活血利水法在髌骨骨折术后肢体肿痛中的临床疗效分析  

Curative Effect of Huo Xue Li Shui Therapy in the Treatment of Postoperative Limb Pain and Swelling for Patella Fracture

作　　者：秦天芝 肖鹏[1] 

机构地区：[1]四川省骨科医院,成都610041

出　　处：《中国中医骨伤科杂志》2014年第11期27-28,31,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:通过活血利水法与传统的活血化瘀、消肿止痛法临床比较,证明前者在治疗骨折术后的肢体肿痛方面更具良好的临床疗效。方法:选取髌骨骨折患者60例,随机将其分为观察组和对照组,每组各30例。其中,观察组患者使用活血利水法治疗术后肢体肿痛,对照组患者使用传统的活血化瘀、理气止痛法治疗术后肢体肿痛。在术后第2、4、6、8天分别对观察组和对照组患者的肿胀肢体治疗前后周径的差值、肿胀肢体疼痛程度进行对比,从而比较二者疗效。结果:两组患者术后肢体肿胀改善状况比较差异有统计学意义(P<0.05);术后肿胀肢体疼痛程度,由于病例数量有限,两组比较差异无统计学意义(P>0.05)。结论:活血利水法在改善患者骨折术后肢体肿痛方面,效果优于传统的活血化瘀、理气止痛法。Objective： To evaluate the curative effect of Huo Xue Li Shui therapy in the treatment of postoperative limb swelling and pain for patella fracture through the clinical comparison of Huo Xue Li Shui therapy with activating blood circulation therapy. Methods：60 patients with patella fracture were randomly divided into the experimental group and the control group, 30 cases in each group. The experimental group was treated with Huo Xue Li Shui therapy, and the control group underwent promoting blood circulation for removing blood stasis and regulating qi-flowing for relieving pain. The circumference difference, degree of swelling and limb pain were compared between the two groups before and after treatment in the 2, 4, 6 and 8 day. Results：There was a significant difference in the postoperative limb swelling improvement between the two groups（P〈0.05）. While the postoperative pain of swollen limbs showed no significant differences（P〉 0.05） ,for the reason of a limited number of patients. Conclusion： Huo Xue Li Shui therapy get a better efficacy than promoting blood circulation for removing blood stasis and regulating qi-flowing for relieving pain in improving postoperative limb pain and swelling.

关 键 词：活血化瘀 理气止痛 利水渗湿 骨折 术后 

分 类 号：R274.39[医药卫生—中医骨伤科学]