀中能源峰峰集团有限公司总医院骨科,河北 邯郸 056200

骨折,不愈合 中药疗法

保定市科学技术研究与发展计划

18ZF253

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(5)