骨折术后脾胃中医辨证调护.docVIP

骨折术后脾胃中医辨证调护 　　摘要：骨折可以发生在人体的各个部位，大多是以骨骼难以承受外界压力造成的。骨折后的患者，机体内处于高代谢状态，也会出现负氮平衡和钾、磷、钙的丢失。骨折后长期卧床，久卧伤气，易使人体气血运行不畅，脾胃功能减弱，而出现食少乏力，精神不振，肢体软弱，大便秘结，脘腹胀满等表现；机体的损伤给患者带来了痛苦、思虑和恐惧。思则伤脾，脾胃受损，运化失司，化源不足，影响损伤的修复；在调理脾胃的同时对于骨折患者更快更好地促进骨折愈合，骨折患者还应根据骨折愈合的早、中、晚三个阶段以及患者实际和依据病情的发展，配以不同的食物，以促进血肿吸收或骨痂生成。 　　关键词：骨折患者；脾胃调理；饮食搭配 　　Patients with Fracture of TCM Syndrome Differentiation of Spleen and Stomach 　　CAO Yong-ju 　　(Tianjin University of Traditional Chinese Medicine Affiliated Wuqing Hospital of Traditional Chinese Medicine,Tianjin 301700,China) 　　Abstract：Fractures can occur in various parts of the body, mostly in the skeleton to withstand external pressure caused by the. After bone fracture patient, high metabolism in the body, the loss will appear negative nitrogen balance and potassium, phosphorus, calcium. Stay in bed for a long time after fracture, long lay gas, easy to make the human body blood runs sluggish, weakened functions of spleen and stomach, and eat less fatigue, dizziness, limb weakness, constipation, abdominal distension and other performance; the damage to body pain, anxiety and fear to patients. Thinking is the injury of spleen, spleen and stomach damage, loss of transportation of division, source shortage, repair damage; in the spleen and stomach at the same time for patients with faster and better promote fracture healing fracture, fracture patients should also be based on the development of fracture healing in the early, late three stages, and patient and according to the disease, with different kinds of food, to promote the absorption of hematoma or callus formation. 　　Key words：Fracture patients;The spleen and stomach conditioning;Diet 　　传统中医对于骨折患者采用三期辨证治疗：初期，一般在伤后1~2w内，由于气滞血瘀需消肿止痛，以活血化瘀为主：中期在损伤后3~6w，瘀血消而未尽，断骨虽连而未坚，以和营续损为主：后期为损伤7w以后，瘀肿已消，但筋骨尚未坚实，功能尚未恢复，以补益肝肾为主。骨折患者饮食如何进补，才能恢复快一直是人们关心的事。除了通常的临床药物治疗外，有针对性的营养治疗与饮食管理也显得尤为重要[1]。 　　1脾胃与骨折之间的关系 　　脾胃是维持机体生理活动的主要脏腑之一，脾主运化，胃主受纳、腐熟，互为表里，输布全身发挥滋润濡养的作用。脾的运化功能正常，机体正气才能充盛以驱邪外出，正所谓正气存内，邪不可干。因此，对于创伤患者应调理脾胃，使骨骼得以充分营养而愈合加快。脾主运化除了