骨伤Ⅰ号方在跟骨骨折微创植骨术围手术期的应用  

Perioperative Application of Orthopedics Recipe Ⅰ in Minimally Invasive Bone Graft of Calcaneal Fractures

作　　者：聂伟志[1] 谭新欢 隋显玉[1] 朱育林[1] 杨凯[1] 刘晓云[1] 

机构地区：[1]山东省文登整骨医院,山东文登264400

出　　处：《中国中医骨伤科杂志》2015年第9期15-18,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：山东省科技发展计划项目(2011YD19004)

摘　　要：目的:评价骨伤Ⅰ号方(专利配方)在跟骨骨折微创植骨术围手术期的疗效。方法:64例PaleyⅡ型跟骨骨折随机分为治疗组与对照组,每组各32例,两组患者术前基本资料比较无统计学意义,具有可比性。所有病例均采用闭合复位经皮穿针小切口植骨术治疗,住院期间所有患者静滴注射用骨肽,治疗组加服骨伤Ⅰ号方。比较两组患者围手术期足部的疼痛、肿胀消退程度及便秘情况。结果:所有患者在治疗过程中未出现过敏等不良反应。两组患者出现皮肤褶皱的时间比较,差异有统计学意义(P<0.05)。两组患者疼痛的比较,术前及术后第3天比较,差异无统计学意义(P>0.05);术后1周及2周的比较,差异有统计学意义(P<0.05)。患侧与健侧跟骨环周周长差的比较,术前及术后2d的比较,差异无统计学意义(P>0.05);术后4,7,10d比较,差异有统计学意义(P<0.05),治疗组优于对照组。住院期间便秘情况比较,差异有统计学意义(P<0.01)。结论:微创植骨治疗跟骨骨折围手术期服用骨伤Ⅰ号方有利于促进肿胀消退,缩短手术等待时间,减轻疼痛,预防便秘,值得推广。Objective：To evaluate the perioperative efficacy of orthopedic recipe Ⅰ （patented formula） in the treatment of minimally invasive bone craft of calcaneal fractures. Methods.. 64 patients with Paley Ⅱ calcaneal fracture were randomly divided into the experimental group and control group, 32 cases in each group. The basic preoperative information in two groups had no statistically significant difference, which is comparable. All patients underwent closed reduction and percu- taneous fixation of small incision and bone grafting. All patients during hospitalization used ossotide injection for intravenous infusion. The experimental group took orthopedic recipe Ⅰ while the control group did not. The perioperative foot pain, swelling subsided and constipation were compared in two groups. Results： No allergies and other adverse reactions occurred during treatment. The time of skin old sign appeared had statistically significant difference （P〈0.05）. There was no significant difference in preoperative and postoperative pain of patients after three days between the two groups （P 〉0.05）. The pain one week and two weeks postoperative got statistically significant difference（P〈0.05）. The calcaneus circumferential perimeter difference preoperatively and 2 days postoperative both in ipsilateral and contralateral were not statistically significant （P〉0.05）. While the calcaneus circumferential perimeter difference 4,7,10 day postoperative were statistically significant （P〈0.05）, the experimental group was better than the control group. The constipation was compared during hospitalization, and the difference had significant statistical significance （P〈0. 01）. Conclusion.. During perioperative period of minimally invasive bone craft of calcaneal fractures, application of orthopedic recipe I is beneficial to promote swelling subsided and shorten the waiting time before surgery. It can also reduce pain and prevent constipation which is worthy of promotion.

关 键 词：中药方剂 跟骨骨折 微创 植骨 

分 类 号：R274.39[医药卫生—中医骨伤科学]