桃红四物汤结合改良Judet手术入路法治疗各型肩胛骨骨折疗效观察

发布时间：2018-10-19 09:35

【摘要】：目的:观察桃红四物汤对肩胛骨骨折术后,肩背部疼痛、肿胀,肩关节功能活动受限等功能障碍的改善情况,进一步验证桃红四物汤在骨折早期的应用和推广。方法:共收集的病例21例,随机分成治疗组和对照组。治疗组和对照组手术均是在全麻下,采用改良的Judet手术入路法手术。两组患者均于术后拍片检查内固定物是否牢固,选用方巾将患肢前臂行胸前悬吊。对照组术后常规静脉点滴活血化瘀及消肿的中成药,治疗组在术后第2天开始加用口服桃红四物汤,组方:生地15g、当归15g、赤芍10g、川芎8g、桃仁9g、红花6g。将各味中药加水250 ml没过草药,浸泡2小时,用武火煎煮15分钟,取药汁150 ml,继续再加水200 ml,武火煎煮20分钟,取药汁150ml,把两次取出的药汁相兑。一日一剂,早晚两次空腹口服,连服7天为1个疗程,持续3个疗程。结果::1.、治疗组较对照组患者肩背部疼痛在术后第3、5天疼痛值低,有差异(P0.05);2.、治疗组较对照组患者在术后第3、5天肿胀消退程度快,有差异(P0.05)。3.、术后第1、2、3月患肢肩关节功能评分有差异(P0.05),且治疗组分值较对照组大,说明治疗组在术后肩关节功能恢复情况较对照组好。4.、治疗组肩关节优良率明显高于对照组。结论:本研究表明桃红四物汤结合改良Judet手术入路法对肩胛骨骨折的康复优于单纯改良Judet手术入路法治疗肩胛骨骨折。桃红四物汤在肩胛骨骨折术后康复过程中,起到止痛、消肿,促进肩关节功能恢复的作用,对骨折早期的功能恢复具有显著的疗效。
[Abstract]:Objective: to observe the improvement of Taohong Siwu decoction on shoulder and back pain, swelling and limited function of shoulder joint after scapular fracture, and to verify the application and popularization of Taohong Siwu decoction in the early stage of fracture. Methods: 21 cases were randomly divided into treatment group and control group. The treatment group and control group were operated under general anesthesia with modified Judet approach. The patients in both groups were examined by radiographs after operation to see if the internal fixation was firm and the forearm of the affected limb was suspended by using a square towel. In the control group, the traditional Chinese patent medicine of promoting blood circulation and removing blood stasis and reducing swelling was given by intravenous drip after operation. In the treatment group, oral Taohong Siwu decoction was added on the second day after operation. The prescription: Shengdi 15g, Angelica sinensis 15g, Radix Paeoniae rubra 10g, Chuanxiong 8g, peach kernel 9g, safflower 6g. The herbs were soaked in water for 2 hours and boiled for 15 minutes. The juice was further boiled for 20 minutes by adding water for 200 ml,. The medicine juice was added for 150ml and the juice was mixed twice. One dose a day, two fasting oral morning and evening, 7 days as a course of treatment, continued for 3 courses. Results: 1. The pain value of shoulder and back pain in the treatment group was lower than that in the control group on the 5th day after operation (P0.05); 2. The swelling degree of the treatment group was faster than that of the control group on the 3rd day after operation. There was a difference (P0.05). 3. The scores of shoulder joint function in the first and third months after operation were different (P0.05), and the score of the treatment group was larger than that of the control group, which indicated that the recovery of the shoulder joint function in the treatment group was better than that in the control group. 4. The excellent and good rate of the shoulder joint in the treatment group was significantly higher than that in the control group. Conclusion: this study shows that Taohong Siwu decoction combined with modified Judet operative approach is superior to modified Judet surgical approach in the rehabilitation of scapular fractures. Taohong Siwu decoction can relieve pain, reduce swelling and promote the recovery of shoulder joint function in the recovery process of scapular fracture.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

【相似文献】