中医综合疗法治疗下肢骨折后期患肢肿胀的临床效果分析
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摘要
目的:分析研究中医综合疗法治疗下肢骨折后期患肢肿胀的临床效果。方法:将我院2015年1月-2017年1月收治的80例下肢骨折后期患肢肿胀的患者,采用随机数字表法将所有患者分为对照组与研究组,每组40例,对照组采用西医治疗方法,研究组采用中医综合疗法,两组患者均治疗3周,比较两组患者的治疗总有效率以及治疗前后肿胀评分。结果:研究组患者治疗的总有效率100%,明显优于对照组87.5%,且研究组患者的肿胀评分明显优于对照组患者,差异有统计学意义(P<0.05)。结论:中医综合疗法对下肢骨折后期患肢肿胀的患者有显著的治疗效果,应在临床中广泛推广应用。
Objective:To analyze the clinical effect of comprehensive treatment of traditional Chinese medicine(TCM) on limb swelling in the later stage of lower limb fracture.Methods:80 cases of patients with swollen limbs in the later period of lower limb fracture treated in our hospital from January 2015 to January 2017 were divided into the control group and the study group by using random number table method,with 40 cases in each group.The control group was treated with western medicine;and the study group received integrated TCM therapy;two groups of patients were treated for 3 weeks.The effective rate of two groups of patients before and after treatment was compared.Results:The total effective rate of the study group was 100%,which was significantly better than 87.5% of the control group;and the swelling score of the study group was significantly better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The comprehensive therapy of TCM had a significant therapeutic effect on limb swelling in the late stage of lower extremity fracture,and it should be widely used in clinical practice.
Objective:To analyze the clinical effect of comprehensive treatment of traditional Chinese medicine(TCM) on limb swelling in the later stage of lower limb fracture.Methods:80 cases of patients with swollen limbs in the later period of lower limb fracture treated in our hospital from January 2015 to January 2017 were divided into the control group and the study group by using random number table method,with 40 cases in each group.The control group was treated with western medicine;and the study group received integrated TCM therapy;two groups of patients were treated for 3 weeks.The effective rate of two groups of patients before and after treatment was compared.Results:The total effective rate of the study group was 100%,which was significantly better than 87.5% of the control group;and the swelling score of the study group was significantly better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The comprehensive therapy of TCM had a significant therapeutic effect on limb swelling in the late stage of lower extremity fracture,and it should be widely used in clinical practice.
引文
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[13]秦顺利.中医综合疗法联合西药治疗开放性胫腓骨骨折术后感染临床观察[J].四川中医,2015,33(6):139-141.
[14]刘世珑,孙玉福.中药熏洗结合功能锻炼治疗桡骨端骨折后期腕关节僵硬的疗效观察[J].四川中医,2015,33(8):125-126.
[15]武志清,王会敏,褚丽艳,等.舒筋活血洗剂联合康复训练对踝关节骨折术后期康复的影响[J].河北医学,2015,21(3):524-526.
[2]Epstein N,Chandran S,Chou L.Current concepts review:intra-articular fractures of the calcaneus[J].Foot Ankle Int,2012,33(1):79-86.
[3]潘敬舜.四肢骨折后期应用中药熏洗配合功能锻炼效果观察[J].实用中医药杂志,2017,33(12):1444-1445.
[4]肖群飞.益气活血利水法治疗下肢骨折术后早期肿胀的临床观察[J].中国中医骨伤科杂志,2014,22(6):56-57.
[5]KOV CS E,BECKER D,DAR CZI L,et al.Analysis of vascular complications of IABP therapy in open-heart surgery patients 1999-2004[J].Magy Seb,2006,59(2):105-111.
[6]马友发,李鹏斌,武庆梅,等.中药熏洗配合功能锻炼辅助治疗骨折病100例临床观察[J].河北中医,2012,34(11):1626-1627.
[7]Facaros Z,Ramanujam C L,Stapleton J J,et al.Combined circular external fixation and open reduction internal fixation with prosyndesmotic screws for repair of a diabetic ankle fracture[J].Diabet Foot Ankle,2010,13(6):1145-1146.
[8]Jabbary Moghaddam M,Ommi D.Effects of clonidine premedication upon postoperative shivering and recovery time in patients with and without opium addiction after elective leg fracture surgeries[J].Anesth Pain Med,2013,2(3):107-110.
[9]刘青春.中药外敷配合静脉泵预防下肢骨折术后深静脉血栓形成的临床观察[J].中医临床研究,2016,8(20):96-97.
[10]谢燕材,钟昌戎,苏培群,等.中西医结合治疗胫腓骨双骨折术后并发患肢水肿的效果分析[J].中国当代医药,2015,22(17):135-139.
[11]黄晋,吴漾,邱雪立.甘油果糖联合甘露醇治疗四肢骨折术后肿胀的疗效[J].广东医学,2012,33(18):2832-2834.
[12]李光友,傅团结.中药治疗下肢骨折术后肿胀的临床效果研究[J].中国医疗设备,2017,32(S1):100-101.
[13]秦顺利.中医综合疗法联合西药治疗开放性胫腓骨骨折术后感染临床观察[J].四川中医,2015,33(6):139-141.
[14]刘世珑,孙玉福.中药熏洗结合功能锻炼治疗桡骨端骨折后期腕关节僵硬的疗效观察[J].四川中医,2015,33(8):125-126.
[15]武志清,王会敏,褚丽艳,等.舒筋活血洗剂联合康复训练对踝关节骨折术后期康复的影响[J].河北医学,2015,21(3):524-526.