温阳利水活血方联合香山正骨手法复位小夹板固定治疗阳虚水泛型桡骨远端骨折肿胀临床研究  

Clinical Study on Wenyang Lishui Huoxue Prescription Combined with Xiangshan Bonesetting Manipulative Reduction and Fixation with Splints for Swelling After Distal Radius Fracture of Edema Due to Yang Deficiency Type

作　　者：黄辉春[1] 冯友聪 陈朝[1] 林苗正[1] 车永丰 黎顺平 HUANG Huichun;FENG Youcong;CHEN Zhao;LIN Miaozheng;CHE Yongfeng;LI Shunping(Department of Bonesetting,Zhuhai Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai Guangdong 519015,China)

机构地区：[1]广东省中医院珠海医院正骨科,广东珠海519015

出　　处：《新中医》2023年第19期115-119,共5页New Chinese Medicine

基　　金：珠海市科技计划医疗卫生项目(ZH2202200024HJL)。

摘　　要：目的:观察温阳利水活血方联合香山正骨手法复位小夹板固定治疗阳虚水泛型桡骨远端骨折肿胀的临床疗效。方法:采用随机数字表法将70例阳虚水泛型桡骨远端骨折肿胀患者分为治疗组与对照组各35例。对照组采用香山正骨手法复位小夹板固定治疗,治疗组在对照组基础上加用温阳利水活血方治疗。比较2组治疗前后中医证候积分、肿胀度、腕关节活动度、桡骨高度水平,比较2组骨折愈合率、临床疗效及不良反应发生情况。结果:治疗后,2组总有效率、不良反应发生率比较,差异无统计学意义(P>0.05)。2组治疗后腕关节桡偏、尺偏、掌屈、背伸活动度及桡骨高度均较治疗前升高(P<0.05),中医证候积分降低(P<0.05);治疗组治疗后中医证候积分低于对照组(P<0.05),骨折愈合率、腕关节桡偏、尺偏、掌屈、背伸活动度及桡骨高度高于对照组(P<0.05)。2组治疗3 d、1周、2周、4周后肿胀度较治疗前降低(P<0.05),且治疗组治疗1周、2周、4周后肿胀度低于对照组(P<0.05)。结论:温阳利水活血方联合香山正骨手法复位小夹板固定治疗阳虚水泛型桡骨远端骨折肿胀疗效确切,能够有效消除肿胀,改善腕关节活动度,防止桡骨高度丢失,安全性较高。Objective:To observe the clinical effect of the therapy of Wenyang Lishui Huoxue Prescription combined with Xiangshan bonesetting manipulative reduction and fixation with splints on patients with swelling after distal radius fracture of edema due to yang deficiency type.Methods:A total of70 patients with swelling after distal radius fracture of edema due to yang deficiency type were divided into the treatment group and the control group according to the random number table method,with35 cases in each group.The control group was given the Xiangshan bonesetting manipulative reduction and fixation with splints,and the treatment group was additionally treated with Wenyang Lishui Huoxue Prescription based on the treatment of the control group.Before and after treatment,the traditional Chinese medicine(TCM) syndrome score,degree of swelling and range of motion of wrist joints,radial height,union rates of fracture,clinical effects and incidence of adverse reactions were compared between the two groups.Results:After treatment,there was no significant difference being found in the comparisons of total effective rate and incidence of adverse reactions between the two groups(P>0.05).After treatment,the range of motion of radial deviation,ulnar deviation,palmar flexion and extension of wrist joints and radial height in both groups were increased when compared with those before treatment(P<0.05),and the TCM syndrome scores were decreased(P<0.05);the TCM syndrome score in the treatment group was lower than that in the control group(P<0.05),and the union rates of fracture,range of motion of radial deviation,ulnar deviation,palmar flexion and extension of wrist joints and radial height were higher than those in the control group(P<0.05).After 3 days,1 week,2 weeks and 4 weeks of treatment,the degree of swelling in both groups was decreased when compared with that before treatment(P<0.05),and the degree of swelling in the treatment group was lower than that in the control group after treatment of 1 week,2 weeks and 4 weeks(P<0.05

关 键 词：桡骨远端骨折 肿胀 阳虚水泛 温阳利水活血方 腕关节活动度 

分 类 号：R683[医药卫生—骨科学]