首页|新安医学流派伤科活血化瘀汤剂联合手术治疗踝关节骨折的临床研究

新安医学流派伤科活血化瘀汤剂联合手术治疗踝关节骨折的临床研究

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目的:观察新安医学流派伤科活血化瘀汤剂联合手术治疗踝关节骨折患者的临床治疗效果.方法:选取2022年1月—2023年3月芜湖市中医医院创伤骨科收治的65例骨折后期肢体肿胀患者作为研究对象.使用随机数表法将患者分为观察组35例和对照组30例.两组患者均接受踝关节骨折手术治疗.对照组患者采用常规手术治疗,观察组患者采用常规手术治疗联合术前及术后加减伤科活血化瘀汤剂口服治疗.比较两组患者术前及术后肿胀症状的缓解情况及视觉模拟评分法(VAS)评分,踝关节功能(kofoed)评分和等速肌力测试系统评分变化情况.结果:术后观察组患者VAS评分低于对照组,差异有统计学意义(t=0.003、0、0,P<0.05);术后观察组患者肿胀程度低于对照组,kofoed评分高于对照组,差异有统计学意义(t=0、0、0;t=0、0、0,P<0.05);术后3个月,观察组患者等速肌力测试系统评分幅度优于对照组,差异有统计学意义(t=0.005、0、0.001、0.032;t=0、0.002、0.012、0.002;t=0、0.005、0、0,P<0.05).结论:新安医学流派伤科活血化瘀汤剂能够有效缓解踝关节骨折术后肢体肿胀和疼痛程度,对促进患者早日康复有显著疗效.
Clinical Study of Xin'an Medical School Traumatology Blood Activating and Removing Stasis Decoction Combined with Surgery for the Treatment of Ankle Fractures
Objective:To observe the clinical treatment effect of Xin'an Medical School Traumatology Blood Activating Decoction combined with surgery in the treatment of patients with ankle fractures.Methods:A total of 65 patients with post-fracture limb swelling admitted to the Traumatic Orthopedics Department,Wuhu Hospital of Traditional Chinese Medicine from January 2022 to March 2023 were selected as the study objects.Patients were divided into two groups with random number method.There were 35 cases in observation group and 30 cases in control group.Both groups underwent surgery for ankle fractures.The control group were treated with conventional surgical treatment,and the treatment group were treated orally with conventional surgical treatment combined with preoperative and postoperative decoction of blood reduction and blood stasis.The relief of swelling symptoms and the changes of VAS score,kofoed score and isokinetic strength test system score were compared between the two groups.Results:VAS score,postoperative swelling symptoms and kofoed score in the observation group was significantly lower than that in the control group(t=0.003,0,0;0,0,0;0,0,0;P<0.05).Isokinetic strength test system score in the treatment group were significantly different from those in the control group(t=0.005,0,0.001,0.032;t=0,0.002,0.012,0.002;t=0,0.005,0,0;P<0.05).Conclusion:Xin'an Medical School Traumatology decoction has significant effect in reducing the degree of limb swelling and the pain degree of ankle fracture surgery patients,and promoting the early recovery of patients.

Xin'an Medical SchoolDecoction to activate blood circulation and remove stasisSurgeryAnkle fracture

张永、卢奔腾、顾文浩、杨茂清

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芜湖市中医医院骨科,安徽 芜湖 241000

山东省文登整骨医院,山东 文登 264400

新安医学流派 活血化瘀汤剂 手术 踝关节骨折

安徽中医药高等专科学校自然科学重点课题项目

ZRKXZ2022F03

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(18)