滋阴清热法治疗老年骨折术后发热的临床疗效

发布时间：2018-01-16 01:21

本文关键词：滋阴清热法治疗老年骨折术后发热的临床疗效　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：以老年骨折术后发热患者为研究对象,以老年骨折术后特点以及中医理论为本,通过运用中医辨证思维分析病情,以滋阴清热法为纲,应用清骨散加减治疗退热,观察治疗后发热的时间、血象与时间等指标与对照组的不同,观察滋阴清热法治疗老年骨折术后发热的有效性,从而促进患者术后康复,为老年人术后骨折愈合提供更好的环境与条件。方法：本研究选取老年骨折术后发热患者60例,按照单盲随机的原则将其平均分配到治疗组和对照组,治疗组术后给予清骨散加减治疗；对照组给予物理降温。两组每天定时测量腋温,治疗后24小时开始观察连续7天的体温,观察治疗后发热的时间、血象、住院费用与时间等指标,记录并整理相关数据,运用统计学分析并处理,最终得出结果并加以讨论。成果：1、两组方案均可治疗老年骨折术后发热,但治疗组运用清骨散加减治疗退热效果更快速,患者发热持续时间更短。2、两组均能改善老年骨折术后发热患者的中医临床症状,总有效率对照组为80%,治疗组为90%,经统计学处理可以认为在改善中医临床症状疗效方面治疗组优于对照组。3、两组治疗均可不同程度降低患者SAS积分,说明在改善患者焦虑方面均取得良好的效果。结论：以滋阴清热法为原则,运用清骨散加减能有效的治疗老年骨折术后发热,从而改善患者的临床症状及焦虑状况,为临床上老年骨折术后的骨折愈合与康复提供了一条科学有效的方法选择。
[Abstract]:Objective: to study the patients with fever after operation of senile fracture, take the characteristics of senile fracture and the theory of TCM as the basis, analyze the condition by using TCM dialectical thinking, and take the method of nourishing yin and clearing away heat as the outline. Using Qinggu Powder to treat fever, observe the time, blood and time of fever after treatment, and observe the effectiveness of nourishing yin and clearing heat method in treating the fever after operation of senile fracture. In order to promote postoperative rehabilitation of patients and provide a better environment and conditions for postoperative fracture healing of the elderly. Methods: 60 patients with fever after operation were selected in this study. According to the principle of single blind randomization, it was equally distributed to the treatment group and the control group, and the treatment group was treated with Qinggu Powder after operation. The control group was given physical cooling. The axillary temperature was measured regularly every day in the two groups. The body temperature was observed 24 hours after treatment for 7 days. The time of fever, blood picture, hospitalization cost and time after treatment were observed. Records and arranges the related data, uses the statistical analysis and the processing, finally obtains the result and discusses. But the treatment group treated with Qinggu powder plus or minus the effect of antipyretic faster, the duration of fever in patients with shorter. 2, both groups can improve the clinical symptoms of the elderly patients with fever after fracture, the total effective rate of 80% in the control group. The treatment group is 90. The treatment group is superior to the control group in improving the curative effect of TCM clinical symptoms. The two groups of treatment can reduce the SAS score of patients in varying degrees. Conclusion: taking the method of nourishing yin and clearing away heat as the principle, the addition and subtraction of Qinggu San can effectively treat the postoperative fever of senile fracture. It can improve the clinical symptoms and anxiety of the patients and provide a scientific and effective method for fracture healing and rehabilitation.
【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】：2016
【分类号】：R274.9

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