自拟复骨汤加减对踝关节骨折脱位骨折固定术后骨愈合进程的影响  

Effect of Modified Fugu Decoction on Bone Healing Process after Fracture Fixation of Ankle Fracture and Dislocation

作　　者：孙超 SUN Chao(Department of orthopedics Dandong hospital of traditional Chinese medicine,Dandong,Liaoning 1180001)

机构地区：[1]丹东市中医院骨科,辽宁丹东118000

出　　处：《中国伤残医学》2022年第13期22-26,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：分析踝关节骨折脱位骨折固定术后治疗需求,评价自拟中药复骨汤加减治疗对患者术后骨愈合进程等方面的影响.方法:选择我院骨科2019年4月-2020年2月诊治的踝关节骨折患者(n=80),结合踝关节骨折脱位骨折固定术后治疗方法进行随机法分组,对照组40例、观察组40例.对照组踝关节骨折患者采取术后常规治疗,观察组踝关节骨折患者采取术后常规治疗+自拟复骨汤加减治疗.比较2组踝关节骨折患者的治疗情况.结果:组间恢复时间比较,观察组患者用时短于对照组(P<0.05);组间术后感染、骨折端肿胀并发症情况比较,观察组发生率明显低于对照组(P<0.05);组间治疗后D-二聚体水平、C反应蛋白、骨钙素(BGP)、骨形态发生蛋白-2(BMP-2)、疼痛、踝与后足评分、骨折愈合X线评分、症状评分比较,观察组均明显优于对照组(P均<0.05);组间治疗满意度比较,观察组较对照组高(P<0.05).结论:踝关节骨折脱位骨折固定术后常规治疗辅助自拟复骨汤加减可以加速患者骨愈合进程,提升患者康复效果.To analyze the treatment needs after fracture fixation of ankle fracture and dislocation,and to evaluate the effect of modified Fugu Decoction on the process of postoperative bone healing.Methods:Patients with ankle fracture(n=80)diagnosed and treated in the Department of orthopedics of our hospital from April 2019 to February 2020 were randomly divided into control group and study group.The patients with ankle fracture in the control group were treated with postoperative routine treatment,and the patients with ankle fracture in the study group were treated with postoperative routine treatment+addition and subtraction of self-made Fugu decoction.The treat-ment of ankle fracture in the two groups was compared.Results:The recovery time of patients in the study group was shorter than that in the control group(P<0.05);The incidence of postoperative infection and swelling of fracture end in the study group was significantly lower than that in the control group(P<0.05).After treatment,the levels of D-dimer,C-reactive protein,osteocalcin(BGP),bone morphogenetic protein-2(BMP-2),pain,ankle and hindfoot scores,fracture healing X-ray scores and symptom scores in the study group were significantly better than those in the control group(P<0.05);The treatment satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion:Routine treatment after fracture fixation of ankle fracture and dislocation combined with addition and subtraction of self-made Fugu decoction can accelerate the process of bone healing and improve the rehabilitation effect of patients.

关 键 词：复骨汤 踝关节骨折脱位 骨折固定术 骨愈合情况 术后并发症 

分 类 号：R683.42[医药卫生—骨科学]