钢板内固定术联合中药煎服治疗胫骨平台骨折的临床疗效观察
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摘要
目的观察钢板内固定术联合中药治疗胫骨平台骨折的临床疗效。方法选取我院2016年2月~2017年2月收治的96例胫骨平台骨折患者,将其随机分为观察组和对照组,各48例。观察组患者采用钢板内固定术联合中药治疗,对照组采用单纯钢板内固定术治疗,观察患者骨折愈合时间、完全负重时间、膝关节活动度、手术优良率及并发症发生情况。结果治疗后,观察组的骨折愈合时间少于对照组[(91.05±4.36)d vs(114.39±4.08)d]、完全负重时间[(97.14±21.56)d vs(106.84±22.05)d]、6个月后膝关节活动度优于对照组,组间比较,差异均有统计学意义(P<0.05);观察组手术优良率为89.58%,高于对照组的72.92%,差异有统计学意义(P<0.05);对照组患者并发症发生率为31.25%,高于观察组18.75%,差异有统计学意义(P<0.05)。结论采用钢板内固定术联合中药治疗胫骨平台骨折患者,骨折愈合时间短,优良率高,并发症少。
Objective To observe the clinical effect of plate internal fixation combined with traditional Chinese medicine in the treatment of fracture of tibial plateau.Methods From February 2016 to February 2017,96 patients with fracture of tibial plateau were randomly divided into observation group and control group,48 cases in each group.The patients in the observation group were treated with plate internal fixation combined with traditional Chinese medicine,and the control group were treated with simple plate internal fixation.The fracture healing time,total weight bearing time,knee joint activity,the excellent and good rate of operation and the occurrence of complications were observed.Results After treatment,the healing time of fracture in the observation group was shorter than that in the control group[(91.05 ±4.36)d vs(114.39 ±4.08)d],and the time of complete weight loading [(97.14 ±21.56)d vs(106.84 ±22.05)d],and the knee joint motion after 6 months was better than that in the control group,the difference was statistically significant(P <0.05).The excellent and good rate of operation in the observation group was 89.58%,which was higher than that in the control group 72.92%,the difference was statistically significant(P<0.05).The incidence of complications in the control group was 31.25%,it was significantly higher than that in the observation group 18.75%,the difference was statistically significant( P<0.05).Conclusion The treatment of fracture of tibial plateau with plate internal fixation and traditional Chinese medicine has short healing time,high excellent and good rate and less complications.
Objective To observe the clinical effect of plate internal fixation combined with traditional Chinese medicine in the treatment of fracture of tibial plateau.Methods From February 2016 to February 2017,96 patients with fracture of tibial plateau were randomly divided into observation group and control group,48 cases in each group.The patients in the observation group were treated with plate internal fixation combined with traditional Chinese medicine,and the control group were treated with simple plate internal fixation.The fracture healing time,total weight bearing time,knee joint activity,the excellent and good rate of operation and the occurrence of complications were observed.Results After treatment,the healing time of fracture in the observation group was shorter than that in the control group[(91.05 ±4.36)d vs(114.39 ±4.08)d],and the time of complete weight loading [(97.14 ±21.56)d vs(106.84 ±22.05)d],and the knee joint motion after 6 months was better than that in the control group,the difference was statistically significant(P <0.05).The excellent and good rate of operation in the observation group was 89.58%,which was higher than that in the control group 72.92%,the difference was statistically significant(P<0.05).The incidence of complications in the control group was 31.25%,it was significantly higher than that in the observation group 18.75%,the difference was statistically significant( P<0.05).Conclusion The treatment of fracture of tibial plateau with plate internal fixation and traditional Chinese medicine has short healing time,high excellent and good rate and less complications.
引文
[1]许汉权.中药联合锁定钢板内固定治疗胫骨平台骨折32例临床观察[J].中国民族民间医药,2016,25(3):97-99.
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[8]卜晓宇,孙建森.壮筋续骨汤联合锁定加压钢板内固定治疗胫骨平台骨折43例临床观察[J].河北中医,2014,36(06):861-862.
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[10]唐弢,田荣,邝伟,等.锁定加压钢板治疗胫骨平台骨折临床疗效观察[J].医学信息,2016,29(1):323-324.
[11]杨涛,朱康,王晓桐,等.中西医结合治疗开放性胫腓骨骨折的临床效果分析[J].临床和实验医学杂志,2014,13(18):1534-1536.
[2]付振栋.锁定钢板内固定治疗复杂胫骨平台骨折的临床效果分析[J].中国实用医药,2015,12(11):10-12.
[3]王运广.外侧锁定联合内侧支持钢板与双支持钢板内固定治疗胫骨平台骨折的临床效果[J].基层医学论坛,2016,20(17):2333-2334.
[4]Nicolls MR,Haskins K,Flores SC.Oxidant stress,immune dysregulation,and vascular function in type I diabetes[J].Antioxid Redox Signal,2007,9(7):879-889.
[5]Gokce N,Vita JA,Mc Donnell M,et al.Effect of medical and surgical weight loss on endothelial vasomotor function in obese patients[J].Am J Cardiol,2005,95(2):266-268.
[6]唐国能,黄粹业,蒋永益,等.锁定钢板内固定治疗复杂胫骨平台骨折的疗效观察[J].现代生物医学进展,2014,14(21):4095-4097,4102.
[7]杨辉,蔡维山中药配合锁定加压钢板内固定治疗胫骨平台骨折的疗效观察[J].现代医院,2011,11(03):50-51.
[8]卜晓宇,孙建森.壮筋续骨汤联合锁定加压钢板内固定治疗胫骨平台骨折43例临床观察[J].河北中医,2014,36(06):861-862.
[9]黄佩军.壮筋续骨汤联合锁定加压钢板内固定治疗胫骨平台骨折疗效观察[J].内蒙古中医药,2012,31(14):20-21.
[10]唐弢,田荣,邝伟,等.锁定加压钢板治疗胫骨平台骨折临床疗效观察[J].医学信息,2016,29(1):323-324.
[11]杨涛,朱康,王晓桐,等.中西医结合治疗开放性胫腓骨骨折的临床效果分析[J].临床和实验医学杂志,2014,13(18):1534-1536.