土家民族药活血接骨膏治疗骨折肢体肿胀临床观察  

Clinical observation of Tujia nationality medicine Huoxue Jiegu Ointment in the treatment of limb swelling of fracture

作　　者：邱继明 

机构地区：[1]湖北省宣恩县民族医院,宣恩445500

出　　处：《中华中医药杂志》2014年第3期933-935,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局"十一五"重点专科建设资助项目(No.17J3X1L316K330);湖北省卫生厅中医药科研项目(No.2008Z-Y48)~~

摘　　要：目的:观察土家民族药活血接骨膏治疗骨折肢体肿胀的临床效果。方法:将196例四肢骨折肢体肿胀患者采用完全随机法分为观察组与对照组,每组各98例。观察组外敷活血接骨膏,每2日换药1次;对照组采用七叶皂苷钠20mg+5%葡萄糖注射液500mL静滴,每日1次,连续治疗7d。观察两组消肿效果及药物不良反应,统计并加以分析。结果:7d后,两组消肿疗效比较,观察组有效率95.92%,显效率53.06%;对照组有效率84.69%,显效率33.67%,组间比较,观察组消肿疗效明显优于对照组,差异有统计学意义(P<0.01)。不良反应发生率观察组为3.06%,对照组为80.61%,观察组明显低于对照组,差异有统计学意义(P<0.01)。结论:土家民族药活血接骨膏外敷治疗骨折肢体肿胀疗效显著,是处理骨科围手术期水肿并发症的一种较佳治疗方法,充分发挥了民族医药的特色优势,值得临床应用。Objective： To observe the clinical effect of Tujia ethnic medicine Huoxue Jiegu Ointment on limb swelling of fracture. Methods： 196 cases with limb fracture with swelling were randomly divided into two groups, each group 98 cases. Treatment group was externally applied Huoxue Jiegu Ointment, and changed dressings every 2 days; Control group was intravenous administrated 20mg sodium aescinate plus 500mL 5% glucose injection, once a day, continuous 7 days. Clinical effect, adverse reaction were observated and analyzed. Results： After 7 days, comparing detumescence effect between two groups, effective rate was 95.92%, and significant efficiency rate was 53.06% in treatment group; while effective rate and significant efficiency rate were respectively 84.69% and 33.67% in control group. Efficacy in treatment group was superior than control group （P〈0.01）. Adverse reaction rates were 3.06% and 80.61% respectively in treatment group and control group, and there existed statistical difference between two groups （P〈0.01）. Conclusion： Tujia ethnic medicine Huoxue Jiegu ointment treating limb swelling of fracture showed significant efficacy, which was a better treatment on limb swelling of perioperative period of fracture, exerted characteristic advantage of ethnic medicine, and deserved further clinical application.

关 键 词：土家民族药 活血接骨膏 骨折 肿胀 

分 类 号：R274.9[医药卫生—中西医结合]