中西医结合治疗复杂胫骨平台骨折的临床疗效分析

发布时间：2018-08-04 16:34

【摘要】：目的:探讨中药熏洗结合西医治疗复杂胫骨平台骨折的临床疗效。方法:选取医院收治的86例胫骨平台骨折患者作为研究对象,随机分为治疗组和对照组。对照组采用给予手术治疗,并常规给予抗炎、换药、预防血栓、术后康复等支持治疗,而治疗组则在对照组治疗的基础之上再辅以自拟中药方剂予以熏洗,并分别对两组患者的临床治疗效果予以比较分析,并采用视觉模拟评价量表(VAS)及生活质量评价量表(QOL)分别对两组患者的疼痛感觉及生活质量进行评价。结果:术后6个月,观察组膝关节功能恢复的优良比率为86.84%(33/38),明显高于对照组的优良比率71.05%(27/38);观察组术后并发症发生的比例为18.42%(7/38),明显低于对照组36.83%(14/38)。观察组患者术后6个月VAS评分为(4.4±1.9)分显著低于对照组的(6.3±3.4)分;QOL评价量表结果显示,观察组生理功能(PF)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)及精神健康(MH)的评估情况均好于对照组(P0.05),生理职能及情感职能相比较无显著性差异。结论:胫骨平台骨折在治疗过程中采用手术、康复训练结合中药熏洗的方法能改善患者膝关节功能恢复情况,降低术后部位并发症的发生率,提高临床疗效。
[Abstract]:Objective: to investigate the clinical effect of traditional Chinese medicine fumigation combined with western medicine in the treatment of complex tibial plateau fractures. Methods: 86 patients with tibial plateau fracture were randomly divided into treatment group and control group. The control group was treated with surgery, and the treatment group was treated with anti-inflammation, dressing change, thrombus prevention, postoperative rehabilitation and other supportive treatments, while the treatment group was fumigated with self-made Chinese medicine prescription on the basis of the treatment in the control group. The clinical effects of the two groups were compared and analyzed, and the pain feeling and quality of life of the two groups were evaluated by visual analogue evaluation scale (VAS) and quality of life evaluation scale (QOL). Results: 6 months after operation, the excellent rate of knee joint function recovery in the observation group was 86.84% (33 / 38), which was significantly higher than that in the control group (71.05%, 27 / 38), and the incidence of postoperative complications in the observation group was 18.42% (7 / 38), which was significantly lower than that in the control group (36.83%, 14 / 38). The VAS score of the patients in the observation group at 6 months after operation was (4.4 卤1.9) significantly lower than that in the control group (6.3 卤3.4). The evaluation of physiological function (PF), somatic pain (BP), overall healthy (GH), vigor (VT), social function (SF) and mental health (MH) in the observation group was better than that in the control group (P0.05). There was no significant difference in physiological function and emotional function between the observation group and the control group. Conclusion: during the treatment of tibial plateau fracture, rehabilitation training combined with fumigation with Chinese medicine can improve the recovery of knee joint function, reduce the incidence of postoperative complications, and improve the clinical efficacy.
【作者单位】：吉林油田总医院;复旦大学浦东医院;
【基金】：上海市浦东新区科技发展基金创新资金项目(PKJ2011-Y3)
【分类号】：R687.3

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