石氏夹板、石膏托联合固定配合中药治疗胫腓骨双骨折  

Treatment of SHI’s Splint-plaster External Fixation Combined with Traditional Chinese Medicine for Fracture of Tibia and Fibula

作　　者：朱鸿飞 王敖明 刘志浩 李群峰 ZHU Hongfei;WANG Aoming;LIU Zhihao(Shanghai Kaiyuan Orthopaedic Hospital,Shanghai 200129,China;Huangpu Branch of Shanghai Ninth People's Hospital;Shanghai Pudong Lung Hospital)

机构地区：[1]上海开元骨科医院,上海200129 [2]上海市第九人民医院黄浦分院 [3]上海市浦东肺科医院 [4]上海中医药大学附属第七人民医院

出　　处：《浙江中医药大学学报》2022年第10期1141-1144,共4页Journal of Zhejiang Chinese Medical University

基　　金：上海市浦东新区卫生计生科研项目(PW2020A-38)。

摘　　要：[目的]观察石氏夹板、石膏托联合固定加中药治疗胫腓骨双骨折的临床疗效。[方法]对48例胫腓骨双骨折患者采用石氏夹板、石膏托联合固定,按照石氏伤科骨折三期辨证论治特点内服中药,并配合早期功能锻炼,观察治疗前后疼痛评分、踝关节功能评分变化,治疗结束后评价综合疗效。[结果]疼痛视觉模拟量表(visual analogue scale,VAS)评分,治疗前(6.75±0.98)分,治疗后(1.96±0.68)分。Olerud-Molander关节功能评分,治疗前(23.33±5.68)分,治疗后(70.52±8.07)分。48例患者中优37例、良9例、中2例、差0例,优良率95.8%;治愈36例,好转12例,未愈0例,有效率100.0%。[结论]石氏夹板、石膏托联合固定配合中药可以有效治疗胫腓骨双骨折。[Objective] To observe the clinical effect of SHI’s splint-plaster external fixation combined with traditional Chinese medicine(TCM) for fracture of tibia and fibula. [Methods] Forty-eight patients with fracture of tibia and fibula were treated with manipulative reduction, SHI’s splint-plaster external fixation, herbal oral administration according to the characteristics of three-stage syndrome differentiation and treatment of SHI’s traumatology, and early functional exercises. Pain score, ankle function score and comprehensive efficacy were observed. [Results] Visual analogue scale(VAS) score was(6.75 ±0.98) before treatment and(1.96 ±0.68)after treatment;Olerud-Molander functional score was(23.33±5.68) before treatment and(70.52±8.07) after treatment. According to the Johner-Wruh joint function evaluation criteria, 37 cases were excellent, 9 cases were good, 2 was medium and no case was poor, with an excellent and good rate of 95.8%. According to the diagnostic and therapeutic criteria of TCM diseases, 36 cases were cured, 12cases were improved and no case was not cured, with an effective rate of 100.0%. [Conclusion] Manipulative reduction and SHI’s splint-plaster external fixation combined with TCM for fracture of tibia and fibula can obtain satisfactory effects.

关 键 词：胫腓骨双骨折 夹板固定 石膏固定 手法整复 三期辨治 中药内服 

分 类 号：R681[医药卫生—骨科学]