【2016年】中西医结合治疗糖尿病合并骨折的 临床疗效初步观察与探讨【临床医学论文】.docVIP

临床医学论文-中西医结合治疗糖尿病合并骨折的 临床疗效初步观察与探讨 ???????????????????? 作者：王功国，罗群，马海波，张治国，王金泉 【摘要】? ［目的］研究一种利用中西医结合全过程治疗糖尿病骨折及其并发症的方法，并指导临床应用。［方法］研究始于1993年，1组共200个糖尿病骨折病人，采用中西医结合治疗方法，用胰岛素及中药治疗；另外1组共200个糖尿病病人，用胰岛素治疗；第3组共200个非糖尿病的骨折病人随机选取；各组并发症阳性率被记录。［结果］采用中西医结合治疗的病人组与非糖尿病骨折病人组成的病人组统计结果无明显统计学差异(P＞0.05)；中西医治疗的病人组与单纯西医治疗的病人组统计结果有显着的统计学差异(P＜0.01)。［结论］糖尿病病人的骨折和相关并发症的治疗效果可以通过贯穿治疗过程的中西医结合应用而明显改善。 【关键词】? 糖尿病； 骨折； 中西医结合； 全程治疗 ??? Abstract：［Objective］To explore a way of treating bone fractures and their complications of diabetes by combination of traditional Chinese and Western medicine in order to guide the clinical practice.［Method］The study started from 1993.A group of 200 diabetic patients with bone fractures were treated with insulin and traditional Chinese medicine. Another group of 200 diabetic patients with bone fractures were treated with insulin. The third group of 200 fractured non-diabetic patients were randomly chosen. The incidence rates of complications of the three groups were recorded.［Result］There was no statistically significant difference between the groups with integrated traditional Chinese and Western medicine and the group of fractured non-diabetic patients (P＞0.05). There was statistically significant difference between the groups with integrated traditional Chinese and Western medicine and the group with Western medicine alone(P＜0.01).［Conclusion］Treatment of diabetes with fractures and complications can be significantly improved by the combined use of Chinese and Western medicine. ??? Key words：diabetes;? bone fracture;? integrated traditional and western medicine;? therapeutics ???? 糖尿病患者发生骨折后机体处于应激状态，除可引起血糖升高、酮症酸中毒、电解质紊乱等糖尿病特有的表现外，还可引起骨折延迟愈合、骨不连、神经麻痹、肢端坏疽、褥疮、泌尿系感染、肌肉萎缩等后果，如果手术还可能引起切口延期愈合、切口感染、骨髓炎等严重后果。中西医结合治疗一组糖尿病骨折患者，经临床初步观察，疗效较单纯西医（胰岛素）治疗有了明显的提高，达到了非糖尿病组的治疗效果。 ??? 1? 临床资料 ??? 1.1? 一般资料 ??? 200例糖尿病患者中Ⅰ型糖尿病14例，Ⅱ型糖尿病186例；年龄 20～30岁2例，31～40岁8例，41～50岁37例，51～60岁56例，61～70岁54例，71～80岁38例，80岁以上5例。共231处骨折，其中脊柱骨折42例，肩部骨折17例，尺桡骨及肱骨骨折25例，克雷氏骨折23例，手部骨折7例，骨盆及髋部骨折48例，髌骨骨折19例，股骨及