四神煎治疗踝关节闭合性骨折围手术期肿胀临床观察  

Clinical Study on Sishen Decoction for Perioperative Swelling of Ankle Joint with Closed Fracture

作　　者：邢润麟 范逸哲 茆军[1] 王培民[1] 严培军[1] XING Runlin;FAN Yizhe;MAO Jun;WANG Peimin;YAN Peijun(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China.)

机构地区：[1]南京中医药大学附属医院,南京210029

出　　处：《中国中医骨伤科杂志》2022年第12期37-40,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：江苏省中医院高峰学术人才培养项目(y2021rc39);江苏省中医院高峰学术人才培养项目(y2021rc02);江苏省中医药领军人才项目(SLJ0207)。

摘　　要：目的:观察四神煎应用于改善踝关节骨折围手术期肿胀的疗效。方法:纳入2019年1月起至2021年12月接受手术治疗的闭合性踝关节骨折患者60例,根据患者对口服中药的接受度分为治疗组和对照组,各30例。对照组常规患肢抬高、消肿药物、踝泵运动等改善肿胀,治疗组在此基础上联合四神煎口服。对比观察1周内肿胀、疼痛评分及术后1周切口愈合情况、术后2周踝关节活动度。结果:治疗组在第5天和第7天的肿胀改善优于对照组,差异有统计学意义(P<0.05);第7天疼痛改善优于对照组,差异有统计学意义(P<0.05)。术后1周切口愈合情况和术后2周踝关节活动度差异无统计学意义(P>0.05)。结论:四神煎在改善踝关节骨折患肢肿胀方面疗效明确。Objective:To observe the effect of Sishen decoction on improving perioperative swelling of ankle joint fracture.Methods:60 patients with closed ankle fracture who received surgical treatment from January 2019 to December 2021 were enrolled.Patients were divided into the treatment group and the control group according to their oral Chinese medicine.The control group received routine limb elevation,detumescent drugs,ankle pump exercise to improve swelling.The treatment group was combined with Sishen decoction orally on basis of control group treatment.Swelling and pain scores within one week,wound healing one week after operation and ankle range of motion two weeks after operation were compared.Results:The swelling improvement in the treatment group was better than that in the control group on the 5 th and 7 th day.On day 7,the pain improvement was better than the control group.There was no significant difference between wound healing one week after operation and ankle motion two weeks after operation.Conclusion:Sishen decoction has definite effect on improving swelling of ankle joint fracture.

关 键 词：四神煎 踝关节骨折 围手术期 肿胀 疗效 

分 类 号：R683.42[医药卫生—骨科学]