自拟骨科外敷方治疗闭合性胫腓骨骨折患者的效果  

Effect of self-designed orthopedic external application formula on patients with closed tibiofibular fractures

作　　者：赵亮 汪涛[1] 程后庆[2] ZHAO Liang;WANG Tao;CHENG Houqing(Professional Master Graduate Student Training Base,Wuhu Hospital of Traditional Chinese Medicine,Anhui University of Chinese Medicine,Wuhu 241000,China;Department of Trauma 2,Ward 18,Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,China)

机构地区：[1]安徽中医药大学芜湖市中医医院专业硕士研究生培养基地,安徽芜湖241000 [2]安徽省芜湖市中医医院18病区创伤二科,安徽芜湖241000

出　　处：《中国当代医药》2023年第29期67-70,共4页China Modern Medicine

基　　金：安徽中医药大学科研基金项目(2021LCWH02)。

摘　　要：目的探讨骨科外敷方治疗闭合性胫腓骨骨折患者的效果。方法选择2021年9月至2022年12月芜湖市中医医院收治的60例闭合性胫腓骨骨折患者作为研究对象,采用随机数字表法分为对照组与观察组,每组30例。两组均对患肢进行制动抬高,对照组采用常规基础治疗,观察组采用骨科外敷方外敷治疗。比较两组消肿时间、伤肢与健肢周径差、术前疼痛程度、临床疗效情况。结果治疗前,两组患者周径差比较,差异无统计学意义(P>0.05);治疗后,两组患者周径差短于本组治疗前,且观察组患者周径差短于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后术前等待时间短于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者视觉模拟(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组患者VAS评分低于本组治疗前,且观察组患者VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论骨科外敷方临床上对于缩短术前等待时间,改善患肢肿胀症状,减轻患者术前疼痛,有着较好的疗效,值得在临床中应用。Objective To explore the application value of orthopedic external application in patients with closed tibiofibular fracture.Methods From September 2021 to December 2022,60 patients with closed tibiofibular fracture who were admitted to Wuhu Hospital of Traditional Chinese Medicine were selected as the research objects.They were divided into the control group(n=30)and the observation group(n=30)according to the computer random number method.Each group raised the brake of the affected limb.The patients in the control group were treated with basic treatment,while the patients in the observation group were treated with orthopedic external application.The detumescence time,the difference of the injured and healthy limbs circumference,the degree of preoperative pain,and the clinical effect were compared between the two groups.Results Before treatment,there was no statistically significant difference in circumference difference between the two groups of patients(P>0.05).After treatment,the difference in circumference between the two groups of patients was shorter than that before treatment,and the difference in circumference between the observation group and the control group was statistically significant(P<0.05).The observation group had shorter preoperative waiting time after treatment compared to the control group,and the difference was statistically significant(P<0.05).Before treatment,there wa s no statistically significant difference in visual analogue scale(VAS)score between the two groups of patients(P>0.05).After treatment,the VAS score of the two groups of patients were lower than before treatment,and the VAS scores of the observation group was lower than those of the control group,with statistically significant difference(P<0.05).The clinical efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Orthopedic external application can shorten the preoperative waiting time,improve the swelling of the affected limbs,and reduce

关 键 词：闭合性胫腓骨骨折 中药外敷 消肿 术前等待时间 

分 类 号：R683[医药卫生—骨科学]