股骨干骨折论文：股骨干骨折髓内扩张自锁钉充髓壮骨汤疗效.docVIP

股骨干骨折论文：股骨干骨折 髓内扩张自锁钉 充髓壮骨汤 疗效 【中文摘要】观察自拟充髓壮骨汤配合髓内扩张自锁钉(Intramedullary Expand Self-locking Nail, IESN)治疗成人闭合股骨干骨折的临床疗效,为研究治疗成人闭合性股骨干骨折探索一种更加有效、更快促进骨折愈合、减少疼痛、更好的恢复功能的中西医结合治疗方法奠定基础。方法：选择杭州市萧山区第一人民医院骨科门诊及住院病人30例。将30例成人闭合股骨干骨折患者按随机原则分配在治疗组(充髓壮骨汤配合髓内扩张自锁钉)和对照组(单纯髓内扩张自锁钉),每组15例。所有病例经过4-10个月的随访,通过观察患者治疗前后X片变化、膝关节活动度、下肢短缩、畸形、疼痛情况,及疼痛视觉模拟量表(Visual Analogue Scale, VAS)评分标准,采用Klemn功能评定标准、疼痛分值法评分标准,对记录的数据进行统计学分析。结果：骨折临床愈合时间治疗组107.73±6.58天,对照组113.60±7.11天,差异有统计学意义；两组疼痛分值法评分术后第1、7天差异无统计学意义,术后第2天差异有统计学意义,术后第3天差异有显著统计学意义；Klemn功能评定治疗组优12例(80%),良2例(13%),可1例(7%),对照组优10例(67%),良3例(20%),可2例(13%),差异无统计学意义。结论：通过临床研究,结果表明两种方法均能有效治疗成人闭合股骨干骨折。但治疗组骨折愈合时间短,Klemn功能评定优良率及优秀率均高于对照组。 【英文摘要】Object:Observation of Chongsui Zhuanggu decoction coordinating with Intramedullary Expand Self-locking Nail for the treatment of Adult Closed Femoral Shaft Fracture. Inorder to study and treat Adult Closed Femoral Shaft Fracture,to explorate one kind method can effectively get faster fracture healing,reduce pain and better recovery to lay the foundation.Method:Adult Closed Femoral Shaft Fracture 30cases,all from the First People抯 Hospital of Xiaoshan,Hangzhou. The selected patient divided into treatment group of Chongsui Zhuanggu decoction coordinating with IESN and control group of IESN,15cases each. All cases after 4 to 10 months of follow-up to observe changes in patients before and after the X films, knee mobility, lower limb shortening, deformity,pain, and VAS scores,evaluation criteria used Klemn function, pain score method score, the recorded data were statistically analyzed.Result:Through clinical research, the results show that both methods are effectivetreatment of adults with closed femoral shaft fractures. But the treatment grouphealing time is short, Klemn good rate and excellent functional evaluation rateshigher. 【关键词】股骨干骨折 髓内扩张自锁钉 充髓壮骨汤 疗效 【英文关键词】Femoral shaft fracture Expansion of self-locking intramedullary nail Chongsui Zhuanggu decoction Efficacy 【目录】充髓壮骨汤配合髓内扩张自锁钉治疗成人闭合性股骨干骨