中医微创手法结合锁定钢板外置治疗胫骨骨折的疗效分析

发布时间：2018-06-24 04:17

本文选题：中医微创 + 锁定钢板外置　；参考：《中华中医药学刊》2017年07期

【摘要】：目的:探究分析中医微创手法结合锁定钢板外置对于治疗胫骨骨折的疗效。方法:选取2013年1月—2016年1月医院收治的98例胫骨骨折患者作为研究对象,按随机数表法分为研究组和对照组,每组各49例。对照组患者进行锁定钢板外置治疗,研究组在对照组的基础上结合中医微创手法进行同时治疗。治疗后随访12个月,比较两组患者骨折愈合时间、并发症发生情况及发生率、疼痛视觉模拟量表(VAS)评分以及总有效率。结果:研究组患者骨折愈合时间为(14.66±5.37)周,对照组患者骨折愈合时间为(17.53±6.39)周,研究组患者骨折愈合时间明显短于对照组,差异具有统计学意义(P0.05);经过治疗,研究组有9例患者出现延期愈合、骨不连、钉道感染等并发症,并发症发生率为18.37%,对照组有17例患者出现延期愈合、骨不连、钉道感染等并发症,并发症发生率为34.96%,研究组的并发症发生率明显低于对照组,差异具有统计学意义(P0.05);对照组VAS评分为(5.37±1.62)分,研究组VAS评分为(2.25±1.31)分,研究组VAS评分明显低于对照组,差异具有统计学意义(P0.05);研究组治疗总有效率为91.84%,对照组治疗总有效率为81.63%,研究组治疗总有效率高于对照组,差异具有统计学意义(P0.05)。结论:中医微创手法结合锁定钢板外置治疗胫骨骨折具有显著效果,能有效缩短患者骨折愈合时间,减少并发症的发生并显著减轻患者疼痛感,值得广泛推广。
[Abstract]:Objective: to explore the therapeutic effect of minimally invasive manipulation combined with locking plate external placement in the treatment of tibial fractures. Methods: 98 patients with tibial fracture were selected from January 2013 to January 2016. According to the method of random number, they were divided into study group and control group with 49 cases in each group. The patients in the control group were treated with locking plate, while the patients in the study group were treated simultaneously with traditional Chinese medicine minimally invasive manipulation on the basis of the control group. The time of fracture healing, the occurrence and incidence of complications, the visual analogue pain scale (VAS) and the total effective rate were compared between the two groups. Results: the time of fracture healing was (14.66 卤5.37) weeks in the study group and (17.53 卤6.39) weeks in the control group. The healing time of the patients in the study group was significantly shorter than that in the control group (P0.05). Nine patients in the study group had complications such as delayed healing, nonunion, infection of the nail tract, etc. The incidence of complications was 18.37. In the control group, 17 patients had complications such as delayed healing, bone nonunion, infection of the nail tract, etc. The incidence of complications in the study group was significantly lower than that in the control group (P0.05), the VAS score in the control group was (5.37 卤1.62), the VAS score in the study group was (2.25 卤1.31), and the VAS score in the study group was significantly lower than that in the control group. The difference was statistically significant (P0.05); the total effective rate of the study group was 91.84 and the total effective rate of the control group was 81.63. The total effective rate of the study group was higher than that of the control group (P0.05). Conclusion: the treatment of tibial fracture with traditional Chinese minimally invasive manipulation combined with locking plate has remarkable effect, which can effectively shorten the time of fracture healing, reduce the occurrence of complications and relieve the pain of the patients. It is worth popularizing widely.
【作者单位】：浙江大学明州医院骨科;
【基金】：浙江省医学科技计划项目(2015A610318)
【分类号】：R687.3

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