桃红四物汤辨证用药对Colles骨折患者手法复位后功能恢复的影响
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摘要
目的探究桃红四物汤辨证用药对Colles骨折患者手法复位后功能恢复的影响,为Colles骨折患者临床中的诊疗提供参考。方法选择2016年6月至2018年4月在蒲城县中医医院骨科进行治疗的Colles骨折患者136例为研究对象,按照随机数表法将患者分为对照组和观察组,每组68例。对照组仅选择手法复位治疗,观察组在手法复位的基础上使用桃红四物汤对患者进行治疗。3个月后,比较两组患者的临床疗效、关节功能恢复情况、骨折愈合时间以及不良反应发生情况。结果观察组患者的临床治疗总有效率为92.65%,明显高于对照组的77.94%,差异有统计学意义(P<0.05);对照组患者治疗前与治疗后的关节功能评分分别为(54.76±5.42)分和(89.91±6.94)分,分别与观察组的(53.49±5.51)分和(92.28±7.19)分比较差异均无统计学意义(P>0.05);但两组患者治疗后的关节功能评分均明显高于本组治疗前,差异均有统计学意义(P<0.05);观察组患者的不良反应发生率为7.35%,明显低于对照组的17.65%,差异有统计学意义(P<0.05)。结论桃红四物汤辨证用药能有效改善Colles骨折患者手法复位后的关节功能状况,明显缩短骨折愈合时间,同时还可以降低并发症发生率,值得在临床推广。
Objective To explore the effect of Taohong Siwu Decoction on functional recovery of patients with Colles fracture after manual reduction, and to provide reference for clinical diagnosis and treatment of Colles fracture.Methods A total of 136 patients with Colles fracture who were treated in Department of Orthopaedics, Pucheng Hospital of Traditional Chinese Medicine from June 2016 to April 2018 were selected as the research objects. According to the random number table, the patients were divided into control group and observation group, with 68 cases in each group.The control group applied manual reduction, while the observation group used Taohong Siwu Decoction to treat the patients on the basis of manual reduction. Three months later, the clinical efficacy, joint function recovery, fracture healing time, and adverse reactions were compared between the two groups. Results The total effective rate of clinical treatment in the observation group was 92.65%, which was significantly higher than 77.94% in the control group(P<0.05).The joint function scores in the control group before and after treatment were(54.76±5.42) and(89.91±6.94), respectively, which showed no significant difference as compared with(53.49±5.51) and(92.28±7.19) in the observation group(P>0.05). However, the joint function scores of the two groups after treatment were significantly higher than those before treatment, and the difference was statistically significant(P<0.05). The incidence of adverse reactions in the observation group was 7.35%, which was significantly lower than 17.65% in the control group(P<0.05). Conclusion Taohong Siwu Decoction can effectively improve the joint function of patients with Colles fracture after manual reduction, significantly shorten the time of fracture healing, and also reduce the incidence of complications, which is worthy of clinical promotion.
Objective To explore the effect of Taohong Siwu Decoction on functional recovery of patients with Colles fracture after manual reduction, and to provide reference for clinical diagnosis and treatment of Colles fracture.Methods A total of 136 patients with Colles fracture who were treated in Department of Orthopaedics, Pucheng Hospital of Traditional Chinese Medicine from June 2016 to April 2018 were selected as the research objects. According to the random number table, the patients were divided into control group and observation group, with 68 cases in each group.The control group applied manual reduction, while the observation group used Taohong Siwu Decoction to treat the patients on the basis of manual reduction. Three months later, the clinical efficacy, joint function recovery, fracture healing time, and adverse reactions were compared between the two groups. Results The total effective rate of clinical treatment in the observation group was 92.65%, which was significantly higher than 77.94% in the control group(P<0.05).The joint function scores in the control group before and after treatment were(54.76±5.42) and(89.91±6.94), respectively, which showed no significant difference as compared with(53.49±5.51) and(92.28±7.19) in the observation group(P>0.05). However, the joint function scores of the two groups after treatment were significantly higher than those before treatment, and the difference was statistically significant(P<0.05). The incidence of adverse reactions in the observation group was 7.35%, which was significantly lower than 17.65% in the control group(P<0.05). Conclusion Taohong Siwu Decoction can effectively improve the joint function of patients with Colles fracture after manual reduction, significantly shorten the time of fracture healing, and also reduce the incidence of complications, which is worthy of clinical promotion.
引文
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[15]毛华晋,凃刚城,邱静,等.桃红四物汤对股骨干骨折术后炎性因子和血液流变学的影响[J].南京中医药大学学报,2016,32(5):419-421,497.
[2]李腾辉,陈民,刘向前,等.理筋法治疗粉碎性Colles骨折临床愈合后腕关节功能障碍的研究[J].实用医学杂志,2015,31(6):1012-1014.
[3]董万涛,宋敏,吕泽斌,等.消定膏对Colles骨折早期疼痛、肿胀的疗效观察[J].中药药理与临床,2016,32(1):204-206.
[4]檀亚军,李井石,何本祥,等.不同外固定方法治疗移位性Colles骨折的稳定性评价[J].中华中医药杂志,2017,32(10):4773-4776.
[5]刘明英.桃红四物汤联合手法复位治疗Colles骨折分析[J].中医临床研究,2016,8(36):95-96.
[6]王亦璁.骨与关节损伤[M].3版.北京:人民卫生出版社,2002:869.
[7]李盼祥,刘晓峰,蒋亮,等.桃红四物汤对骨质疏松性股骨粗隆间骨折患者PFNA术后骨折愈合的影响及机制[J].山东医药,2018,58(16):67-69.
[8]崔德永,张丽华.桃红四物汤对膝关节骨折初期伤口愈合及膝关节功能评分影响分析[J].辽宁中医杂志,2015,42(2):295-297.
[9]王和鸣,黄桂成.中医骨伤科学[M].北京:中国中医药出版社,2012:231-233.
[10]方媛,蒋定尧,龚向阳,等.X线分型对老年人Colles骨折治疗策略及预后的价值研究[J].临床放射学杂志,2016,35(10):1560-1565.
[11]时少冰,王斐然,时晗,等.时氏接骨丹治疗Colles骨折[J].时珍国医国药,2014,25(1):136-137.
[12]刘应开,张森,单海洋.桃红四物汤联合手法复位夹板外固定对桡骨远端骨折患者骨折愈合时间及腕关节功能的影响[J].中医药临床杂志,2018,30(7):1255-1257.
[13]白金,徐沛沛,翟玲玲,等.桃红四物汤对髌骨骨折患者术后康复的影响[J].中国实验方剂学杂志,2017,23(9):169-173.
[14]公鑫.桃红四物汤在膝关节骨折患者中的应用及其对膝关节功能的影响[J].湖北中医杂志,2018,40(8):13-15.
[15]毛华晋,凃刚城,邱静,等.桃红四物汤对股骨干骨折术后炎性因子和血液流变学的影响[J].南京中医药大学学报,2016,32(5):419-421,497.