【摘要】：目的:通過臨床觀察中藥口服、熏洗對(duì)脛骨平臺(tái)骨折術(shù)后骨折愈合情況及膝關(guān)節(jié)功能恢復(fù)的影響,探討中藥在脛骨平臺(tái)骨折術(shù)后的作用機(jī)制和預(yù)防骨折術(shù)后并發(fā)癥的療效。方法:選取2013年7月至2015年8月于我院收治的脛骨平臺(tái)骨折患者60例,將其隨機(jī)分為治療組和對(duì)照組,每組各30例,其中男性36例,女性24例,年齡20~62歲,平均43.1歲。骨折按照Schatzker分型:其中Ⅰ型6例,Ⅱ型13例,Ⅲ型21例,Ⅳ型5例,Ⅴ型8例,Ⅵ型7例。治療組術(shù)后使用中藥口服和中藥熏洗,對(duì)照組術(shù)后予以常規(guī)治療,通過中藥口服對(duì)患者術(shù)后4周、8周、12周、16周和20周的隨訪,比較兩組骨折端骨痂密度和骨折平均愈合時(shí)間;中藥熏洗療程結(jié)束后觀察患者術(shù)后VAS疼痛評(píng)分、膝關(guān)節(jié)活動(dòng)度評(píng)分,術(shù)后6個(gè)月對(duì)膝關(guān)節(jié)HSS綜合評(píng)分進(jìn)行比較,對(duì)相關(guān)結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:通過對(duì)60例患者術(shù)后的隨訪,術(shù)后X片觀察骨痂量的多少及骨折線模糊程度來判定骨折愈合的情況;采用VAS疼痛評(píng)分、膝關(guān)節(jié)活動(dòng)度評(píng)分及HSS綜合評(píng)分的比較,評(píng)定術(shù)后膝關(guān)節(jié)功能恢復(fù)的情況。1、兩組術(shù)后X片骨痂量及骨折線模糊的情況及結(jié)果分析:兩組患者在X片骨折端骨痂密度上治療組優(yōu)于對(duì)照組,但兩組患者進(jìn)行統(tǒng)計(jì)學(xué)分析時(shí)無統(tǒng)計(jì)學(xué)差異(P0.05)。2、兩組患者骨折平均愈合時(shí)間的比較:治療組骨折平均愈合時(shí)間16.42±1.32周,對(duì)照組骨折平均愈合時(shí)間18.34±1.41周,但兩者在統(tǒng)計(jì)學(xué)比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。3、兩組患者術(shù)后VAS疼痛評(píng)分的比較:差異無統(tǒng)計(jì)學(xué)意義,但治療組疼痛緩解率優(yōu)于對(duì)照組。4、兩組患者術(shù)后膝關(guān)節(jié)活動(dòng)度評(píng)分的比較:治療組膝關(guān)節(jié)活動(dòng)度的恢復(fù)明顯優(yōu)于對(duì)照組,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。5、兩組患者術(shù)后HSS綜合評(píng)分的比較:治療組的優(yōu)良率為96.7%,對(duì)照組的優(yōu)良率為73.3%,治療組的優(yōu)良率明顯優(yōu)于對(duì)照組,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:中藥接骨續(xù)筋口服液具有一定促進(jìn)骨折愈合的作用,能夠促進(jìn)脛骨平臺(tái)骨折術(shù)后軟組織的修復(fù)和骨痂的生長(zhǎng),縮短骨折愈合時(shí)間,從而降低骨折延遲愈合或不愈合的發(fā)生概率;術(shù)后配合中藥熏洗能減輕膝關(guān)節(jié)術(shù)后疼痛,并且促進(jìn)膝關(guān)節(jié)功能恢復(fù),能減少術(shù)后關(guān)節(jié)僵直等并發(fā)癥的發(fā)生,提高患者生活質(zhì)量。
[Abstract]:Objective: to observe the effect of oral and fumigation of traditional Chinese medicine on fracture healing and function recovery of knee joint after tibial plateau fracture, and to explore the mechanism of traditional Chinese medicine in the treatment of tibial plateau fracture and the effect of preventing complications after tibial plateau fracture. Methods: sixty patients with tibial plateau fracture admitted in our hospital from July 2013 to August 2015 were randomly divided into treatment group (n = 30) and control group (n = 30), including 36 males and 24 females, aged 2062 years with an average of 43.1 years. According to Schatzker classification, there were 6 cases of type 鈪，

本文編號(hào)：2315627