摘要
目的:探究膝关节周围骨折患者采用解剖钢板固定加中药内服外敷治疗的康复效果。方法:随机选取医院收治的120例膝关节周围骨折患者,按照数字表法随机分为对照组、观察组两组,各60例,对照组给予解剖钢板固定术,观察组给予解剖钢板固定术加中药内服外敷治疗,对比分析两组患者的治疗效果、膝关节功能、疼痛评分、膝关节活动度及血清指标情况。结果:观察组患者治疗总有效率(96.67%)明显高于对照组患者的(86.67%),差异有统计学意义(P<0.05)。观察组患者治疗后30 d及90 d评分均较对照组相比更为良好,差异具有统计学意义(P<0.05)。观察组治疗后患者的膝关节活动度、膝伸直缺失程度及膝关节稳定度(98.75±14.38)°、(7.96±0.84)°、(6.44±0.99)°明显优于对照组患者的(87.65±10.48)°、(12.69±1.79)°、(9.59±1.12)°,差异有统计学意义(P<0.05)。观察组治疗后患者的肿胀、疼痛、神疲乏力及瘀斑评分明显低于对照组患者的,差异有统计学意义(P<0.05)。观察组治疗后患者的TNF-α、IL-6、骨钙素及碱性磷酸酶水平明显优于对照组患者的,差异有统计学意义(P<0.05)。结论:膝关节周围骨折患者采用解剖钢板固定加中药内服外敷治疗后,疗效显著,改善临床症状,促进膝关节功能及血清学指标恢复,临床意义重大。
Objective: To explore the effect of anatomical plate fixation and traditional Chinese medicine and external application for the patients with periarticular fracture of the knee.Methods: A total of 120 cases of knee joint fracture in our hospital were randomly divided into control group and observation group, each 60 cases.The control group were treated with anatomical plate fixation and the observation group used anatomical plate fixation and external medicine treatment.We compared two groups' knee joint function and the pain score, knee joint activity and serum index.Results: The total effective rate of treatment in the observation group(96.67%)was significantly higher than that of the control group(86.67%), and the difference was statistically significant(P<0.05).The scores of 30 d and 90 d in the observation group were better than those of the control group, and the difference was statistically significant(P<0.05).The observation group's knee joint activity,knee extension degree, the degree of lack of knee joint stability[(98.75±14.38)°,(7.96±0.84)°,(6.44±0.99)°] after treatment were significantly better than the control group's [(87.65±10.48)°,(12.69±1.79)° and(9.59±1.12)°].The difference was statistically significant(P<0.05).The observation group's swelling, pain, lassitude and ecchymosis score after treatment were significantly lower than those of the control group.The difference was statistically significant(P<0.05).After treatment, the levels of TNF-α, IL-6, osteocalcin and alkaline phosphatase in the observation group were significantly better than those in the control group(P<0.05).Conclusion: The treatment of periarticular fractures of the knee with anatomical steel plate combined with oral and external application of Chinese medicine is effective, improving clinical symptoms, promoting knee joint function and serological indicators recovery, which is of great clinical significance.
作者
许环顺
侯平
邢忠
王斌
周钢
XU Huanshun;HOU Ping;XING Zhong;WANG Bin;ZHOU Gang(Department of Orthopedics,Haikou Third People's Hospital,Haikou 571100,Hainan,China;Department of Joint Surgery,Hainan Provincial People's Hospital,Haikou 570311,Hainan,China)
出处
《中华中医药学刊》
CAS
北大核心
2019年第1期209-212,共4页
Chinese Archives of Traditional Chinese Medicine
基金
海南省自然科学基金面上项目(20168282)
关键词
膝关节周围骨折
解剖钢板固定术
中药
内服
外敷
periarticular fracture of knee
anatomical plate fixation
traditional Chinese medicine
internal medicine
external application
