益气温经方对Barton骨折术后骨折愈合的影响
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摘要
目的探讨益气温经方对Barton骨折术后骨折愈合的影响。方法选择2016年1月～2018年4月在医院诊断治疗的Barton骨折60例为研究对象,随机分为治疗组与对照组,各30例。两组均采用手术内固定治疗,对照组术后常规处理,治疗组在术后常规治疗基础上加用益气温经方治疗。比较两组术后恢复情况。结果两组手术切口并发症发生率比较,差异无统计学意义(P>0.05)。术后6个月,治疗组掌屈角与背伸角显著大于对照组,差异有统计学意义(P<0.05);两组前臂旋前、前臂旋后、尺偏角与桡偏角比较,差异无统计学意义(P>0.05)。术后1个月、2个月治疗组骨痂生长评分显著高于对照组,差异有统计学意义(P<0.05);术后4个月两组骨痂生长评分比较差异无统计学意义(P>0.05)。术后6个月随访两组腕关节功能,总优良率均达到100.0%,但是秩和检验结果显示,治疗组腕关节优于对照组,差异有统计学意义(Z=8.800,P<0.05)。结论益气温经方用于Barton骨折术后可以促进骨折愈合,进而改善腕关节功能,改善预后。
Objective To discuss the effect of Yiqi Wenjing formula on fracture healing after Barton fracture. Methods 60 patients with Barton fracture admitted in our hospital from January 2016 to April 2018 were selected and randomLy dicided into the treatment group and the control group, each with 30 cases. The patients in both groups were given internal fixation by surgery and conventional postoperative care, and those in the treatment group were additionally given Yiqi Wenjing formula after surgery. The recovery conditions were compared between the two groups. Results There was no significant difference in the incidence of surgical incision complications between the two groups(P>0.05). At 6 months after operation, the palm flexion angle and the dorsal extension angle of the treatment group were significantly greater than those of the control group, and the difference was statistically significant(P<0.05). There were no significant differences between the two groups in the forearm pronation, forearm supination, ulnar deviation and squat angle(P>0.05). The scores of osteophyte growth in the treatment group were significantly higher than those in the control group at 1 month and 2 months after operation(P<0.05). There was no significant difference in the scores of osteophyte growth between the two groups at 4 months after operation(P>0.05). At 6 months after operation, the total excellent and good rate of wrist function in the two groups reached 100.0%, but the results of rank sum test showed that the wrist function of the treatment group was better than that of the control group, and the difference was statistically significant(Z=8.800,P<0.05). Conclusion Yiqi Wenjing formula can promote fracture healing after Barton fracture, and can improve wrist function and improve prognosis.
Objective To discuss the effect of Yiqi Wenjing formula on fracture healing after Barton fracture. Methods 60 patients with Barton fracture admitted in our hospital from January 2016 to April 2018 were selected and randomLy dicided into the treatment group and the control group, each with 30 cases. The patients in both groups were given internal fixation by surgery and conventional postoperative care, and those in the treatment group were additionally given Yiqi Wenjing formula after surgery. The recovery conditions were compared between the two groups. Results There was no significant difference in the incidence of surgical incision complications between the two groups(P>0.05). At 6 months after operation, the palm flexion angle and the dorsal extension angle of the treatment group were significantly greater than those of the control group, and the difference was statistically significant(P<0.05). There were no significant differences between the two groups in the forearm pronation, forearm supination, ulnar deviation and squat angle(P>0.05). The scores of osteophyte growth in the treatment group were significantly higher than those in the control group at 1 month and 2 months after operation(P<0.05). There was no significant difference in the scores of osteophyte growth between the two groups at 4 months after operation(P>0.05). At 6 months after operation, the total excellent and good rate of wrist function in the two groups reached 100.0%, but the results of rank sum test showed that the wrist function of the treatment group was better than that of the control group, and the difference was statistically significant(Z=8.800,P<0.05). Conclusion Yiqi Wenjing formula can promote fracture healing after Barton fracture, and can improve wrist function and improve prognosis.
引文
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[9]宋红梅,吴斌,魏迎辰,等.温阳补肾方对激素性股骨头坏死模型兔股骨头形态学的影响[J].中国中医骨伤科杂志,2014,22(3):1-3,10.
[10]张荣位,谷福顺,王爱国.中药辅助治疗老年桡骨远端骨折用药规律分析[J].山西中医学院学报,2018,20(3):69-70,73.
[11]赵兵德,林定坤,温勇,等.石氏伤科“筋骨并重”理念在老年桡骨远端骨折治疗中的应用[J].中国中医骨伤科杂志,2016,24(12):46-48.
[12]王金财,李智,马伟杰,等.骨折速愈汤对桡骨远端骨折患者中医症状评分及关节疼痛程度的影响[J].河北中医,2017,39(3):360-363.
