中西医结合治疗复杂胫骨平台骨折的临床疗效分析  

Traditional Chinese Medicine Fumigation Combined with Western Medicine Treatment of Complex Tibial Plateau Fracture

作　　者：王巍[1] 顾大伟[1] 徐春雨[1] 王延荣 刘力[2] 

机构地区：[1]吉林油田总医院,吉林松原138000 [2]复旦大学浦东医院,上海200120

出　　处：《中华中医药学刊》2017年第5期1313-1316,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：上海市浦东新区科技发展基金创新资金项目(PKJ2011-Y3)

摘　　要：目的:探讨中药熏洗结合西医治疗复杂胫骨平台骨折的临床疗效。方法:选取医院收治的86例胫骨平台骨折患者作为研究对象,随机分为治疗组和对照组。对照组采用给予手术治疗,并常规给予抗炎、换药、预防血栓、术后康复等支持治疗,而治疗组则在对照组治疗的基础之上再辅以自拟中药方剂予以熏洗,并分别对两组患者的临床治疗效果予以比较分析,并采用视觉模拟评价量表(VAS)及生活质量评价量表(QOL)分别对两组患者的疼痛感觉及生活质量进行评价。结果:术后6个月,观察组膝关节功能恢复的优良比率为86.84%(33/38),明显高于对照组的优良比率71.05%(27/38);观察组术后并发症发生的比例为18.42%(7/38),明显低于对照组36.83%(14/38)。观察组患者术后6个月VAS评分为(4.4±1.9)分显著低于对照组的(6.3±3.4)分;QOL评价量表结果显示,观察组生理功能(PF)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)及精神健康(MH)的评估情况均好于对照组(P<0.05),生理职能及情感职能相比较无显著性差异。结论:胫骨平台骨折在治疗过程中采用手术、康复训练结合中药熏洗的方法能改善患者膝关节功能恢复情况,降低术后部位并发症的发生率,提高临床疗效。Objective： To explore the clinical effect of traditional Chinese medicine fumigation combined with western medicine in the treatment of complex tibial plateau fractures. Methods ： In our hospital, 86 cases of patients with fracture of tibial platform as the research object were randomly divided into treatment group and control group. Control group adopted the surgical treatment and conventional anti - inflammatory treatment and prevention of thrombosis and postoperative reha- bilitation support treatment, while the treatment group on the basis supplemented traditional Chinese medicine fumigation and prescriptions. The clinical therapeutic effects of two groups were compared. The pain perception and quality of life of the two groups were evaluated by visual analogue scale （VAS） and quality of life assessment scale （QOL）, Results：After 6 months, the observation group＇ s knee joint function recovery rate was 86.84% （33/38）, significantly higher than the control group＇ s 71.05% （27/38）. The observation group＇ s proportion of the postoperative complications was 18.42% （7/38）, significantly lower than the control group＇ s 36.83% （14/38）. The VAS score （4.4 ± 1.9） in the observation group was significantly lower than the control group＇ s （ 6.3± 3.4） in 6 months after operation. The QOL table showed that the observation group＇ s physiological function （PF） , body pain （BP） , general health （GH） , vitality （VT） , social function （SF） and mental health （MH） were better than those of the control group （ P 〈 0. 05 ）. Physical function and emotional function had no significant difference. Conclusion ： In the process of treatment of tibial plateau fracture, the method of rehabilitation training combined with traditional Chinese medicine fumigation can improve patients＇ knee joint func- tion recovery, reduce the incidence of postoperative complications of parts and improve the clinical curative effect.

关 键 词：胫骨平台骨折 术后康复 中药熏洗 

分 类 号：R683.42[医药卫生—骨科学]