手术联合中药治疗四肢骨折的疗效观察  

Surgery Combined with Traditional Chinese Medicine in Treatment of Limb Fractures

作　　者：姜岳武[1] 郭亮[1] 吴国正[1] 

机构地区：[1]浙江省江山市人民医院,浙江江山324100

出　　处：《中国现代医生》2011年第28期38-39,共2页China Modern Doctor

摘　　要：目的探讨四肢骨折术后应用中药对术后并发症的防治疗效。方法将我院2008年1月～2010年1月收治的90例四肢骨折术后发生各种并发症的患者随机进行分组,分为观察组和对照组各45例,其中对照组骨折患者仅采用手术治疗,观察组在手术治疗的基础上联合中药进行治疗,比较两组的疗效。结果观察组的总有效率明显高于对照组,经统计学比较,差异有统计学意义(P<0.05)。观察组患者的肢体肿胀程度经治疗后明显优于对照组,经统计学比较,差异有统计学意义(P<0.05)。观察组患者肿胀消失时间平均(7.5±0.7)d,对照组的肿胀消失时间平均(12.1±2.4)d,观察组的肿胀消失时间明显短于对照组,经统计学比较,差异有统计学意义(P<0.05)。观察组术后发生骨不愈合1例、感染1例、脂肪栓塞1例;对照组术后发生下肢深静脉血栓3例、术后感染2例、骨不愈合2例。观察组术后并发症的发生率(6.7%)明显低于对照组(15.6%),差异有统计学意义(χ2=7.325,P<0.05)。结论将中药应用于四肢骨折术后疗效好,可以明显降低并发症的发生率,值得推广和应用。Objective To explore the application of traditional chinese medicine after limb fracture prevention efficacy of postoperative complications. Methods All 90 cases limb fractures in patients with postoperative complications were divided into the observcation groups and the control group, including patients with fractures of the control group only treated by surgery, the treatment group on the basis of surgical treatment combined traditional Chinese medicine treatment, the efficacy of two groups were compared. Results The total effective rate of the observation group was significantly higher than the control group, the difference was statistically significant （ P 〈 0.05 ）. The effect of patients of limb swelling after treatment was statistically significant than the control group （ P 〈 0.05 ）. The observation group bad postoperative nonunion in 1 case, infection in 1 case, fat embolism in 1 case, the control group postoperative had deep vein thrombosis in 3 cases, postoperative infection in 2 cases, in 2 cases, postoperative complications incidence of the observation group （ 6.7% ）was significantly lower than the control group （ 15.6% ）, the difference was statistically significant （ Х^2=7.325, P 〈 0.05 ） .Conclusion The curative effect of traditional chinese medicine which used in limb fractures is good, and it can significantly reduce the incidence of complications, should be promoted and applied.

关 键 词：四肢骨折 术后 并发症 中药 

分 类 号：R274.1[医药卫生—中医骨伤科学] R683[医药卫生—中医学]