复元活血汤加味治疗胫腓骨骨折初期的临床疗效观察

发布时间：2018-01-24 15:32

本文关键词： 胫腓骨骨折复元活血汤疗效　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:验证复元活血汤加味治疗胫腓骨骨折初期的临床疗效。方法:选择自2014年8月至2015年10月间在山东中医药大学附属医院(山东省中医院)骨科治疗的60例胫腓骨骨折的患者,随机分组,分为实验组30例(A组)与对照组30例(B组).两组患者均行手术治疗。在术后专人指导下进行相应的功能锻炼。在术前及术后实验组(A组)复元活血汤加味口服(方药桃仁、红花、当归、瓜蒌根、甘草、穿山甲、柴胡、大黄,冬瓜皮,牛膝),对照组(B组)未口服中药制剂。所有患者在入组治疗后的指定时间分别观察患肢肿胀程度,受伤至手术的时间,切口愈合时间等指标,术后根据就Johner-Wruhs评价标准,系统分析评定其临床疗效。结果:1.术前用药后患肢肿胀及疼痛的减轻程度:实验组对照组;受伤至手术的时间:实验组对照组。2.术后用药后肿胀程度的变化:实验组对照组;切口愈合时间:实验组对照组;愈合等级:实验组优于对照组。3.Johner-Wruhs:实验组对照组结论:复元活血汤加味有利于胫腓骨骨折的消肿,缩短了受伤至手术的时间,对并发症的防治起到了积极的作用,在临床上值得推广。
[Abstract]:Objective: to verify the clinical effect of Fuyuan Huoxue decoction in the early stage of tibia and fibula fracture. Methods: from August 2014 to October 2015, selected from the affiliated Hospital of Shandong University of traditional Chinese Medicine (Shandong traditional Chinese Medicine Hospital). There were 60 cases of tibia and fibula fracture treated by orthopedics. Random grouping. Divided into experimental group (n = 30) and control group (n = 30) and control group (n = 30). The patients in both groups were treated by operation. Fuyuan Huoxue decoction oral (prescription peach kernel. Safflower, Angelica sinensis, trichosanthes root, licorice, pangolin, Bupleurum, rhubarb, winter gourd skin, Achyranthes bidentata). Control group B) no oral Chinese medicine preparation. All patients in the group after the designated time to observe the extent of swelling of the affected limb injury to surgery time wound healing time and other indicators. According to the evaluation criteria of Johner-Wruhs, the clinical efficacy was evaluated by systematic analysis after operation. Results: 1. The degree of swelling and pain relief of the affected limbs after preoperative medication: the control group; The time from injury to operation: experimental group control group 2.The change of swelling degree after medication: experimental group control group; Wound healing time: experimental group control group; Healing grade: the experimental group is superior to the control group. 3. Johner-Wruhs: the experimental group conclusion: Fuyuan Huoxue decoction is beneficial to the detumescence of tibia and fibula fracture and shortens the time from injury to operation. It plays a positive role in the prevention and treatment of complications and is worth popularizing in clinic.
【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】：2016
【分类号】：R274.1

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