活血化瘀汤辅以推拿治疗骨折后期肢体肿胀效果评价.docVIP

活血化瘀汤辅以推拿治疗骨折后期肢体肿胀效果评价 　　[摘要]目的 ?u价活血化瘀汤辅以推拿治疗骨折后期肢体肿胀的效果。方法 选取2013年2月-2016年3月我院收治的骨折后期肢体肿胀患者70例作为研究对象，采用计算机随机分组方法将其分为两组。对照组35例患者实施活血化瘀汤治疗，观察组35例患者实施活血化瘀汤辅以推拿治疗。比较两组患者治疗后的总有效率、并发症发生率、住院时间、症状改善时间、肿胀消除时间。结果 观察组的总有效为率91.43%，高于对照组的74.29%，差异有统计学意义（P0.05）；观察组患者的总并发症发生率为11.43%，低于对照组的31.43%，差异有统计学意义（P0.05）；观察组患者的住院时间、症状改善时间、肿胀消除时间均短于对照组，差异有统计学意义（P0.05）。结论 活血化瘀汤辅以推拿治疗骨折后期肢体肿胀，不仅能缩短住院平均时间、症状改善时间、肿胀消除时间，还能提高治疗效果，值得进一步推广应用。 　　[关键词]活血化瘀汤；推拿；骨折后期肢体肿胀；效果 　　[中图分类号] R289.1 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0106-03 　　Evaluation on the effect of Huoxue Huayu Decoction combined with massage in the treatment of limb swelling at the late stage of fracture 　　LI Shun-ling 　　Department of Orthopedics，Xiapu County Hospital of Fujian Province， Xiapu 355100，China 　　[Abstract] Objective To evaluate the effect of Huoxue Huayu Decoction combined with massage in the treatment of limb swelling at the late stage of fracture.Methods A total of 70 patients with limb swelling at the late stage of tumor admitted into our hospital from February 2013 to March 2016 were selected.The patients were randomly divided into the two groups according to the computer randomization grouping methods.35 patients in the control group were given Huoxue Huayu Decoction，and 35 patients in the observation group were given Huoxue Huayu Decoction combined with massage.The total effective rate after treatment，the total incidence rate of complications，length stay，the time of symptom improvement，the time of swelling elimination were compared in patients between the two groups.Results The total effective rate in the patients was 91.43% in the observation group，which was higher than that in the control group （74.29%），and the difference was statistically significant （P 　　[Key words]Huoxue Huayu Decoction；Massage；Limb swelling at the late stage of fracture；Effect 　　有研究显示，多数患者在骨折后期易发生肢体肿胀，肢体肿胀为骨折患者很常见的并发症，其发病因素与毛细血管通透性增加、出血、小血管破裂密切相关，同时多数患者由于疼痛感以及肌肉反射性痉挛，易引起血管壁扩张、静脉回流障碍以及通透性增加，若未及时对其进行处理，易导致感染、延迟愈合等并发症的发生，导致骨折后期肢体肿胀患者