手术联合中药汤剂治疗桡骨远端骨折的效果

Effect of surgery combined with traditional Chinesemedicinal decoction in treating distal radius fracture

  • 摘要:
      目的  探讨手术联合中药汤剂治疗桡骨远端骨折的临床疗效。
      方法  将90例桡骨远端骨折患者根据随机表法原则分为对照组、观察组, 每组45例,对照组单以手术治疗,观察组则应用手术联合中药汤剂治疗,比较不同方法的临床疗效。
      结果  观察组疼痛消失时间、术后消肿时间、骨折愈合时间显著短于对照组(P < 0.05), 腕关节治疗优良率显著高于对照组(P < 0.05), 旋前度、旋后度、桡偏度、掌屈度、背伸度活动度显著大于对照组(P < 0.05), 治疗后不同时点的疼痛评分显著低于对照组(P < 0.05)。
      结论  采用自拟中药汤剂联合手术治疗桡骨远端骨折,可改善患者的关节功能,促进骨折早日愈合。

     

    Abstract:
      Objective  To explore the clinical efficacy of surgery combined Chinese medicine decoction in the treatment of distal radius fractures.
      Methods  A total of 90 patients with distal radius fractures admitted to hospital were divided into control group and observation group according to the principle of random table method. The control group(n=45) was treated with surgery alone, and the observation group(n=45) was treated with surgery combined with traditional Chinese medicinal decoction. The clinical efficacy of two methods was compared.
      Results  The pain disappearance time, postoperative swell-reliving time and fracture healing time in the observation group were shorter than those in the control group (P < 0.05). The excellent rate of wrist joint was higher than that of the control group (P < 0.05). Pre-rotation degree, supination degree, degree of radial skewness, palmar flexion and dorsal extension degrees were greater than those of the control group (P < 0.05). The pain scores at different time points after treatment in observation group were lower than those in the control group (P < 0.05).
      Conclusion  For the treatment of distal radius fracture, self-made traditional Chinese medicinal decoction combined with surgery can improve the joint function and promote the early healing of the fracture.

     

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