摘要
目的:观察祛瘀消肿汤联合冷露凉消散外敷用于桡骨远端骨折患者术后康复的效果。方法:选取2021年3月至2023年6月期间于本院接受手术治疗的桡骨远端骨折患者86例作为研究对象。对照组予冷露凉消散外敷治疗,观察组予祛瘀消肿汤联合冷露凉消散外敷治疗。观察并比较两组的症状缓解时间、中医证候积分、骨代谢指标[Ⅰ型胶原交联羧基末端肽(Cross-linked Carboxy-terminal telopeptide of typeⅠcollagen,CTX-Ⅰ)、抗酒石酸酸性磷酸酶5b(Tartrate-Resistant Acid Phosphatase 5b,TRACP5b)]以及腕关节功能恢复情况。结果:观察组的疼痛缓解时间、腕关节消肿时间均明显短于对照组(P<0.05)。治疗8 w时,两组的主要证候积分和次要证候积分均较治疗前显著降低,且观察组的主要证候积分和次要证候积分均明显低于对照组(P<0.05)。治疗8 w时,两组的CTX-Ⅰ、TRACP5b水平均降低,且观察组的CTX-Ⅰ、TRACP5b水平均明显低于对照组(P<0.05)。观察组的腕关节功能恢复优良率明显高于对照组(P<0.05)。结论:祛瘀消肿汤联合冷露凉消散外敷用于桡骨远端骨折患者术后康复干预,能达到快速止痛、缓解关节肿胀的效果,加速患者骨折愈合,促进腕关节功能恢复。
Objective:To observe the effect of Quyu Xiaoteng Decoction combined with Lengluliang dissipating external application on postoperative rehabilitation of patients with distal radius fracture.Methods:86 patients with distal radius fracture received surgical treatment in our hospital from March 2021 to June 2023 were selected as the study objects.The control group was treated with external application of Lengluliang dissipating,the observation group was treated with Quyu Xiaoteng decoction combined with external application of Lengluliang dissipating.Symptom remission time,TCM syndrome score,bone metabolism index[Cross-linked Carboxy-terminal telopeptide of typeⅠcollagen(CTX-1),tartrate-resistant acid phosphatase 5b(TRACP5b)]and wrist function recovery were observed and compared between the two groups.Results:The pain relief time and wrist swelling reduction time in observation group were significantly shorter than those in control group(P<0.05).After 8 weeks of treatment,the scores of major and minor syndromes in both groups were significantly lower than those before treatment,and the scores of major and minor syndromes in the observation group were significantly lower than those in the control group(P<0.05).After 8 weeks of treatment,CTX-Ⅰand TRACP5b levels in both groups were decreased,and their levels in the observation group were significantly lower than those in the control group(P<0.05).The recovery rate of wrist joint function in the observation group was significantly higher than that in the control group(P<0.05).Conclusion:Quyu Xiaozhong Decoction combined with Lengluliang dissipating external application for postoperative rehabilitation intervention of patients with distal radius fracture can achieve rapid analgesia,relieve joint swelling,accelerate fracture healing and promote the recovery of wrist joint function.
作者
赵建强
Zhao Jian-qiang(Department of Orthopedics and Traumatology,The First People's Hospital of Xichuan,Xichuan 474450,Henan,China)
关键词
桡骨远端骨折
冷露凉消散
祛瘀消肿汤
疼痛
腕关节功能
Distal radius fracture
Cold dew cool dissipation
Quyu Xiaoteng decoction
Pain
Wrist joint function
