本文選題：桃紅四物湯 + 髕骨骨折�。� 參考：《中國(guó)實(shí)驗(yàn)方劑學(xué)雜志》2017年09期

【摘要】：目的:研究桃紅四物湯對(duì)髕骨骨折患者術(shù)后康復(fù)的影響,并探討其作用機(jī)制。方法:回顧分析2014年1月—2015年1月在鄭州中心醫(yī)院診治的114例髕骨骨折患者,隨機(jī)為對(duì)照組和治療組,每組57例。兩組患者均給予手術(shù)治療。對(duì)照組患者術(shù)后給予常規(guī)康復(fù)訓(xùn)練,治療組患者在術(shù)后第1天開(kāi)始服用桃紅四物湯,連續(xù)服用20個(gè)療程(1個(gè)療程7 d),比較兩組患者康復(fù)效果。結(jié)果:治療后與對(duì)照組比較,治療組患者術(shù)后第3,7,10天疼痛度評(píng)分、膝關(guān)節(jié)腫脹評(píng)分指數(shù)、壓痛指數(shù)明顯降低(P0.05);術(shù)后治療組患者第4,6,8周膝關(guān)節(jié)功能HSS評(píng)分明顯升高(P0.05);術(shù)后20周隨訪,治療組患者臨床治療有效率為98.24%,明顯高于對(duì)照組患者的85.96%(P0.05);術(shù)后20周隨訪兩組患者骨代謝指標(biāo)骨鈣素(BGP),堿性磷酸酶(ALP),骨吸收指標(biāo)尿鈣(U-Ca~(2+))明顯改善,治療組患者BGP,ALP明顯高于對(duì)照組(P0.05);術(shù)后20周治療組患者U-Ca~(2+)明顯低于對(duì)照組(P0.05);術(shù)后20周隨訪治療組1例患者關(guān)節(jié)活動(dòng)障礙,對(duì)照組3例患者關(guān)節(jié)活動(dòng)障礙,差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:桃紅四物湯可以促進(jìn)髕骨骨折術(shù)后康復(fù),并且可以止痛、消腫,促進(jìn)膝關(guān)節(jié)功能的恢復(fù),尤其是對(duì)骨折早期的功能恢復(fù)具有明顯的療效。
[Abstract]:Objective: to study the effect of Taohong Siwu decoction on postoperative rehabilitation of patella fracture patients and explore its mechanism. Methods: a retrospective analysis of 114 patellar fracture patients in Zhengzhou Central Hospital from January 2014 to January 2015 was performed. The patients were randomly divided into control group and treatment group with 57 cases in each group. Both groups were given surgical treatment. The patients in the control group were given routine rehabilitation training after operation. The patients in the treatment group were given Taohong Siwu decoction on the first day after operation. The patients in the treatment group were given 20 courses of treatment (7 days a course of treatment). The rehabilitation effects of the two groups were compared. Results: compared with the control group, the pain score and knee swelling index of the patients in the treatment group were evaluated on the 7th day after operation. The HSS score of knee joint function of the patients in the treatment group increased significantly at the 4th week of the 6th week, and the HSS score of the knee joint function increased significantly at the 8th week, followed up 20 weeks after the operation. The effective rate of clinical treatment in the treatment group was 98.24, which was significantly higher than that in the control group (85.96), and the bone metabolism index (BGP), alkaline phosphatase (ALPN), urinary calcium (U-CaO2) were significantly improved 20 weeks after operation in the treatment group, and the clinical efficacy rate of the treatment group was 98.24%, which was significantly higher than that of the control group (85.96%). The U-Ca~(2 of the treatment group was significantly higher than that of the control group (P 0.05), and the U-Ca~(2 of the treatment group was significantly lower than that of the control group (P 0.05), and that of the treatment group was significantly lower than that of the control group (P 0.05), and there was no significant difference between the treatment group and the control group. Conclusion: Taohong Siwu decoction can promote the recovery of patella fracture after operation, and can relieve pain, reduce swelling and promote the recovery of knee joint function, especially in the early stage of fracture.
【作者單位】： 鄭州大學(xué)附屬鄭州中心醫(yī)院;寶雞市中醫(yī)醫(yī)院;
【基金】：河南省科技攻關(guān)項(xiàng)目(201303039) 河南省高等學(xué)校重點(diǎn)科研項(xiàng)目(17A320053)
【分類號(hào)】：R274.9

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