阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合的效果观察  

Effects of modified Yanghe decoction in combination of bone shift surgery on postoperative unhealing infectious bone of femoral fracture

作　　者：陈定启 潘宇朝 陈德焱 冯仕华 梁麦添 林永行 谭庆豪 郑开达 

机构地区：[1]阳江市中医医院骨外科,广东529500

出　　处：《中国临床新医学》2017年第4期350-352,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合的效果。方法以2014-05~2015-12该院收治的87例股骨干骨折术后感染性骨不愈合患者为研究对象,按随机数字表法把患者分为对照组43例和治疗组44例。治疗组采用骨搬移术结合阳和汤治疗;对照组采用传统方法治疗。观察两组患者的感染率、复发率、骨折愈合时间、肢体缩短幅度。结果治疗组的感染率、复发率分别为4.55%、6.82%,比对照组的20.93%、23.26%低;治疗组的骨折愈合时间比对照组短,肢体缩短幅度比对照组小,两组比较差异均有统计学意义(P<0.05)。结论对股骨干骨折术后感染性骨不愈合患者行阳和汤加减联合骨搬移术治疗,能有效降低感染复发率、缩短骨折愈合时间、降低肢体缩短幅度,临床效果较好,值得进一步推广应用。Objective To explore the effects of modified Yanghe decoction in combination of bone shift surgery on postoperative unhealing infectious bone of femoral fracture.Methods Eighty-seven patients with postoperative unhealing infectious bones of femoral fractures in Yangjiang Hospital of TCM were selected as the research sub-jects and were divided into the control group and the treatment group according to the random number table method.The treatment group received bone shift surgery in combination with modified Yanghe decoction and the control group was treated with traditional method.The infection rate,recurrence rate,fracture healing duration and the extent of limb shortening were compared between the two groups.Results The infection rate and the recurrence rate in the treatment group were significantly lower than those in the control group（4.55% vs 20.93% and 6.82% vs23.26%）; The fracture healing duration of the treatment group was significantly shorter than that of the control group.While the scope of limb shortening in the treatment group was smaller than that in the control group（P〈0.05）.Conclusion Modified Yanghe decoction in combination of bone shift surgery is effective on the treatment of postoperative unhealing infectious bone of femoral fracture.

关 键 词：股骨干骨折 感染性骨不愈合 阳和汤 骨搬移术 

分 类 号：R68[医药卫生—骨科学]