中西医结合新疗法对肱骨踝上骨折患者临床疗效、生活质量及预后的改善作用
Clinical effect of traditional Chinese medicine combined with western medicine in the treatment of supracondylar fracture of humerus and the improvement of quality of life and prognosis
汪翼凡 1石仕元 1郑铭锋1
作者信息
- 1. 浙江中医药大学附属中西医结合医院骨科,浙江杭州310000
- 折叠
摘要
分析中西医结合新疗法治疗肱骨踝上骨折的效果,为临床治疗提高参考.方法 选取浙江中医药大学附属中西医结合医院在2015年1月~2016年3月收治的肱骨踝上骨折患者122例为研究对象,随机分为观察组和对照组.对照组患者实施常规复位骨折治疗,观察组患者实施中西医结合骨折新疗法治疗,比较2组患者治疗效果、生活质量变化和预后.结果 观察组患者治疗优良率(91.8%)显著高于对照组(72.1%)(P<0.05),观察组患者骨折愈合时间(4.1±1.1)月显著短于对照组(6.6±2.3)月(P<0.05).治疗前,2组患者生活质量各维度评分差异不明显,治疗后观察组总体健康(75.69±4.61)、生理功能(77.62±4.19)、疼痛(74.63±4.96)、社会功能(76.84±4.28)、精神健康(76.12±4.18)等评分均显著高于对照组总体健康(62.74±4.36)、生理功能(65.85±3.94)、疼痛(67.26±4.25)、社会功能(68.72±4.13)、精神健康(65.97±4.23)(P<0.05).观察组2例出现肘内翻,对照组3例出现肘内翻.术后随访6月以上,2组患者均未出现严重感染、骨发育异常情况.结论 中西医结合骨折新疗法治疗肱骨踝上骨折能够提高治疗效果,减轻患者痛苦,促进病情的快速恢复,改善生活质量和预后,具有使用价值.
Abstract
Objective To analyze the effect of traditional Chinese combined with Western medicine on the treatment of supracondylar fracture of humerus, and provide reference for clinical treatment.Methods122 patients with supracondylar fracture of humerus in hospital the affiliated hospital of traditional Chinese and western medicine;Zhejiang Chinese Medicine University from January 2015 to March 2016 were randomly divided into the observation group and the control group.The control group were given conventional fracture reduction, the observation group were given a new therapy of integrated traditional and western.Treatment outcome, quality of life changes and prognosis in the two groups were compared.ResultsThe excellent rate in the observation group (91.8%) was significantly higher than that in the control group (72.1%) (P<0.05).The fracture healing time in the observation group (4.1±1.1)months was significantly shorter than that in the control group (6.6±2.3) months (P<0.05).Before treatment, there was no significant difference in quality of life scores between the two groups;after treatment the overall health in the observation group (75.69±4.61), physiological function (77.62±4.19), pain (74.63±4.96), social function (76.84±4.28), mental health (76.12±4.18) scores were significantly higher than those overall health(62.74±4.36) in the control group, physiological function (64.51±4.12), pain (67.26±4.25), social function(68.72±4.13), mental health (65.97±4.23) (P<0.05).There were 2 cases with cubitus varus in the observation group, while 3 cases with elbow inversion in the control group.All patients were followed up for more than 6 months.There was no serious infection and abnormal bone development in the two groups.ConclusionIt can improve the treatment effect, reduce the pain of patients, promote the rapid recovery of the disease, improve the quality of life and prognosis, which traditional Chinese medicine combined with Western medicine was used in the treatment of humeral supracondylar fracture, it has the value of use.
关键词
肱骨踝上骨折/复位/固定/中西医结合/生活质量Key words
supracondylar fracture of humerus/reset/fixed/integrated traditional Chinese and Western medicine/quality of life引用本文复制引用
基金项目
浙江省医药卫生科技计划项目(2015KYA188)
出版年
2017
NETL
NSTL
维普
万方数据