骨八方对肱骨远端骨折早期软组织挫伤的临床疗效观察

发布时间：2019-02-13 13:29

【摘要】：目的观察骨八方治疗肱骨远端骨折早期软组织挫伤的临床效果。方法选取80例在我院治疗的符合纳入标准的肱骨远端骨折患者随机分成观察组和对照组,每组各40例。对照组仅采用常规对症处理,观察组在此基础上加服骨八方1剂/d。分别观察两组患者治疗前、治疗第3、7天VAS疼痛评分、伤肢及健肢周径差,炎症因子白细胞介素-6(IL-6)、肿瘤坏死因子(TNF-α)的含量及治疗前后软组织损伤症状分级量化积分等变化。结果治疗前两组VAS疼痛评分、伤肢及健肢周径差、IL-6、TNF-α含量、软组织损伤分级量化积分比较,差异均无统计学意义(P0.05)。治疗后,两组VAS疼痛评分、伤肢及健肢周径差、软组织损伤分级量化积分均得到改善(P0.05或0.01),其中观察组VAS疼痛评分、伤肢及健肢周径差在治疗第3、7天均小于对照组(P0.05或0.01)。治疗第3、7天,两组IL-6、TNF-α含量均有下降,且观察组显著低于对照组,差异有统计学意义(P0.01)。临床疗效比较,观察组总有效率87.5%,对照组总有效率77.5%;观察组临床疗效优于对照组,差异有统计学意义(P0.05)。结论骨八方治疗肱骨远端骨折早期软组织挫伤疗效良好,能有效缓解伤肢疼痛、促进伤肢肿胀的消退,降低炎症因子IL-6、TNF-α含量以抑制炎症反应,降低软组织损伤症状分级量化积分,且安全性较好,无明显不良反应,值得临床推广。
[Abstract]:Objective to observe the clinical effect of treating early soft tissue contusion of distal humerus fracture. Methods Eighty patients with distal humeral fracture treated in our hospital were randomly divided into observation group (n = 40) and control group (n = 40). The control group was treated with routine symptomatic treatment, and the observation group was treated with 1 dose per day. VAS pain score, peripheral diameter difference between injured and healthy limbs, inflammatory factor interleukin-6 (IL-6) were observed before treatment and 3 days after treatment, respectively. The content of tumor necrosis factor (TNF- 伪) and the quantitative score of soft tissue injury symptom before and after treatment. Results there was no significant difference in VAS pain score, peripheral diameter difference between injured and healthy limbs, IL-6,TNF- 伪 content and quantitative score of soft tissue injury in the two groups before treatment (P0.05). After treatment, the VAS pain score, the circumference difference of injured and healthy limbs, and the quantitative score of soft tissue injury were improved in both groups (P0.05 or 0.01), and the VAS pain score was improved in observation group. The difference of circumference of injured and healthy limbs was lower than that of control group on the 3rd day of treatment (P0.05 or 0.01). On the 3rd day of treatment, the content of IL-6,TNF- 伪 decreased in both groups, and the level of IL-6,TNF- 伪 in the observation group was significantly lower than that in the control group (P0.01). The total effective rate of observation group was 87.5%, and that of control group was 77.5%. The clinical effect of observation group was better than that of control group, the difference was statistically significant (P0.05). Conclusion the treatment of early soft tissue contusion of distal humeral fracture with Gubafang has a good effect, which can effectively relieve the pain of the injured limb, promote the regression of the swelling of the injured limb, and reduce the content of IL-6,TNF- 伪 in order to suppress the inflammatory reaction. Reducing the score of soft tissue injury symptom grade and quantification, and the safety is good, no obvious adverse reaction, it is worth popularizing in clinic.
【作者单位】：佛山市中医院骨科
【基金】：佛山市卫生局医学科研基金立项课题(编号:2012127)
【分类号】：R274

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