海桐皮汤熏洗治疗下肢骨折术后肢体远端肿胀疗效观察.docVIP

海桐皮汤熏洗治疗下肢骨折术后肢体远端肿胀疗效观察 孙建业(河南省驻马店骨科医院463000) 【摘要】目的：探讨海桐皮汤熏洗在下肢骨折术后肢体远端肿胀治疗中 的临床效果。方法：将我院收治的98例下肢骨折术后肢体远端肿胀患者随机分 成实验组和对照组，每组49例，实验组采用海桐皮汤熏洗治疗，对照组采用地 奥司明治疗。结果：实验组的临床治疗愈显率(79.59%)、总有效率(95.92%) 均明显高于对照组(26.53%)、(59.18%),组间比较差异显著有统计学意义(分 别chi;2二27.6957、18.9904，均Plt;0.01)o结论:海桐皮汤熏洗能够有效缓解 下肢骨折术后肢体远端肿胀患者的肿胀情况，提升患者术后牛活自理能力。 【关键词】海桐皮汤熏洗；下肢骨折术；肢体远端肿胀 【中图分类号】R45 【文献标识码】A 【文章编号】1672-5085 (2014) 24-0076-02 Curative effect of erythrina decoction fumigation in the treatment of distal limb swelling of lower limb fracture following operation 【Abstract] Objective: To explore the curative effect of erythrina decoction fumigation in treatment of lower limb swelling following operation. Methods: 98 patients who got medical treatment in our hospital were divided into two groups randomly, every group had 49 patients, patients in the experimental group were cured with erythrina decoction fumigation, while patients in the control group were treated with diosmin. After the treatment, compare the treatment status of these two groups. Results: Good improvement rate (79.59%) and total effective rate (95.92%) of the experimental group were significantly higher than that of the control group (26.53%) (59.18%) (Plt;0.01). Conclusion: Erythrina decoction fumigation could ease swelling status of lower limb fracture patients following operation, mean while, it could en hance their self-care ability. [keyword 】erythrina decoction fumigation; fracture of lower limb; distal limb swelling 下肢骨折是骨科临床常见骨折之一，约占急诊骨科患者的6%-10%[l]o 下肢骨折通常伴有血管损伤，能否及吋加以诊断与治疗关乎肢体的存活状况，一 旦处理不当极有可能造成肢体远端肿胀，严重时还会导致截肢⑵。为此，我院 对下肢骨折术后肢体远端肿胀患者采取了应用海桐皮汤熏洗的研究，取得了较为 理想的效果，现报道如下。 1对象与方法 1.1研究对象 选取我院骨科从2013年1月至2014年4月期间收治的98例下肢骨折 术后肢体远端肿胀患者作为研究对象，入选患者均无神经压迫症状且排除下肢深 静脉血栓形成。其中男60例，女38例；年龄最人73岁，最小28岁，平均 （43.6plusmn;12.8）岁；致伤原因包括高空坠伤27例,车祸伤48例,行走摔 伤23例；肢体远端肿胀程度包括轻度肿胀（1.0lt;患侧肢体周径/健侧肢体周径 lt;1.2） 35例,中度肿胀（1.2le;患侧肢体周径/健侧肢体周径lt;1.5） 42例, 重度肿胀（1.5I?患侧肢体周径/健侧肢体周径lt;1.8） 16例，极重度肿胀（患 侧肢体周径/健侧肢体周径ge;1.8） 5例。 将患者随机均分成实验组和对照组，每组49例，两组患者在性别、年龄、致伤 原因、肢体远端肿胀