首页|桃红加味饮联合手术治疗旋后外旋型Ⅳ度踝关节骨折的临床疗效观察

桃红加味饮联合手术治疗旋后外旋型Ⅳ度踝关节骨折的临床疗效观察

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目的 探讨旋后外旋型Ⅳ度踝关节骨折患者应用桃红加味饮联合手术治疗效果.方法 选取 2021 年 12 月至 2023 年 12 月三明中西医结合医院收治的 60 例旋后外旋型Ⅳ度踝关节骨折患者,依据不同治疗方式分为对照组与观察组,各 30 例.对照组采用切开复位内固定手术治疗,观察组在对照组基础上加用桃红加味饮治疗.比较两组疼痛评分、关节肿胀评分、踝-后足功能优良率、凝血功能及不良反应.结果 术后 2 周观察组视觉模拟评分法(VAS)评分、踝关节肿胀评分优于对照组,术后 4 周踝-后足功能优良率高于对照组(P<0.05);两组术后 2 周外周血D-二聚体(D-D)水平对比,差异无统计学意义(P>0.05);观察组术后 2 周外周血纤维蛋白原(FIB)水平低于对照组(P<0.05);两组住院期间不良反应发生率对比,差异无统计学意义(P>0.05).结论 桃红加味饮联合手术治疗旋后外旋型Ⅳ度踝关节骨折可有效缓解术后疼痛,减轻踝关节肿胀,改善踝关节功能,起到显著止痛、消肿的作用,改善凝血功能.
Observation on the Clinical Effect of Taohong Flavored Decoction Combined with Operation in the Treatment of Ⅳ Degree Ankle Joint Fracture of Supination External Rotation Type
Objective To investigate the effect of Taohong flavored decoction combined with operation in the treatment of Ⅳ degree ankle fracture of supination external rotation type.Methods Sixty patients with Ⅳ degree ankle joint fracture of supination external rotation type admitted to Sanming integrated traditional chinese and western medicine hospital from December 2021 to December 2023 were selected.They were divided into control group and observation group according to different treatment methods,with 30 cases in each group.The control group was treated with open reduction and internal fixation,and the observation group was treated with Taohong flavored decoction on the basis of the control group.Pain score,joint swelling score,excellent and good rate of ankle-hind foot function,coagulation function and adverse reactions were compared between the two groups.Results The observation group showed better VAS scores and ankle swelling scores than the control group at 2 weeks after operation.At 4 weeks after operation,the rate of excellent ankle-hindfoot function in the observation group was higher than that in the control group(P<0.05).There was no significant difference in D-D level in peripheral blood 2 weeks after operation between the two groups(P>0.05).The level of FIB in peripheral blood of the observation group was lower than that of the control group 2 weeks after operation(P<0.05).There was no significant difference in the incidence of adverse reactions during hospitalization between the two groups(P>0.05).Conclusion Taohong flavored decoction combined with operation in the treatment of Ⅳ degree ankle joint fracture of supination external rotation type can effectively relieve postoperative pain,reduce ankle swelling,improve ankle joint function,have a significant analgesic and anti-inflammatory effect,and improve coagulation function.

Ⅳ Degree ankle fractureSupination external rotationTaohong flavored decoctionOpen reduction internal fixation surgery

江冬福、彭利平

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福建中医药大学附属三明中西医结合医院 三明 365001

Ⅳ度踝关节骨折 旋后外旋型 桃红加味饮 切开复位内固定术

2024

实用中西医结合临床
江西省中医药研究院,江西省中西医结合学会

实用中西医结合临床

影响因子:0.522
ISSN:1671-4040
年,卷(期):2024.24(13)