自擬接骨促愈方聯(lián)合阿法骨化醇對新鮮四肢骨折患者術(shù)后愈合進程及BMP、IGF、VEGF的影響
發(fā)布時間:2018-01-02 05:00
本文關(guān)鍵詞:自擬接骨促愈方聯(lián)合阿法骨化醇對新鮮四肢骨折患者術(shù)后愈合進程及BMP、IGF、VEGF的影響 出處:《現(xiàn)代中西醫(yī)結(jié)合雜志》2016年34期 論文類型:期刊論文
更多相關(guān)文章: 中藥 四肢骨折 手術(shù) 愈合
【摘要】:目的觀察自擬接骨促愈方聯(lián)合阿法骨化醇對新鮮四肢骨折患者術(shù)后愈合進程及血清骨形態(tài)發(fā)生蛋白2(BMP-2)、胰島素樣生長因子(IGF)及血管內(nèi)皮生長因子(VEGF)的影響。方法將140例子新鮮四肢骨折患者隨機分為2組,對照組70例采用阿法骨化醇治療,觀察組70例在此基礎(chǔ)上加用自擬接骨促愈方輔助治療。統(tǒng)計2組臨床癥狀消失時間、骨折愈合時間,觀察2組治療前后骨痂生長評分及血清BMP-2、IGF-Ⅰ、IGF-Ⅱ及VEGF水平變化情況。結(jié)果觀察組疼痛、腫脹及淤斑消失時間和骨折愈合時間均顯著短于對照組(P均0.05);2組治療后骨痂量、骨痂密度、骨痂邊緣及斷端邊緣骨痂生長評分均顯著高于治療前(P均0.05),且觀察組各項評分均顯著高于對照組(P均0.05);2組治療后血清BMP-2、IGF-Ⅰ、IGF-Ⅱ及VEGF水平均顯著高于治療前(P均0.05),且觀察組治療后各項指標水平均顯著高于對照組(P均0.05)。結(jié)論自擬接骨促愈方聯(lián)合阿法骨化醇治療新鮮四肢骨折可有效促進臨床癥狀消失,加快術(shù)后愈合進程,并有助于上調(diào)BMP-2、IGF-I、IGF-II及VEGF水平。
[Abstract]:Objective to observe the healing process and serum bone morphogenetic protein (BMP-2) in patients with fresh limb fracture treated by self-made bone healing prescription combined with Alfacalciol. Methods 140 patients with fresh limb fractures were randomly divided into two groups. The control group (70 cases) was treated with Alfacalciol, and the observation group (70 cases) was treated with self-made bone healing prescription. The clinical symptoms disappeared and fracture healing time was counted. The changes of callus growth score and serum BMP-2IGF- 鈪,
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