加味桃红四物汤降低骨筋膜室内压临床研究.docVIP

加味桃红四物汤降低骨筋膜室内压临床研究 　　[摘要] 目的：探讨加味桃红四物汤对骨折后骨筋膜室内压的影响，为临床防治骨室筋膜综合征提供有效方剂。方法：临床确诊为胫腓骨骨折和桡尺骨骨折患者共70例，随机分为治疗组38例和对照组32例，胫腓骨骨折均采用跟骨骨牵引、夹板固定，桡尺骨骨折均采用手法复位、夹板固定，治疗组加服加味桃红四物汤，检测治疗前、治疗后第1、2、3、4天伤侧相关骨筋膜室内压，对两组数据进行比较分析。结果：小腿治疗组治疗后第2天的骨筋膜室内压与治疗前比较，差异有统计学意义（P0.05），第4天骨筋膜室内压下降到治疗前的水平；而对照组治疗后第1、2、3和4天的骨筋膜室内压与治疗前比较，差异有统计学意义（P0.05）。两组之间比较，第2、3和4天的骨筋膜室内压比较，差异有统计学意义（P0.05）。前臂治疗组治疗后第1天和第2天的骨筋膜室内压与治疗前比较，差异有统计学意义（P0.05），第4天骨筋膜室内压下降到治疗前的水平；而对照组治疗后第1、2、3和4天的筋膜室内压与治疗前比较，差异有统计学意义（P0.05）。两组之间的比较，第1、2、3、4天的筋膜室内压比较，差异有统计学意义（P0.05）。结论：加味桃红四物汤能降低骨折伤肢骨筋膜室内压，对骨筋膜室综合征有防治作用。 　　[关键词] 桃红四物汤；骨折；骨筋膜室内压；防治 　　[中图分类号] R287[文献标识码]A [文章编号]1674-4721（2011）07（c）-０15－０3 　　 　　The clinical study of Modified Taohong Siwu Decoction in decreasing internal pressure of osseous fascia compartment 　　FANG Chuquan, ZHANG Zeyu, WEI Xiaobin, LI Ping′an, ZHONG Bi 　　Henggang People′s Hospital of Longgang District, Shenzhen City, Guangdong Province, Shenzhen 518115, China 　　[Abstract] Objective: To study the influence of Modified Taohong Siwu Decoction for internal pressure of osseous fascia compartment. Methods: 70 patients diagnosed as fracture of tibia and fibula and radius and ulna were randomly divided into treatment group 38 cases and control group 32 cases，fracture of tibia and fibula were treated with calcaneus skeletal traction and splint fixation, the treatment group were treated with manual reduction and splint fixation, then the treatment group were treated with Modified Taohong Siwu Decoction. The internal pressure of osseous fascia compartment of two groups before and after the treatment at first, second, third and forth day were detected, the results of two groups were analyzed and compared. Results: Leg, the internal pressure of osseous fascia compartment of treatment group after the treatment at second day was compared to that beore the treatment, there was significant differences(P0.05), the internal pressure decreased to the level before the treatment at the forth day； but the internal pressureof contr