骨伤消肿化瘀方配合手术治疗胫骨远端骨折疗效剖析.docVIP

骨伤消肿化瘀方配合手术治疗胫骨远端骨折疗效剖析 　　[摘要] 目的 探讨骨伤消肿化瘀方联合手术治疗胫骨远端骨折的临床效果。 方法 将我院收治的64例胫骨远端骨折患者，随机分为对照组和观察组，对照组采用骨牵引闭合复位及手术切开复位固定治疗，观察组在对照组的基础上加用中药消肿化瘀方治疗。分析两组治疗效果及并发症发生情况。 结果 观察组优良率、并发症发生情况、手术时间、术中出血量、骨折愈合时间显著优于对照组，差异有统计学意义（t = 3.12，t = 6.18，t = 2.49， P 0.05）。 结论 采用骨伤消肿化瘀方联合手术治疗胫骨远端骨折疗效优于单纯手术治疗，并发症发生情况也显著优于单纯手术治疗，值得临床推广应用。 　　[关键词] 消肿化瘀；手术；胫骨远端骨折 　　[中图分类号] R687.4 [文献标识码] B [文章编号] 1673-9701（2013）07-0112-02 　　Effect of eliminating phlegm and diminishing swelling prescription and surgical treatment of distal tibia fracture 　　LI Chaoliang 　　Department of Orthopedics and Traumatology， the Peoples Hospital of Napo County of Baise City in Guangxi Zhuang Autonomous Region， Napo 533900， China 　　[Abstract] Objective To study the clinical effect of eliminating phlegm and diminishing swelling prescription and surgical treatment of distal tibia fracture. Methods A total of 64 cases of distal tibia fracture patients were randomly divided into control group and observation group. The control group treated with closed reduction and surgical incision reset fixed treatment， while the observation group added traditional Chinese medicine eliminating phlegm and diminishing swelling prescription treatment. Treatment effect and complications were observed of the two groups. Results The excellent rate and complications of observation group was significantly better than that of control group（P 0.05）. Conclusion Eliminating phlegm and diminishing swelling prescription and surgical treatment of distal tibia fracture curative effect is better than use surgery， complications and surgical treatment significantly superior to use， easy to use， worth to application at clinical. 　　[Key words] Eliminating phlegm and diminishing swelling；Operation； Distal tibia fractures 　　胫骨为小腿双骨之一，位于小腿内侧，为小腿骨中主要承重骨，对于支持体重有重要作用。胫骨由于离地面距离近，骨骼位置表浅而易受直接暴力作用，导致胫骨骨折[1]。胫骨下端皮肤与骨骼之间缺乏软组织保护，血供较差，复位相对困难，并发症多，因此临床上骨远端骨折治疗难度大[2]。选取我院2009年10月～2010年10月收治的64例胫骨远端骨折患者，采用中西医结合治疗，在临床上有显著效果，现报道如下。 　　1资料与方法 　　1.1一般资料 　　64例胫骨远端骨折患者，骨折