双柏膏外敷治疗跟骨骨折早期软组织肿胀的临床研究

发布时间：2018-07-28 17:49

【摘要】：目的:应用双柏膏外敷方案对跟骨骨折早期软组织消肿疗效进行观察,以验证双柏膏外敷治疗跟骨骨折早期肿胀的确切性和理论的科学性,为临床拟定治疗方案制定提供依据。方法:将符合本次研究的44例跟骨骨折患者随机分为治疗组和对照组各22例。对照组予常规治疗方案(1.入院后嘱患者制动,抬高患肢,严格卧床;2.入院第一天予局部冰敷,入院2h内予Jones绷带;甘露醇针125ml静点,每12小时一次。)。治疗组予常规治疗方案加双柏膏外敷治疗(入院24小时后)。两疗程均为9天,每日10时测量踝-跟-踝周长,并计算每日患者周长差。观察肿胀处淤斑情况后打分。结果:(1)试验期间,治疗组皮肤过敏1例,对照组自动出院1例,最终完成试验者44例。(2)入组后2天以内两组治疗对患肢肿胀的治疗没有显著的差异;治疗组与对照组在治疗第5、7、9天对患肢的肿胀程度有显著差异,治疗组的疗效明显优于对照组(P0.05)。(3)5天内两组治疗对皮肤瘀斑的治疗没有显著的差异。两组药物在用药后7、9天对患肢瘀斑的治疗有显著差异,治疗组的疗效明显优于对照组。结论:通过本次临床试验,观察双柏膏外敷加上常规消肿与单用常规消肿治疗(甘露醇针+Jones绷带)对跟骨骨折早期消肿作用比较:如P0.05,则治疗组优于对照组,双柏膏对于治疗治疗跟骨骨折早期软组织肿胀及皮下瘀血均有积极意义。
[Abstract]:Objective: to observe the effect of Shuangbai plaster on early soft tissue swelling of calcaneal fracture, to verify the accuracy and scientific theory of Shuangbai plaster in treating early swelling of calcaneal fracture, and to provide basis for clinical formulation of treatment plan. Methods: 44 patients with calcaneal fracture were randomly divided into treatment group (n = 22) and control group (n = 22). The control group was treated with routine therapy (1. 5%). After admission, the patient was ordered to immobilize, raise the affected limb, and stay in bed strictly 2. Local ice compress on the first day of admission, Jones bandage within 2 hours of admission; 125ml, mannitol needle, once every 12 hours,.). The treatment group was treated with routine treatment and external application of Shuangbai ointment (24 hours after admission). The ankle-heel-ankle circumference was measured at 10:00. The swelling spot was observed and scored. Results: (1) during the trial, there were 1 case of skin hypersensitivity in the treatment group, 1 case of the control group discharged automatically, and 44 cases finished the test. (2) there was no significant difference in the treatment of the swelling of the affected limb between the two groups within 2 days after entering the group; There was significant difference between the treatment group and the control group in the swelling degree of the affected limb on the 7th day of treatment. The curative effect of the treatment group was better than that of the control group (P0.05). (3) within 5 days. There was no significant difference in the treatment of skin ecchymosis between the treatment group and the control group. There was a significant difference between the two groups in the treatment of limb ecchymosis at 7 days after treatment, and the curative effect of the treatment group was significantly better than that of the control group. Conclusion: through this clinical trial, the effect of Shuangbai ointment combined with conventional detumescence therapy (mannitol needle Jones bandage) on calcaneal fracture was observed: if P0.05, the treatment group was superior to the control group. Shuangbai ointment has positive significance in the treatment of early soft tissue swelling and subcutaneous blood stasis in calcaneal fracture.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.1

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