桃红接骨胶囊联合内固定手术治疗Colles骨折患者的临床效果  

Clinical effect of Taohong Jiegu Capsules combined with internal fixation in the treatment of Colles fracture

作　　者：龙大伟[1] 周正新 李春峰[1] 蒿广兴 姚先杰[1] LONG Dawei;ZHOU Zhengxin;LI Chunfeng;HAO Guangxing;YAO Xianjie(The Fifth Department of Orthopedics,Taihe Hospital of Traditional Chinese Medicine,Anhui Province,Fuyang 236607,China;Department of Orthopedics,Anhui Provincial Hospital of Traditional Chinese Medicine,Anhui Province,Hefei 230000,China)

机构地区：[1]安徽省太和县中医院骨五科,安徽阜阳236607 [2]安徽省中医院骨伤科,安徽合肥230000

出　　处：《中国医药导报》2020年第6期91-94,共4页China Medical Herald

基　　金：安徽省自然科学基金项目（1608085MH105）

摘　　要：目的探讨桃红接骨胶囊联合内固定手术治疗Colles骨折患者的临床效果。方法选取2016年1月~2018年12月安徽省太和县中医院收治的90例Colles骨折患者,根据随机数字表法将其分为对照组与研究组,每组各45例。对照组给予常规内固定手术治疗,研究组在此基础上给予桃红接骨胶囊。比较两组患者临床疗效、骨折愈合质量及骨密度、视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI),记录两组治疗期间并发症发生情况。结果研究组术后6周临床总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者术前、术后6周患肢尺偏角、掌倾角、桡骨茎突高度比较,差异无统计学意义(P> 0.05),两组术后6周患肢尺偏角、掌倾角、桡骨茎突高度均较术前升高,差异均有统计学意义(均P<0.05)。两组患者术前骨密度、VAS、ODI比较,差异无统计学意义(P> 0.05)。两组患者术后6周骨密度较术前升高,VAS、ODI较术前下降,差异均有统计学意义(均P<0.05),研究组术后6周骨密度高于对照组,而VAS、ODI则低于对照组,差异均有统计学意义(均P<0.05)。两组患者并发症发生率比较,差异无统计学意义(P> 0.05)。结论桃红接骨胶囊联合内固定手术治疗Colles骨折患者,效果确切,可有效改善患者疼痛症状,提高骨密度,临床应用价值较高。Objective To investigate the clinical effect of Taohong Jiegu Capsules combined with internal fixation in the treatment of Colles fracture.Methods From January 2016 to December 2018,90 patients with Colles fracture admitted to Taihe Hospital of Traditional Chinese Medicine in Anhui Province were selected and divided into control group and study group according to the random number table method,with 45 cases in each group.The control group was given routine internal fixation surgery,and the study group was given Taohong Jiegu Capsules on this basis.The clinical efficacy,fracture healing quality and bone mineral density,visual analogue score(VAS) and Oswestry dysfunction index(ODI) were compared between the two groups,and the complications during treatment were recorded.Results The total clinical effective rate of the study group was higher than that of the control group 6 weeks after surgery,and the difference was statistically significant(P <0.05).There was no statistically significant difference between the two groups of patients in ulnar deviation angle,palmar inclination angle and radial styloid process height of the affected limb before and 6 weeks after surgery(P> 0.05).The ulnar deviation angle,palmar inclination angle and radial styloid process height of the affected limb in the two groups increased 6 weeks after the operation compared with that before the operation,and the differences were statistically significant(all P <0.05).There was no significant difference in preoperative bone mineral density,VAS and ODI between the two groups(P> 0.05).The bone mineral density of the patients in the two groups at 6 weeks after surgery increased compared with that before surgery,and the VAS and ODI decreased compared with that before surgery,with statistically significant differences(all P <0.05).The bone mineral density of the study group at 6 weeks after surgery was higher than that of the control group,while the VAS and ODI were lower than that of the control group,with statistically significant differences(all P

关 键 词：桃红接骨胶囊 内固定手术 COLLES骨折 骨折愈合 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]