中药封包治疗闭合型股骨干骨折术后软组织肿痛的临床疗效观察
发布时间：2018-07-14 09:46
【摘要】：目的： 观察中药封包配合常规抗炎药物对股骨干骨折术后的恢复的治疗效果。期望为临床治疗股骨干骨折患者术后的康复提供一种中西医结合的思路及方法。 方法： 随机选择来自湖南常德市第一中医院住院病人股骨干骨折患者共60例,根据患者住院时间与住院号先后顺序随机分为两组,即治疗组30例(中药封包外敷),对照组30例(云南白药膏外敷)。治疗组患者股骨干骨折后均采用闭合弹性髓内针内固定手术,术后予以常规抗炎药物三天,术后第二天开始在患者骨折断端疼痛肿胀处予以中药封包外用治疗,30min/次,每天进行两次治疗(上午、下午各一次)。对照组患者骨折后亦同治疗组采用相同方式手术,术后予以常规抗炎药物三天,术后第二天在患者骨折断端疼痛肿胀处予以云南白药膏贴敷治疗,30min/次,每天两次(上午、下午各一次)。两组期间均不予其他止痛消肿药物治疗,共予以治疗2周。两组患者在治疗期间均不使用其他止痛消肿类型的药物治疗。评价方法采用视觉模拟评分法(Visual Analogue Scale/Score,简称VAS)及患者患肢肿胀程度测量以及患者白细胞、CRP变化情况来评价疗效。 结果： 1.中药封包组与云南白药膏组对闭合型股骨干骨折术后疼痛的缓解均有明显疗效,治疗前后差异有统计学意义(p0.01),中药封包组总有效率为86.67%,云南白药膏组总有效率为60.00%,两组差异有统计学意义(p0.05),疼痛方面封包组优于云南白药膏组; 2.两组在对闭合型股骨干骨折术后患者软组织肿胀缓解方面,中药封包组有效率为90.00%,云南白药膏组有效率为63.33%,且两组差异有统计学意义(p0.05)； 3.治疗组在对改善闭合型股骨干骨折术后患者的白细胞、C反应蛋白方面,优于对照组(p0.05)。 结论： 中药封包与云南白药膏均可以有效缓解闭合型股骨干骨折患者术后疼痛、软组织肿胀,改善术后患者机体白细胞及C反应蛋白值,而总体疗效方面,中药封包组明显优于云南白药膏组,且临床应用中未发现毒副作用,值得进一步研究和临床推广。
[Abstract]:Objective:
To observe the therapeutic effect of traditional Chinese medicine package combined with conventional anti-inflammatory drugs on the recovery of femoral shaft fracture after operation. It is expected that a combination of traditional Chinese and Western medicine should be provided for the rehabilitation of femoral shaft fractures in clinical treatment.
Method:
A total of 60 patients with femoral shaft fractures were randomly selected from the first hospital of Changde, Hunan. The patients were randomly divided into two groups according to the time of hospitalization and the order of hospitalization, that is, 30 cases in the treatment group (external application of traditional Chinese Medicine), and 30 cases in the control group (the external application of the white ointment in Yunnan). For three days after the operation, the conventional anti inflammatory drugs were given for three days, and the traditional Chinese medicine was treated with traditional Chinese medicine on the second day after the operation. Two times a day (morning, one in the afternoon), the control group was operated on the same way with the treatment group, and the conventional anti inflammatory drugs were given for three days after the operation. Second days after the operation, the pain and swelling of the fracture end of the patient was treated with Yunnan white ointment, 30min/ times, two times a day (morning, one in the afternoon). The two groups were not treated with other analgesic and swelling drugs for 2 weeks. The two groups were treated with no other analgesic and swelling types during the treatment. The efficacy was evaluated by Visual Analogue Scale/Score (VAS) and the degree of swelling of the affected limbs and the changes of leukocytes and CRP in patients.
Result:
1. the traditional Chinese medicine package group and Yunnan white ointment group had obvious curative effect on the pain relief after the closure of the femoral shaft fracture. The difference was statistically significant before and after treatment (P0.01), the total effective rate of the traditional Chinese medicine package group was 86.67%, the total effective rate of the Yunnan white ointment group was 60%, the two groups had statistical significance (P0.05), and the pain envelope group was superior to Yunnan. White ointment group;
2. in the two groups, the swelling of the soft tissue in patients with closed femoral shaft fracture was 90%, the effective rate of Yunnan white ointment group was 63.33%, and the difference between the two groups was statistically significant (P0.05).
3. the treatment group was better than the control group in improving white blood cells and C reactive protein in patients with closed femoral shaft fracture (P0.05).
Conclusion:
Traditional Chinese medicine package and Yunnan white ointment can effectively relieve postoperative pain, swelling of the soft tissue, improve the value of leukocyte and C reaction protein in the patients with closed femoral shaft fracture, and the overall effect of the patients is better than that in the white ointment group in Yunnan. Bed promotion.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
本文编号：2121257
[Abstract]:Objective:
To observe the therapeutic effect of traditional Chinese medicine package combined with conventional anti-inflammatory drugs on the recovery of femoral shaft fracture after operation. It is expected that a combination of traditional Chinese and Western medicine should be provided for the rehabilitation of femoral shaft fractures in clinical treatment.
Method:
A total of 60 patients with femoral shaft fractures were randomly selected from the first hospital of Changde, Hunan. The patients were randomly divided into two groups according to the time of hospitalization and the order of hospitalization, that is, 30 cases in the treatment group (external application of traditional Chinese Medicine), and 30 cases in the control group (the external application of the white ointment in Yunnan). For three days after the operation, the conventional anti inflammatory drugs were given for three days, and the traditional Chinese medicine was treated with traditional Chinese medicine on the second day after the operation. Two times a day (morning, one in the afternoon), the control group was operated on the same way with the treatment group, and the conventional anti inflammatory drugs were given for three days after the operation. Second days after the operation, the pain and swelling of the fracture end of the patient was treated with Yunnan white ointment, 30min/ times, two times a day (morning, one in the afternoon). The two groups were not treated with other analgesic and swelling drugs for 2 weeks. The two groups were treated with no other analgesic and swelling types during the treatment. The efficacy was evaluated by Visual Analogue Scale/Score (VAS) and the degree of swelling of the affected limbs and the changes of leukocytes and CRP in patients.
Result:
1. the traditional Chinese medicine package group and Yunnan white ointment group had obvious curative effect on the pain relief after the closure of the femoral shaft fracture. The difference was statistically significant before and after treatment (P0.01), the total effective rate of the traditional Chinese medicine package group was 86.67%, the total effective rate of the Yunnan white ointment group was 60%, the two groups had statistical significance (P0.05), and the pain envelope group was superior to Yunnan. White ointment group;
2. in the two groups, the swelling of the soft tissue in patients with closed femoral shaft fracture was 90%, the effective rate of Yunnan white ointment group was 63.33%, and the difference between the two groups was statistically significant (P0.05).
3. the treatment group was better than the control group in improving white blood cells and C reactive protein in patients with closed femoral shaft fracture (P0.05).
Conclusion:
Traditional Chinese medicine package and Yunnan white ointment can effectively relieve postoperative pain, swelling of the soft tissue, improve the value of leukocyte and C reaction protein in the patients with closed femoral shaft fracture, and the overall effect of the patients is better than that in the white ointment group in Yunnan. Bed promotion.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
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