清热活血消肿Ⅰ、Ⅱ合剂综合治疗骨折后膝关节功能障碍疗效观察  

Effect of Qingre Huoxue Xiaozhong Ⅰ/Ⅱ Mixture on Knee Joint Function Disorder after Fracture

作　　者：薛长连[1] 贺琲珺[1] 屈岚[1] 王弘道[1] 曹燕[1] 

机构地区：[1]解放军401医院中医科,山东青岛市266071

出　　处：《中国康复理论与实践》2007年第10期975-976,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：海军医药卫生科研立项课题(No.02HW13)

摘　　要：目的观察中药“清热活血消肿Ⅰ、Ⅱ合剂”综合治疗骨折后膝关节功能障碍的疗效。方法将143例骨折后膝关节功能障碍患者随机分为治疗组50例、对照Ⅰ组48例、对照Ⅱ组45例。治疗组予“清热活血消肿Ⅰ合剂”150 ml/次,3次/d口服,“清热活血消肿Ⅱ合剂”1次/d外熏洗,并配合“红花油”和TDP治疗仪治疗。对照Ⅰ组予中成药“伸筋丹”6粒/次,3次/d口服,同时予“红花油”和TDP治疗仪治疗;对照Ⅱ组仅予“红花油”外涂患处,配合TDP治疗仪照射。3组均以15 d为1个疗程,治疗1-2个疗程,并在治疗中同时服用维生素类和钙片等西药。按Lysholm关节功能评分标准评定3组患者的疗效。结果治疗组、对照Ⅰ组及对照Ⅱ组的总显效率分别为78%、39.58%、24.44%,治疗组明显高于对照Ⅰ组和对照Ⅱ组（P〈0.01）;治疗组、对照Ⅰ组及对照Ⅱ组的总有效率分别为98%、85.42%、75.55%,治疗组高于对照Ⅰ组（P〈0.05）,明显高于对照Ⅱ组（P〈0.01）。结论中药“清热活血消肿Ⅰ、Ⅱ合剂”综合治疗骨折后膝关节功能障碍疗效确切显著。Objective To observe the effect of Chinese medicine Qingre Huoxue Xiaozhong Ⅰ/Ⅱ mixture on the knee joint function disorder after fracture. Methods 143 patients with knee joint function disorder after fracture were randomly divided into the treatment group （n=50）, controlⅠ group （n=48）, control Ⅱ group （n=45）. The cases of the treatment group were treated with Qingre Huoxue Xiaozhong Ⅰ mixture 150 ml three times per day orally, Qingre Huoxue Xiaozhong Ⅱ mixture exteral washing once every day, and combined with Honghua oil and TDP instrument therapy. The cases of the control Ⅰ group were treated with the prepared medicine Shenjin Dan 6 pieces, three times a day, combined with Honghua oil and TDP instrument therapy. The cases of the control Ⅱ group were treated only with Honghua oil and FDP instrument therapy. 15 days were as a treatment course, and performed 1-2 treatment courses. The patients of the three groups also took the vitamins and calcitium simultaneously. The curative effect was evaluated according to the standard of Lysholm Joint Function. Results After treatment, the total excellent rates of the treatment group, control Ⅰ group and control Ⅱ group were 78%0, 39.58%0 and 24.44%0, respectively, the result of the treatment group was significantly superior to that of the control I group and control Ⅱ group （P G001）. The total effective rates of the treatment group, control Ⅰ group and control Ⅱ group were 98%0, 85. 42%0 and 75. 55%0, respectively. The effect of the treatment group was also significantly superior that of the control Ⅰ group （P G0.05） and control Ⅱ group （P G0.01）. Conclusion The Chinese native medicine Qingre Huoxue Xiaozhong Ⅰ/Ⅱ mixture has an obvious therapeutic effect in the multidisciplinary therapies on the knee joint function disorder after fracture.

关 键 词：骨折 膝关节功能障碍 综合疗法 清热活血消肿Ⅰ、Ⅱ合剂 

分 类 号：R683.42[医药卫生—骨科学]