血府逐瘀汤治疗多发性肋骨骨折并血气胸的疗效及对患者凝血功能的影响
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摘要
目的:探讨血府逐瘀汤治疗多发性肋骨骨折并血气胸的临床效果及对患者凝血功能的影响。方法:选取2016年6月-2018年1月本院收治的80例多发性肋骨骨折并血气胸患者作为研究对象。采用随机数字表法将其分为观察组与对照组,各40例。对照组接受基础治疗,观察组在对照组基础上联合血府逐瘀汤进行治疗,比较两组患者治疗效果及治疗前后凝血功能的变化情况。结果:治疗前,两组肺功能相关指标(FEV1、VC、MVV、FVC)水平比较,差异均无统计学意义(P>0.05);治疗后,观察组患者肺功能相关指标改善效果均明显优于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗总有效率明显高于对照组(P<0.05)。观察组疼痛消失时间、肿胀消失时间、住院时间、骨折痊愈时间均明显短于对照组(P<0.05)。治疗后,两组患者PT、APTT、TT水平均较治疗前明显升高(P<0.05),但两组患者PT、APTT、TT水平比较,差异均无统计学意义(P>0.05);两组患者治疗后FIB水平均较治疗前明显降低,且观察组治疗后FIB水平明显低于对照组,差异均有统计学意义(P<0.05)。结论:在常规治疗基础上联合血府逐瘀汤治疗多发性肋骨骨折并血气胸效果理想,能够显著改善患者肺功能并加快患者康复进程,且对患者的凝血功能具有良好的改善作用,值得临床推广应用。
Objective:To investigate the clinical effect of Xuefu Zhuyu Decoction on the treatment of multiple rib fractures with hematopneumothorax and its effect on the coagulation function of patients.Method:80 patients with multiple rib fractures associated with hemopneumothorax were selected from June 2016 to January 2018,they were divided into observation group and control group by random digital table method,40 cases in each group.The control group received basic treatment,the observation group was treated with Xuefu Zhuyu Decoction on the basis of control group.The effect of treatment and the changes of coagulation function before and after treatment were compared between the two groups.Result:Before treatment,there were no statistically significant differences in the levels of lung function related indicators(FEV1,VC,MVV,FVC) between the two groups(P>0.05);after treatment,the improvement effect of pulmonary function related indicators in the observation group were significantly better than those in the control group,with statistically significant differences(P<0.05).The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).The pain disappear time,swelling disappear time,hospitalization time and fracture recovery time in the observation group were significantly shorter than those in the control group(P<0.05).After treatment,the levels of PT,APTT,TT in both groups were significantly higher than those before treatment(P<0.05),but the levels of PT,APTT,TT in both groups were not statistically significant(P>0.05).After treatment,the level of FIB in both groups were significantly lower than those before treatment,and the level of FIB in the observation group was significantly lower than that in the control group,with statistically significant differences(P<0.05).Conclusion:On the basis of conventional treatment,combined with Xuefu Zhuyu Decoction for the treatment of multiple rib fractures and hemopneumothorax has an ideal effect,which can significantly improve the pulmonary function of patients and accelerate the rehabilitation process of patients,and has a good effect on improving the coagulation function of patients,and is worthy of clinical promotion and application.
Objective:To investigate the clinical effect of Xuefu Zhuyu Decoction on the treatment of multiple rib fractures with hematopneumothorax and its effect on the coagulation function of patients.Method:80 patients with multiple rib fractures associated with hemopneumothorax were selected from June 2016 to January 2018,they were divided into observation group and control group by random digital table method,40 cases in each group.The control group received basic treatment,the observation group was treated with Xuefu Zhuyu Decoction on the basis of control group.The effect of treatment and the changes of coagulation function before and after treatment were compared between the two groups.Result:Before treatment,there were no statistically significant differences in the levels of lung function related indicators(FEV1,VC,MVV,FVC) between the two groups(P>0.05);after treatment,the improvement effect of pulmonary function related indicators in the observation group were significantly better than those in the control group,with statistically significant differences(P<0.05).The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).The pain disappear time,swelling disappear time,hospitalization time and fracture recovery time in the observation group were significantly shorter than those in the control group(P<0.05).After treatment,the levels of PT,APTT,TT in both groups were significantly higher than those before treatment(P<0.05),but the levels of PT,APTT,TT in both groups were not statistically significant(P>0.05).After treatment,the level of FIB in both groups were significantly lower than those before treatment,and the level of FIB in the observation group was significantly lower than that in the control group,with statistically significant differences(P<0.05).Conclusion:On the basis of conventional treatment,combined with Xuefu Zhuyu Decoction for the treatment of multiple rib fractures and hemopneumothorax has an ideal effect,which can significantly improve the pulmonary function of patients and accelerate the rehabilitation process of patients,and has a good effect on improving the coagulation function of patients,and is worthy of clinical promotion and application.
引文
[1]王通,宋金涛,闫天生,等.电视胸腔镜辅助肋骨接骨板治疗多发肋骨骨折合并血气胸[J].中国微创外科杂志,2016,16(3):245-248.
[2]曾昭峰.中西医结合治疗多发性肋骨骨折疗效观察[J].实用中医药杂志,2017,33(6):678-679.
[3]吴鑫彬.手术配合中药治疗肋骨骨折临床观察[J].实用中医药杂志,2017,33(9):1021-1022.
