中药内服配合CPM在胫骨平台骨折术后治疗中的应用分析

发布时间：2018-08-07 07:02

【摘要】：目的:本研究旨在观察利用中药内服配合持续被动训练机(CPM机)功能锻炼在胫骨平台骨折术后促进骨折愈合方面和改善膝关节功能方面的临床疗效。方法:本研究所有病例均选自2015年3月至2016年3月期间沈阳市骨科医院的单侧胫骨平台骨折住院患者,全部接受切开复位锁定钢板螺钉内固定手术治疗,共46例,随机分为2组。治疗组23例在术后采用中药内服联合CPM功能锻炼,对照组23例在术后只采用CPM功能锻炼。按照《外科学》中的骨折临床愈合标准评估骨折愈合情况,记录骨折临床愈合时间。术后3个月,术后6个月依据HSS膝关节评分标准评价患膝功能恢复情况。结果:共计46例胫骨平台患者手术后有6个月的随访期,患肢均达到临床愈合标准,治疗组骨折临床愈合时间(8.65±1.40)周,对照组骨折临床愈合时间(9.70±1.50)周。术后3个月治疗组HSS功能评分(45.04±5.50),对照组HSS功能评分(41.61±5.32)。术后6个月治疗组HSS功能评分(89.70±7.84),对照组HSS功能评分(79.65±8.20)两组观察并比较骨折临床愈合时间、HSS功能评分,差异具有统计学意义(P0.05)。结论:对于接受切开复位锁定钢板螺钉内固定手术治疗的胫骨平台骨折患者,手术后在CPM机功能锻炼的基础上采用中医药联合治疗,利于骨折愈合及患膝功能的恢复,疗效优于只采用CPM机功能锻炼者,值得临床上骨折术后推广中医药联合治疗。
[Abstract]:Objective: to observe the clinical effect of traditional Chinese medicine (TCM) combined with continuous passive training machine (CPM) in promoting fracture healing and improving knee joint function after tibial plateau fracture. Methods: from March 2015 to March 2016, 46 patients with unilateral tibial plateau fractures were treated with open reduction and locking plate screw fixation. They were randomly divided into two groups. The treatment group (23 cases) were treated with traditional Chinese medicine combined with CPM function exercise after operation, while the control group (23 cases) only took CPM function exercise after operation. The fracture healing was evaluated according to the criteria of fracture healing in surgery and the time of fracture healing was recorded. After 3 months and 6 months after operation, the functional recovery of the affected knee was evaluated according to the HSS knee scoring standard. Results: a total of 46 patients with tibial plateau were followed up for 6 months. The clinical healing time of the affected limbs was (8.65 卤1.40) weeks in the treatment group and (9.70 卤1.50) weeks in the control group. The HSS function score of the treatment group was (45.04 卤5.50) months after operation, and the HSS function score of the control group was (41.61 卤5.32) months after operation. Six months after operation, the scores of HSS function in the treatment group (89.70 卤7.84) and the control group (79.65 卤8.20) were observed and compared. The difference was statistically significant (P0.05). Conclusion: for the patients with tibial plateau fracture treated by open reduction and locking plate and screw internal fixation, the combined therapy of traditional Chinese medicine on the basis of CPM machine function exercise after operation is beneficial to fracture healing and recovery of knee function. The curative effect is better than only using CPM machine function exercise, it is worth popularizing traditional Chinese medicine combination treatment after operation of fracture.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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