發(fā)布時(shí)間：2018-08-04 16:34

【摘要】：目的:探討中藥熏洗結(jié)合西醫(yī)治療復(fù)雜脛骨平臺(tái)骨折的臨床療效。方法:選取醫(yī)院收治的86例脛骨平臺(tái)骨折患者作為研究對(duì)象,隨機(jī)分為治療組和對(duì)照組。對(duì)照組采用給予手術(shù)治療,并常規(guī)給予抗炎、換藥、預(yù)防血栓、術(shù)后康復(fù)等支持治療,而治療組則在對(duì)照組治療的基礎(chǔ)之上再輔以自擬中藥方劑予以熏洗,并分別對(duì)兩組患者的臨床治療效果予以比較分析,并采用視覺模擬評(píng)價(jià)量表(VAS)及生活質(zhì)量評(píng)價(jià)量表(QOL)分別對(duì)兩組患者的疼痛感覺及生活質(zhì)量進(jìn)行評(píng)價(jià)。結(jié)果:術(shù)后6個(gè)月,觀察組膝關(guān)節(jié)功能恢復(fù)的優(yōu)良比率為86.84%(33/38),明顯高于對(duì)照組的優(yōu)良比率71.05%(27/38);觀察組術(shù)后并發(fā)癥發(fā)生的比例為18.42%(7/38),明顯低于對(duì)照組36.83%(14/38)。觀察組患者術(shù)后6個(gè)月VAS評(píng)分為(4.4±1.9)分顯著低于對(duì)照組的(6.3±3.4)分;QOL評(píng)價(jià)量表結(jié)果顯示,觀察組生理功能(PF)、軀體疼痛(BP)、總體健康(GH)、活力(VT)、社會(huì)功能(SF)及精神健康(MH)的評(píng)估情況均好于對(duì)照組(P0.05),生理職能及情感職能相比較無顯著性差異。結(jié)論:脛骨平臺(tái)骨折在治療過程中采用手術(shù)、康復(fù)訓(xùn)練結(jié)合中藥熏洗的方法能改善患者膝關(guān)節(jié)功能恢復(fù)情況,降低術(shù)后部位并發(fā)癥的發(fā)生率,提高臨床療效。
[Abstract]:Objective: to investigate the clinical effect of traditional Chinese medicine fumigation combined with western medicine in the treatment of complex tibial plateau fractures. Methods: 86 patients with tibial plateau fracture were randomly divided into treatment group and control group. The control group was treated with surgery, and the treatment group was treated with anti-inflammation, dressing change, thrombus prevention, postoperative rehabilitation and other supportive treatments, while the treatment group was fumigated with self-made Chinese medicine prescription on the basis of the treatment in the control group. The clinical effects of the two groups were compared and analyzed, and the pain feeling and quality of life of the two groups were evaluated by visual analogue evaluation scale (VAS) and quality of life evaluation scale (QOL). Results: 6 months after operation, the excellent rate of knee joint function recovery in the observation group was 86.84% (33 / 38), which was significantly higher than that in the control group (71.05%, 27 / 38), and the incidence of postoperative complications in the observation group was 18.42% (7 / 38), which was significantly lower than that in the control group (36.83%, 14 / 38). The VAS score of the patients in the observation group at 6 months after operation was (4.4 鹵1.9) significantly lower than that in the control group (6.3 鹵3.4). The evaluation of physiological function (PF), somatic pain (BP), overall healthy (GH), vigor (VT), social function (SF) and mental health (MH) in the observation group was better than that in the control group (P0.05). There was no significant difference in physiological function and emotional function between the observation group and the control group. Conclusion: during the treatment of tibial plateau fracture, rehabilitation training combined with fumigation with Chinese medicine can improve the recovery of knee joint function, reduce the incidence of postoperative complications, and improve the clinical efficacy.
【作者單位】： 吉林油田總醫(yī)院;復(fù)旦大學(xué)浦東醫(yī)院;
【基金】：上海市浦東新區(qū)科技發(fā)展基金創(chuàng)新資金項(xiàng)目(PKJ2011-Y3)
【分類號(hào)】：R687.3

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