克氏针固定配合中药内服中西医结合辅助治疗锁骨骨折的疗效观察.docVIP

克氏针固定配合中药内服中西医结合辅助治疗锁骨骨折的疗效观察 　　[摘要] 目的 ?^察克氏针固定配合中药内服中西医结合辅助治疗锁骨骨折的疗效。 方法 将60例锁骨骨折患者采用随机数字表法分为观察组和对照组，两组患者均应用克氏针进行固定，观察组复位及穿针固定后，3周内观察组予中药进行辅助治疗。比较两组的肩关节功能优良率、患者的疼痛程度。 结果 采用 Constant 综合评分法来评价患者的肩关节功能，其中评分优≥90分，良80～89分，可60～79分，差60分。观察组的肩关节功能优良率显著高于对照组，差异具有统计学意义（93.3% vs 70.0%，P0.05）。采用视觉模拟评分（VAS）对患者的疼痛程度进行评价：观察组患者的疼痛程度明显轻于对照组，差异具有显著性（P0.05）。观察组的重度疼痛率明显低于对照组（P0.05）。 结论 克氏针固定配合中药中西医结合辅助治疗锁骨骨折的疗效确切，固定可靠，安全性好，肩关节功能恢复效果好，患者痛苦少，并发症少。 　　[关键词] 锁骨骨折；克氏针固定；中西医结合；VAS 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2017）10-0059-03 　　The effect of Kirschner wire fixation combined with traditional Chinese medicine integrated with western medicine in treatment of clavicular fracture 　　YING Wenshi1 LIU Zhian2 　　1.Department of Hand Surgery and Traumatology， Zhejiang Province Zhoushan Guang’an Orthopedic Hospital， Zhoushan 316102， China； 2.Department of Spine， Zhejiang Province Zhoushan Guang’an Orthopedic Hospital， Zhoushan 316102， China 　　[Abstract] Objective To observe the curative effect of Kirschner wire fixation combined with traditional Chinese medicine integrated with western medicine in treatment of clavicular fracture. Methods 60 patients with clavicular fractures were divided into observation group and control group by random number table method. Two groups of patients were given fixation with Kirschner pin. After reduction and pin fixation， the observation group was given the adjuvant therapy of TCM within 3 weeks. The shoulder joint function excellent rate， and the degree of pain in the patients were compared between the two groups. Results The constant comprehensive scoring method was applied to evaluate the shoulder function of the patients. The excellent was≥90 points， good was 80-89 points， fair was 60-79 points， and poor was 　　[Key words] Clavicular fractures； Kirschner wire fixation； Integrated Chinese and western medicine； VAS 　　锁骨骨折是常见的骨折之一，占全身骨折的6%[1]。对于锁骨骨折的治疗方法较多，大致可分为保守治疗和手术治疗。但临床研究发现，成人锁骨骨折经保守治疗部分患者出现骨折不愈合和部分肩关节功能受损，且部分患者出现畸形愈合，影响外观[2]。随着患者对骨折复位要求和功能