桃红四物汤与五苓散合用在跟骨骨折患者中的应用效果.docxVIP

桃红四物汤与五苓散合用在跟骨骨折患者中的应用效果 　　[摘要]目的探讨桃红四物汤及五苓散在跟骨骨折患者中的应用效果。方法选取我院2015年6月～2017年12月收治的70例跟骨骨折患者作为研究对象，按照随机信封法将其分为对照组（35例）、试验组（35例）。对照组围术期内采用常规治疗，试验组围术期内采用桃红四物汤及五苓散治疗，比较两组的疼痛程度评分、肿胀程度评分、切口愈合效果、临床相关指标。结果试验组的疼疼痛程度、腫胀程度评分低于对照组，差异有统计学意义（p0.05）;试验组的切口愈合效果优于对照组，差异有统计学意义（p0.05）;试验组的皮肤皱褶出现时间、切口愈合时间均短于对照组，差异有统计学意义（p0.05）。结论给予跟骨骨折患者桃红四物汤及五苓散治疗对提高围术期切口愈合效果、改善疼痛程度、肿胀程度具有积极的临床意义，临床应用价值较高，值得推广。 　　[关键词]跟骨骨折;围术期;切口愈合;桃红四物汤;五苓散;治疗效果 　　[中图分类号]r274.12[文献标识码]a[文章编号]1674-4721（2019）2（a）-0180-03 　　[abstract]objectivetoexploretheapplicationeffectoftaohongsiwudecoctionandwulingpowderinpatientswithcalcanealfracture.methodsseventypatientswithcalcanealfracturetreatedinourhospitalfromjune2015todecember2017wereselectedasstudyobjects.thepatientsweredividedintothecontrolgroup（35cases）andtheexperimentalgroup（35cases）accordingtotherandomenvelopemethod.withinperioperativeperiod，routinetreatmentwasusedinthecontrolgroupwhiletheexperimentalgroupwastreatedwithtaohongsiwudecoctionandwulingpowder.thepaindegreescore，swellingdegreescore，incisionhealingeffectandclinicalrelatedindexwerecomparedbetweenthetwogroups.resultsthepainandswellingdegreescoreoftheexperimentalgroupwerelowerthanthoseofthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.thewoundhealingeffectoftheexperimentalgroupwasbetterthanthatofthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.theappearingtimeofskinwrinklesandwoundhealingtimeintheexperimentalgroupwereshorterthanthoseinthecontrolgroup，andthedifferenceswerestatisticallysignificant（p0.05）.conclusionthetreatmentofcalcanesiwudecoctionandwulingpowdergiveninpatientswithcalcanealfracturehaspositiveclinicalsignificanceforimprovingincisionhealingeffectofperioperativeperiod，improvingpaindegreeandswellingdegree.theclinicalapplicationvalueishigheranditisworthyofpromotion. 　　[keywords]calcanealfracture;perioperativeperiod;incisionhealing;taohongsiwudecoction;wulingpowder;therapeuticeffect 　　跟骨骨折属于临床常见病，以足跟部疼痛、肿胀、淤斑明显为主要临床表现，发病原因多为高处跌下后，足部着地，足跟遭受垂直撞击