中药薰洗对34例股骨远端波及关节面骨折术后患者康复疗效的影响-effect of fumigation with traditional chinese medicine on rehabilitation of 34 patients with distal femur and articular surface fractures after operation.docxVIP

4 4 成都中医药大学硕士毕业论文 points. The two groups were gived the corresponding postoperative rehabilitation measures in the hospital respectively ，and assessed the results according to the corresponding follow-up date after 3 and 8 months.patients were scored by HSS knee jiont fuction standards about short-term outcome (12 weeks)and the long-term results (32 weeks). and regarded whether there is differences or not between the two groups by comparative Analysis of loading time， fracture healing time，and the knee function，and the same period the follow- up data were for statistical analysis. Results: Before treatment the knee function scores in the two groups showed no significant difference (P0.05) ;but the HSS scores difference was significant before and after treatment in every group (P0.05); The recent (12 weeks) and long-term results (32 weeks) of patients between the two groups showed significant difference respectively(P0.01)；after treatment the scores of loading time， fracture healing time，the knee function and complications were significantly different (P0.05) in the two groups. Conclusion 1、The treatment group of 34 cases was superior to the control group in Clinical efficacy. 2、Chinese herbs Fumigating and Washing in treatment for distal femur fractures can improve postoperative knee function effectively，promote fracture healing，and reduce complications，Contribute to prevention of osteoporosis fractures，and help to improve postoperative rehabilitation efficacy of the distal femur fractures. Key words：Distal femur fracture；Chinese Herbal Fumigating and Washing； Conventional treatment; Postoperative rehabilitation contrast; Retrospective Study PAGE PAGE 10 成都中医药大学硕士毕业论文 引 言 INTRODUCTION 股骨远端骨折系指股骨下端15cm以内的骨折。按A0／ASIF分类法可分为股骨髁上骨 折(A型)、髁部骨折(B型)、股骨髁间合并髁上骨折(C型)，股骨远端骨折占全身骨折的4 ％-7%。由于骨折部位骨结构的特点，骨折后多为粉碎性，不稳定骨折，难以牢固固定， 骨折接近膝关节，涉及关节面，易影响膝关节的活动，在许多报道中，畸形愈合，不愈 合及感染的发生率相对较高，是最难治的骨折之一［1］。股骨远端骨折是一种高能量的损 伤，骨折复杂，软组织伤重，处理困难，容易出现关节僵硬，膝内、外翻等并发症，甚 至导致残废，为了防止诸多并发症，最大限度的恢复膝关节的功能，术后