首页|当归续骨汤加减辅助外固定支架术治疗创伤性胫腓骨骨折患者的效果

当归续骨汤加减辅助外固定支架术治疗创伤性胫腓骨骨折患者的效果

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目的:探讨当归续骨汤加减辅助外固定支架术对创伤性胫腓骨骨折患者的治疗效果。方法:回顾性选取 2021年 5 月—2023 年 5 月漳州市第三医院收治的 105 例创伤性胫腓骨骨折患者作为研究对象,依据治疗方案分为对照组和研究组。将 52 例应用外固定支架术治疗的患者纳入对照组,53 例采用外固定支架术+当归续骨汤加减的患者纳入研究组。比较两组手术切口愈合时间、骨折愈合时间,治疗前及治疗 8 周后中医证候积分、骨痂影像学指标与关节功能[Oswestry功能障碍指数(ODI)、美国特种外科医院(HSS)膝关节功能评分]。结果:研究组手术切口愈合时间与骨折愈合时间均短于对照组,差异有统计学意义(P<0。05);治疗 8 周后,研究组活动受限、瘀斑、肿胀、疼痛及肌肉紧张评分均低于对照组,差异有统计学意义(P<0。05);治疗 8 周后,研究组骨痂密度、骨痂量、断端边缘及骨痂边缘评分均高于对照组,差异有统计学意义(P<0。05);治疗 8 周后,研究组ODI评分低于对照组,HSS膝关节功能评分高于对照组,差异有统计学意义(P<0。05)。结论:予以外固定支架术后的创伤性胫腓骨骨折患者当归续骨汤加减能够加速骨折愈合、缓解各项临床症状,有利于减轻功能障碍,改善其关节功能,应用价值较高。
Effect of Chinese Angelica Xugu Decoction Plus or Minus Assisted External Fixation Stenting in the Treatment of Patients with Traumatic Tibia and Fibula Fractures
Objective:To investigate the therapeutic effect of Chinese Angelica Xugu Decoction plus or minus assisted external fixation stenting on patients with traumatic tibia and fibula fractures.Method:105 patients with traumatic tibia and fibula fractures admitted to Zhangzhou Third Hospital from May 2021 to May 2023 were selected as the study objects.According to the treatment plan,52 patients treated with external fixation stenting were included in the control group,and 53 patients treated with external fixation stenting plus Chinese Angelica Xugu Decoction were included in the study group.Incision healing time and fracture healing time were compared between the two groups,and traditional Chinese medicine syndrome score,callus imaging index and joint function[Oswestry Disability Index(ODI)and knee function score of Hospital for Special Surgery(HSS)]were compared before treatment and 8 weeks after treatment.Result:The incision healing time and fracture healing time in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.05).After 8 weeks of treatment,the scores of activity limitation,ecchymosis,swelling,pain and muscle tension in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).After 8 weeks of treatment,callus density,callus volume,fracture edge and callus edge score in study group were higher than those in control group,and the difference was statistically significant(P<0.05).After 8 weeks of treatment,the ODI score of the study group was lower than that of the control group,and the HSS knee function score was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Adding or reducing Chinses Angelica Xugu Decoction can accelerate fracture healing,relieve clinical symptoms,reduce dysfunction and improve joint function in patients with traumatic tibia and fibula fractures after external fixation stenting,has a high application value.

Chinese Angelica Xugu DecoctionExternal fixation stentingTradional Chinese medicine syndrome scoreTraumatic tibia and fibula fractureJoint function

郝健明

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漳州市第三医院 福建 漳州 363007

当归续骨汤 外固定支架术 中医证候积分 创伤性胫腓骨骨折 关节功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(36)