[13]李景辉.桡骨远端骨折运用祛瘀消肿汤结合切开复位内固定术治疗的疗效观察[J].当代医学,2017,23(7):19-21.
[14]黄永铨,罗毅文,王斌,等.补肾活血汤治疗老年桡骨远端骨折的临床疗效观察[J].中国中医骨伤科杂志,2015,23(3):5-8.
[15]吴木轩.中药汤剂在促进骨折愈合的疗效探讨[J].当代临床医刊,2018,(2):3781,3786.
[16]唐绪国.手法复位结合中药治疗小儿肱骨髁上骨折临床分析[J].实用中医药杂志,2018,34(8):920-921.
[17]靳松峰.手术配合中药治疗骨质疏松性胸腰椎压缩骨折疗效观察[J].实用中医药杂志,2018,34(9):1097-1098.
[18]杨清清,黄伟玲,董志毅,等.温阳补肾方对哮喘小鼠骨髓树突细胞TLR信号的调节作用[J].上海中医药杂志,2017,63(11):84-90.
[19]刘钟,杨依然,王均华,等.益气温经方对CKIP-1介导的破骨细胞凋亡的影响[J].中国中医骨伤科杂志,2018,26(8):14-17.
[20]邱慈新.温阳补肾方对体外培养破骨细胞活性与凋亡影响的实验研究[D].福建中医药大学,2015:5.
[2]罗程,王萍儿,袁家俊,等.温阳补肾方对小鼠胫骨骨折愈合的影响[J].中华中医药杂志,2017,32(6):2665-2669.
[3]陈泽荣,邱慈鑫,陈晨,等.温阳补肾方含药血清对破骨细胞骨吸收功能的影响[J].中华中医药杂志,2015,30(4):1245-1248.
[4]邱慈鑫,陈泽荣,陈晨,等.温阳补肾方含药血清对破骨细胞凋亡率及RANK蛋白的影响[J].风湿病与关节炎,2015,4(5):9-12,55.
[5]孙峰.益气温经方对去势模鼠骨折愈合影响的研究[D].浙江中医药大学,2016:17.
[6]卡纳尔着.卢世璧译.坎贝尔骨科手术学[M].第3卷.第9版.济南:山东科学技术出版社,2001:2294.
[7]Gartland JJ Jr,Werley CW.Evaluation of healed Colles’Fractures[J].J Bone Joint Surg Am,1951,33(4):895-907.
[8]刘菊,梅群超,谢先龙.温阳补肾方对去卵巢大鼠骨钙素及股骨显微结构的影响[J].中医学报,2014,30(8):1165-1167.
[9]宋红梅,吴斌,魏迎辰,等.温阳补肾方对激素性股骨头坏死模型兔股骨头形态学的影响[J].中国中医骨伤科杂志,2014,22(3):1-3,10.
[10]张荣位,谷福顺,王爱国.中药辅助治疗老年桡骨远端骨折用药规律分析[J].山西中医学院学报,2018,20(3):69-70,73.
[11]赵兵德,林定坤,温勇,等.石氏伤科“筋骨并重”理念在老年桡骨远端骨折治疗中的应用[J].中国中医骨伤科杂志,2016,24(12):46-48.
[12]王金财,李智,马伟杰,等.骨折速愈汤对桡骨远端骨折患者中医症状评分及关节疼痛程度的影响[J].河北中医,2017,39(3):360-363.
[13]李景辉.桡骨远端骨折运用祛瘀消肿汤结合切开复位内固定术治疗的疗效观察[J].当代医学,2017,23(7):19-21.
[14]黄永铨,罗毅文,王斌,等.补肾活血汤治疗老年桡骨远端骨折的临床疗效观察[J].中国中医骨伤科杂志,2015,23(3):5-8.
[15]吴木轩.中药汤剂在促进骨折愈合的疗效探讨[J].当代临床医刊,2018,(2):3781,3786.
[16]唐绪国.手法复位结合中药治疗小儿肱骨髁上骨折临床分析[J].实用中医药杂志,2018,34(8):920-921.
[17]靳松峰.手术配合中药治疗骨质疏松性胸腰椎压缩骨折疗效观察[J].实用中医药杂志,2018,34(9):1097-1098.
[18]杨清清,黄伟玲,董志毅,等.温阳补肾方对哮喘小鼠骨髓树突细胞TLR信号的调节作用[J].上海中医药杂志,2017,63(11):84-90.
[19]刘钟,杨依然,王均华,等.益气温经方对CKIP-1介导的破骨细胞凋亡的影响[J].中国中医骨伤科杂志,2018,26(8):14-17.
[20]邱慈新.温阳补肾方对体外培养破骨细胞活性与凋亡影响的实验研究[D].福建中医药大学,2015:5.