[4]马兰.中医药和护理干预缓解肋骨骨折疼痛的进展[J].内蒙古中医药,2017,36(19):155-156.
[5]尚勇,高会敏,李志伟.胸腔镜辅助下行传统经胸内固定术治疗多发性肋骨骨折合并血气胸的临床疗效分析[J].医学综述,2016,22(12):2480-2483.
[6]刘福善,胡永红,李维洁,等.中医康复对多发肋骨骨折纯钛爪形接骨板内固定术疗效的影响[J].西部中医药,2013,26(6):73-75.
[7]王春成.血府逐瘀汤治疗肋骨骨折伴血胸的临床效果[J].安徽卫生职业技术学院学报,2017,16(4):61-62.
[8]闫文芳.中西医结合保守治疗37例肋骨骨折的临床疗效观察[J].内蒙古中医药,2017,36(18):52-53.
[9]赵媛,杨光,张丹,等.中西医结合应用于闭合性肋骨骨折并血气胸150例效果分析[J].世界中医药,2017,12(4):786-789.
[10]袁登荣,方弘伟,黄晓东.血府逐瘀汤合壮骨续筋一号方治疗早期肋骨骨折合并血气胸疗效观察[J].山西中医学院学报,2016,17(2):43-44.
[11]韩敏,张旭峰,王征.瓜蒌枳壳二陈汤加味治疗肋骨骨折合并血气胸疗效观察[J].现代中西医结合杂志,2016,25(31):3462-3464.
[12]范富有,杨勇,卢中道,等.中西医结合治疗闭合多发性肋骨骨折并气、血胸的疗效[J].中国伤残医学,2014,12(5):70-72.
[13]杨巧玲,王鸿飞,王璐,等.中医情志护理联合快速康复外科对多发性肋骨骨折患者术后康复及负性情绪的影响[J].中国疗养医学,2017,26(12):1252-1254.
[14]史家星,李海冰,高少科,等.自拟中药方联合内固定手术治疗多发性肋骨骨折疗效观察[J].现代中西医结合杂志,2017,26(25):2807-2809.
[15]罗继珍,黄鹂.TiNi环抱式接骨器固定术后中西医结合护理预防肺部感染71例[J].中国中医药现代远程教育,2017,15(14):129-131.
[16]王少飞.中医骨折三期辨证疗法治疗闭合性肋骨骨折的效果探讨[J].当代医药论丛,2017,15(16):105-107.
[17]艾萍.中药五通散熏蒸治疗肋骨骨折的临床观察[J].中医临床研究,2017,9(8):98-100.
[2]曾昭峰.中西医结合治疗多发性肋骨骨折疗效观察[J].实用中医药杂志,2017,33(6):678-679.
[3]吴鑫彬.手术配合中药治疗肋骨骨折临床观察[J].实用中医药杂志,2017,33(9):1021-1022.
[4]马兰.中医药和护理干预缓解肋骨骨折疼痛的进展[J].内蒙古中医药,2017,36(19):155-156.
[5]尚勇,高会敏,李志伟.胸腔镜辅助下行传统经胸内固定术治疗多发性肋骨骨折合并血气胸的临床疗效分析[J].医学综述,2016,22(12):2480-2483.
[6]刘福善,胡永红,李维洁,等.中医康复对多发肋骨骨折纯钛爪形接骨板内固定术疗效的影响[J].西部中医药,2013,26(6):73-75.
[7]王春成.血府逐瘀汤治疗肋骨骨折伴血胸的临床效果[J].安徽卫生职业技术学院学报,2017,16(4):61-62.
[8]闫文芳.中西医结合保守治疗37例肋骨骨折的临床疗效观察[J].内蒙古中医药,2017,36(18):52-53.
[9]赵媛,杨光,张丹,等.中西医结合应用于闭合性肋骨骨折并血气胸150例效果分析[J].世界中医药,2017,12(4):786-789.
[10]袁登荣,方弘伟,黄晓东.血府逐瘀汤合壮骨续筋一号方治疗早期肋骨骨折合并血气胸疗效观察[J].山西中医学院学报,2016,17(2):43-44.
[11]韩敏,张旭峰,王征.瓜蒌枳壳二陈汤加味治疗肋骨骨折合并血气胸疗效观察[J].现代中西医结合杂志,2016,25(31):3462-3464.
[12]范富有,杨勇,卢中道,等.中西医结合治疗闭合多发性肋骨骨折并气、血胸的疗效[J].中国伤残医学,2014,12(5):70-72.
[13]杨巧玲,王鸿飞,王璐,等.中医情志护理联合快速康复外科对多发性肋骨骨折患者术后康复及负性情绪的影响[J].中国疗养医学,2017,26(12):1252-1254.
[14]史家星,李海冰,高少科,等.自拟中药方联合内固定手术治疗多发性肋骨骨折疗效观察[J].现代中西医结合杂志,2017,26(25):2807-2809.
[15]罗继珍,黄鹂.TiNi环抱式接骨器固定术后中西医结合护理预防肺部感染71例[J].中国中医药现代远程教育,2017,15(14):129-131.
[16]王少飞.中医骨折三期辨证疗法治疗闭合性肋骨骨折的效果探讨[J].当代医药论丛,2017,15(16):105-107.
[17]艾萍.中药五通散熏蒸治疗肋骨骨折的临床观察[J].中医临床研究,2017,9(8):98-100.