补肾活血汤治疗老年性桡骨远端骨折患者术后愈合及腕关节功能临床观察  

Clinical Observation on Bushen Huoxue Decoction in the Treatment of Postoperative Healing and Wrist Function of Senile Distal Radius Fracture Patients

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作  者:高贵飞 GAO Guifei(Department of Orthopedics,Jiujiang Hospital of Traditional Chinese Medicine,Jiangxi Province,Jiujiang 332000,China)

机构地区:[1]九江市中医医院骨伤一科,江西九江332000

出  处:《中国中医药现代远程教育》2022年第24期105-107,共3页Chinese Medicine Modern Distance Education of China

摘  要:目的探讨补肾活血汤在老年性桡骨远端骨折(DRF)中的应用效果。方法选取2018年8月-2020年12月九江市中医医院收治的DRF患者64例,采用随机数字表法分为2组,每组32例。对照组实施骨折复位固定治疗,观察组在此基础上服用补肾活血汤治疗,持续8周。对比2组骨折愈合情况、腕关节功能及不良反应。结果观察组治疗2、4、6、8周骨折愈合评分系统(RUSS)评分均高于对照组,骨折愈合时间短于对照组,治疗8周后腕关节患者自行评估量表(PRWE)、Gart-land-Werley腕关节功能评分表评分低于对照组,差异有统计学意义(P<0.05);2组治疗期间未见明显不良反应。结论在老年性DRF患者中应用补肾活血汤治疗,能够促进术后骨折愈合,改善腕关节功能,且安全可靠,值得推广。Objective To investigate the application effect of Bushen Huoxue decoction in the treatment of elderly patients with distal radius fracture(DRF).Methods A total of 64 DRF patients admitted to Jiujiang Hospital of Traditional Chinese Medicine from August 2018 to December 2020 were selected and divided into two groups by random number table method,with 32 case in each group.The control group was treated with fracture reduction and fixation,and the observation group was treated with Bushen Huoxue decoction on this basis for 8 weeks.Fracture healing,wrist function and adverse reactions were compared between the two groups.Results The Radiographic Union Score for Hip(RUSS)score in observation group was higher than that in control group at 2,4,6 and 8 weeks,and the fracture healing time was shorter than that in control group,the Chinese version of Patient-Rated Wrist Evaluation(PRWE)and Gart-Land-Werley wrist function rating scale scores after 8 weeks of treatment were lower than those in control group,and the difference was statistically significant(P<0.05).There were no obvious adverse reactions in the two groups during treatment.Conciusion The application of Bushen Huoxue decoction in the treatment of elderly patients with DRF can promote postoperative fracture healing,improve wrist function,and is safe and reliable.It is worthy of promotion.

关 键 词:桡骨远端骨折 补肾活血汤 骨折愈合 腕关节功能 中医药疗法 

分 类 号:R274.1[医药卫生—中医骨伤科学]

 

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