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伤科紫草油治疗闭合性骨折并发张力性水泡的疗效研究

发布时间:2018-08-18 15:17
【摘要】:目的:骨折后肢体肿胀并发张力性水泡是临床上必须解决的问题之一。本研究的目的是从中西医结合治疗闭合性骨折并发张力性水泡的认识出发,根据中医理论,采用活血化瘀,凉血解毒的伤科紫草油来治疗闭合性骨折并发张力性水泡,观察伤科紫草油治疗闭合性骨折并发张力性水泡的疗效,找寻一套能较好治疗闭合性骨折并发张力性水泡的方案,以帮助临床更好地解决闭合性骨折并发张力性水泡给病人增加痛苦的问题。方法:将收集到的闭合性骨折并发张力性水泡的病例随机分为两组,其中对照组23例、观察组23例,经统计学验证,两组在年龄、性别、病因、骨折部位等各方面均无显著不同。两组患者均给予常规治疗,观察组加用伤科紫草油外敷治疗。记录并比较两组患者肢体肿胀水平,肿胀周径的峰值和基础周径值,消肿率,消退速度,直径大于2cm水泡的数目、疼痛的评分等。结果:1.在水泡消除速度上,观察组优于对照组。2.在消除直径大于2cm水泡效果上,观察组明显优于对照组。3.在治疗肿胀效果上,观察组明显优于对照组。4.在控制肿胀程度上,观察组明显优于对照组。5.在消肿率上,观察组明显优于对照组。6.在缓解外伤疼痛效果上,观察组明显优于对照组。结论:伤科紫草油治疗闭合性骨折并发张力性水泡可减轻病人的疼痛,加快患者的消肿速度,具有较好的临床效果。
[Abstract]:Objective: it is necessary to solve the problem of limb swelling complicated with tension blisters after fracture. The purpose of this study was to treat closed fracture with tension blisters by combining traditional Chinese and western medicine. According to the theory of traditional Chinese medicine, the treatment of closed fracture complicated with tension blisters was done by activating blood circulation and removing blood stasis, cooling blood and detoxification. To observe the curative effect of the treatment of closed fracture complicated with tension blisters and to find a better treatment scheme for closed fracture complicated with tension blisters. In order to help the clinical better to solve closed fracture with tension blisters to increase the pain of patients. Methods: the patients with closed fracture complicated with tension blisters were randomly divided into two groups: control group (n = 23) and observation group (n = 23). There was no significant difference in fracture site and other aspects. Two groups of patients were given routine treatment, the observation group was treated with external application of Chinese herb oil. Limb swelling level, peak value of swelling circumference and basal circumference, detumescence rate, extinction rate, diameter larger than 2cm blisters, pain score were recorded and compared between the two groups. The result is 1: 1. In the blistering elimination speed, the observation group is superior to the control group. 2. 2. In the effect of eliminating blisters with diameter larger than 2cm, the observation group was better than the control group. 3. 3. In the treatment of swelling, the observation group was significantly better than the control group. 4. 4. In controlling the degree of swelling, the observation group was obviously superior to the control group. In the detumescence rate, the observation group was significantly better than the control group. In the relief of traumatic pain, the observation group was significantly better than the control group. Conclusion: the treatment of closed fracture with tension blisters can relieve the pain and accelerate the detumescence rate of the patients. It has a good clinical effect.
【学位授予单位】:广州中医药大学
【学位级别】:硕士
【学位授予年份】:2015
【分类号】:R683

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