磁疗配合自然铜丸治疗桡骨远端骨折的临床观察

发布时间：2018-06-01 19:36

本文选题：临床观察 + 自然铜丸　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：周万松证明磁场可以促进骨折愈合,缩短愈合时间,特别对骨折延迟愈合者,疗效尤为显著。由此,为提升骨折修复的速度提供了一个新的方法。而中医应用中草药通过内服或外用能够达到促进骨折愈合的目的,也是历经了数千年国人的实践验证的,将二者相互结合,无论治疗新鲜骨折、骨折不愈合或延迟愈合都是有意义的。“自然铜丸”是黑龙江中医药大学附属第一医院骨科领头人刘昱教授根据其从医多年经验研制而成,经临床数十年的检验,临床疗效得到了充分的肯定。故本课题将自制的自然铜丸与磁场治疗相结合,作为一个整体组方,而磁场相当于一味草药。观察磁疗配合自然铜丸对骨折愈合相关指标的影响,为磁疗配合自然铜丸的应用及推广提供临床客观依据。方法：收录60例Colles骨折Cooney分型I型患者,采用随机双盲对照试验法,将符合标准的患者平均分配,磁疗配合自然铜丸组与铅片加伤科接骨片组各30例。60例患者年龄、性别、伤侧、就诊时间、骨折部位、骨折情况等治疗前整体情况均无差异性。患者断端复位后,行石膏夹板外固定。复查X线,摄片显示接近或达到解剖对位夹板固。外固定后对照组服用伤科接骨片搭配夹板内置铅片,治疗组服用自然铜丸搭配夹板内置静贴磁片。观察分析临床上疼痛、肿胀、骨折临床愈合的时间及血清中的Ca、P、ALP含量。结果：对60例患者临床收集的数据经统计学分析,应用磁疗配合自然铜丸治疗的实验组患者的疼痛、肿胀、骨折临床愈合的时间及血液中的Ca、P、ALP含量变化明显优于对照组(P0.05)。结论：研究表明磁疗配合自然铜丸具有协同作用,能够促进肿胀消退,有助缓解疼痛,使血液中的Ca、P、ALP含量提升,有效缩短骨折愈合时间。
[Abstract]:Objective: Zhou Wansong proved that magnetic field can promote fracture healing and shorten healing time, especially for delayed fracture healing. Therefore, it provides a new method to improve the speed of fracture repair. Chinese herbal medicine can promote fracture healing through internal or external use, which has been proved by thousands of years of Chinese practice, combining the two with each other, regardless of the treatment of fresh fractures. Nonunion or delayed healing of fractures can be meaningful. "Natural Copper Pill" is developed by Professor Liu Yu, the leader of orthopedic department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine, according to his medical experience for many years. Therefore, the self-made natural copper pill is combined with magnetic field therapy as an integral prescription, and magnetic field is equivalent to herbal medicine. To observe the effect of magnetic therapy combined with natural copper pill on the related indexes of fracture healing, to provide the clinical objective basis for the application and popularization of magnetic therapy combined with natural copper pill. Methods: sixty patients with type I of Cooney classification of Colles fracture were divided equally by randomized double-blind controlled trial. The patients in the magnetic therapy combined with natural copper pill group and lead tablet plus shunt bone tablet group were divided into two groups: 30 cases and 60 cases respectively. There was no difference in the whole condition before treatment, such as injury side, visit time, fracture site and fracture condition. The patients were treated with plaster splint after reduction. Reexamination X-ray, the film showed close to or reach the anatomical splint fixation. After external fixation, the control group was treated with orthopedic bone splint with plywood and lead tablet, while the treatment group was treated with natural copper pill with splint. The clinical pain, swelling, healing time of fracture and the content of CaPU ALP in serum were observed and analyzed. Results: the clinical data collected from 60 patients were statistically analyzed. The changes of pain, swelling, fracture healing time and the content of Caulophane ALP in blood in the experimental group treated with magnetic therapy combined with natural copper pill were obviously better than those in the control group (P 0.05). Conclusion: magnetic therapy combined with Natural Copper Pill has synergistic effect, which can promote swelling, relieve pain, increase the content of CaOP-ALP in blood and shorten the time of fracture healing.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.1

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