首页|桃红四物汤合五苓散应用于胫腓骨骨折内固定术后患者康复中的效果研究

桃红四物汤合五苓散应用于胫腓骨骨折内固定术后患者康复中的效果研究

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目的:探讨桃红四物汤合五苓散在胫腓骨骨折内固定术后患者中的应用效果。方法:选取 2021年 3月—2024年3月菏泽市中医医院收治的84例胫腓骨骨折内固定术后患者为研究对象,依据随机数字表法将其分为研究组和对照组,各42例。对照组术后采用甘露醇联合七叶皂苷钠治疗,研究组术后采用桃红四物汤合五苓散治疗,两组均治疗 10 d。比较两组的症状缓解时间、机体炎症状况、骨代谢状况及并发症发生情况。结果:研究组患肢肿胀、疼痛缓解时间均短于对照组,差异均有统计学意义(P<0。05)。治疗后,研究组肿瘤坏死因子-α、白细胞介素-5、白细胞介素-10及C反应蛋白水平均低于对照组,差异均有统计学意义(P<0。05)。治疗后,研究组碱性磷酸酶、骨钙素、血磷及血钙水平均高于对照组,差异均有统计学意义(P<0。05)。研究组并发症发生率4。76%低于对照组的 19。05%,差异有统计学意义(P<0。05)。结论:桃红四物汤合五苓散用于胫腓骨骨折内固定术后患者的康复中能够缩短患者肿胀、疼痛症状缓解时间,减轻机体炎症反应,改善骨代谢指标,降低术后并发症发生率。
Study on the Effect of Taohong Siwu Decoction Combined with Wuling Powder on Patients with Tibial and Fibula Fractures after Internal Fixation
Objective:To investigate the effect of Taohong Siwu Decoction combined with Wuling Powder on internal fixation of tibial and fibula fracture.Methods:A total of 84 patients with tibia and fibula fracture after internal fixation in Heze Hospital of Traditional Chinese Medicine from March 2021 to March 2024 were selected and divided into a study group and a control group according to random number table method,with 42 cases in each group.All patients were treated with internal fixation surgery,the control group was treated with mannitol combined with sodium escin after surgery,and the study group was treated with Taohong Siwu Decoction combined with Wuling Powder after surgery.Both groups were treated for 10 days.The symptom remission time,body inflammation,bone metabolism indexes and postoperative complications of the two groups were compared.Results:The swelling and pain relief time of the affected limb in the study group were shorter than those in the control group,with statistical significance(P<0.05).After treatment,the levels of tumor necrosis factor-α,interleukin-5,interleukin-10 and C-reactive protein in the study group were lower than those in the control group,with statistical significance(P<0.05).After treatment,the levels of alkaline phosphatase,osteocalcin,blood phosphorus and blood calcium in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 4.76%,lower than 19.05%in the control group,the difference was statistically significant(P<0.05).Conclusion:Taohong Siwu Decoction combined with Wuling Powder can shorten the time of relief of swelling and pain symptoms,reduce inflammation,improve bone metabolism index and reduce postoperative complications in patients with tibialibula fracture after internal fixation.

Tibial and fibularInternal fixation surgeryTaohong Siwu Decoction combined with Wuling PowderBody inflammationBone metabolism

孙彩霞、庞昀琦、刘延群

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山东省菏泽市中医医院特慢病门诊,山东 菏泽 274000

山东省菏泽市中医医院骨伤四科,山东 菏泽 274000

胫腓骨骨折 内固定手术 桃红四物汤合五苓散 机体炎症 骨代谢

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)