桃红四物汤对髌骨骨折患者术后康复的影响

发布时间：2018-04-26 22:24

本文选题：桃红四物汤 + 髌骨骨折　；参考：《中国实验方剂学杂志》2017年09期

【摘要】：目的:研究桃红四物汤对髌骨骨折患者术后康复的影响,并探讨其作用机制。方法:回顾分析2014年1月—2015年1月在郑州中心医院诊治的114例髌骨骨折患者,随机为对照组和治疗组,每组57例。两组患者均给予手术治疗。对照组患者术后给予常规康复训练,治疗组患者在术后第1天开始服用桃红四物汤,连续服用20个疗程(1个疗程7 d),比较两组患者康复效果。结果:治疗后与对照组比较,治疗组患者术后第3,7,10天疼痛度评分、膝关节肿胀评分指数、压痛指数明显降低(P0.05);术后治疗组患者第4,6,8周膝关节功能HSS评分明显升高(P0.05);术后20周随访,治疗组患者临床治疗有效率为98.24%,明显高于对照组患者的85.96%(P0.05);术后20周随访两组患者骨代谢指标骨钙素(BGP),碱性磷酸酶(ALP),骨吸收指标尿钙(U-Ca~(2+))明显改善,治疗组患者BGP,ALP明显高于对照组(P0.05);术后20周治疗组患者U-Ca~(2+)明显低于对照组(P0.05);术后20周随访治疗组1例患者关节活动障碍,对照组3例患者关节活动障碍,差异无统计学意义。结论:桃红四物汤可以促进髌骨骨折术后康复,并且可以止痛、消肿,促进膝关节功能的恢复,尤其是对骨折早期的功能恢复具有明显的疗效。
[Abstract]:Objective: to study the effect of Taohong Siwu decoction on postoperative rehabilitation of patella fracture patients and explore its mechanism. Methods: a retrospective analysis of 114 patellar fracture patients in Zhengzhou Central Hospital from January 2014 to January 2015 was performed. The patients were randomly divided into control group and treatment group with 57 cases in each group. Both groups were given surgical treatment. The patients in the control group were given routine rehabilitation training after operation. The patients in the treatment group were given Taohong Siwu decoction on the first day after operation. The patients in the treatment group were given 20 courses of treatment (7 days a course of treatment). The rehabilitation effects of the two groups were compared. Results: compared with the control group, the pain score and knee swelling index of the patients in the treatment group were evaluated on the 7th day after operation. The HSS score of knee joint function of the patients in the treatment group increased significantly at the 4th week of the 6th week, and the HSS score of the knee joint function increased significantly at the 8th week, followed up 20 weeks after the operation. The effective rate of clinical treatment in the treatment group was 98.24, which was significantly higher than that in the control group (85.96), and the bone metabolism index (BGP), alkaline phosphatase (ALPN), urinary calcium (U-CaO2) were significantly improved 20 weeks after operation in the treatment group, and the clinical efficacy rate of the treatment group was 98.24%, which was significantly higher than that of the control group (85.96%). The U-Ca~(2 of the treatment group was significantly higher than that of the control group (P 0.05), and the U-Ca~(2 of the treatment group was significantly lower than that of the control group (P 0.05), and that of the treatment group was significantly lower than that of the control group (P 0.05), and there was no significant difference between the treatment group and the control group. Conclusion: Taohong Siwu decoction can promote the recovery of patella fracture after operation, and can relieve pain, reduce swelling and promote the recovery of knee joint function, especially in the early stage of fracture.
【作者单位】：郑州大学附属郑州中心医院;宝鸡市中医医院;
【基金】：河南省科技攻关项目(201303039) 河南省高等学校重点科研项目(17A320053)
【分类号】：R274.9

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