闭合复位交锁髓内钉内固定结合治伤散外敷治疗闭合性胫腓骨骨折疗效观察  

Clinical observation on treating the closed fractures of tibia and fibula by locked intramedullary pin combined with Zhishang powder

作　　者：张卫国 

机构地区：[1]隆回县红十字医院,湖南隆回422200

出　　处：《中医临床研究》2012年第23期112-112,115,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨闭合复位交锁髓内钉内固定结合治伤散外敷治疗闭合性胫腓骨骨折的临床疗效。方法:将本院收治的78例闭合性胫腓骨骨折的患者随机分为实验组和对照组,两组患者均行闭合复位交锁髓内钉内固定治疗术,而实验组患者在术后给予治伤散外敷治疗。比较两组患者的症状评分情况以及骨折愈合时间。结果:实验组症状评分、骨折愈合时间分别为(10.3±4.2)分、(143.5±12.3)d,对照组则为(15.1±7.2)分、(157.4±14.8)d,实验组症状评分、骨折愈合时间均显著小于对照组(P<0.05)。结论:治伤散外敷治疗能够促进胫腓骨骨折闭合复位交锁髓内钉内固定术后的骨折愈合,缓解疼痛肿胀症状,值得临床推广应用。Objective： To investigate the clinical efficacy of closed reduction with locked intramedullary pin combined with Zhishang powder for the closed fractures of tibia and fibula. Methods： 78 cases of closed tibia and fibula f/actures in our hospital were randomly divided into experimental group and control group. Both groups of patients were given closed reduction and locked intramedullary pin surgery, while patients of the experimental group were given Zhishang powder in addition. The symptom score and fracture healing time were compared after the treatment. Results： Symptom scores and the fracture healing time of the experimental group were （10.34±4.2） points and （143.5 ±12.3） d, with （15.1 ±7.2） points and （157.4±14.8） d of the control group, fracture healing time of the experimental group was significantly less than the control group （P〈0.05）. Conclusion： Zhishang powder can promote fracture healing of the tibia and fibula after closed reduction with locked intramedullary pin, and relieve the symptoms of pain and swelling, which is worthy of clinical application.

关 键 词：髓内钉 治伤散 胫腓骨骨折 

分 类 号：R274.1[医药卫生—中医骨伤科学]