消瘀接骨散外敷联合针刺治疗对胫骨骨折术后康复的影响  

Effect of External Application with Xiaoyu Jiegu Powder Combined with Acupuncture for Postoperative Rehabilitation of Tibial Fracture

作　　者：胡爱花 HU Aihua(Changshan County People's Hospital,Changshan Zhejiang 324200,China)

机构地区：[1]常山县人民医院,浙江常山324200

出　　处：《新中医》2023年第22期95-99,共5页New Chinese Medicine

摘　　要：目的:观察消瘀接骨散外敷联合针刺治疗对胫骨骨折患者术后康复的影响。方法:选取82例接受经皮复位内固定术治疗的胫骨骨折患者,依据随机数字表法分为对照组和研究组各41例。2组术后均给予常规西药对症治疗,对照组在此基础上给予骨肽注射液及肢体运动训练治疗,研究组在对照组基础上予以消瘀接骨散外敷联合针刺治疗。比较2组疼痛程度、患肢消肿时间、骨折愈合时间、血液流变学、骨折愈合优良率及并发症发生率。结果:术后第14天,研究组疼痛程度轻于对照组(P<0.05)。研究组患肢消肿时间、骨折愈合时间均短于对照组(P<0.05)。术后第22天,2组全血高切黏度、全血低切黏度、血浆黏度均较术后第1天降低(P<0.05),研究组全血高切黏度、全血低切黏度、血浆黏度均低于对照组(P<0.05)。随访4个月,研究组骨折愈合优良率92.68%,高于对照组73.17%(P<0.05)。随访4个月,研究组并发症发生率9.76%,与对照组17.07%比较,差异无统计学意义(P>0.05)。结论:消瘀接骨散外敷联合针刺治疗能够有效缓解胫骨骨折患者术后疼痛,改善血液循环,促进骨折愈合。Objective:To observe the effect of the external application with Xiaoyu Jiegu Powder combined with acupuncture for postoperative rehabilitation of tibial fracture.Methods:A total of 82 cases of patients who underwent percutaneous reduction and internal fixation for tibial fracture were selected and divided into the control group and the study group according to the random number table method,with 41 cases in each group.Both groups were given routine symptomatic treatment of western medicine after operation;the control group was additionally treated with Bone Peptide Injection and limb exercise training,and the study group was additionally treated with the external application with Xiaoyu Jiegu Powder combined with acupuncture based on the treatment of the control group.Pain degree,the time for swelling reduction in the affected limbs,fracture healing time,hemorheology,excellent and good rates of fracture healing,and the incidence of complications were compared between the two groups.Results:On 14 days after operation,the pain degree in the study group was lower than that in the control group(P<0.05).The time for swelling reduction in the affected limbs and fracture healing time in the study group were shorter than those in the control group(P<0.05).On 22 days after operation,high-shear whole blood viscosity,low-shear whole blood viscosity,and plasma viscosity in the two groups were decreased when compared with those on the first day after operation(P<0.05),and the high-shear whole blood viscosity,low-shear whole blood viscosity,and plasma viscosity in the study group were lower than those in the control group(P<0.05).During the 4 months of follow-up,the excellent and good rate of fracture healing was 92.68%in the study group,higher than that of 73.17%in the control group(P<0.05);the incidence of adverse reactions was 9.76%in the study group and 17.07%in the control group,there being no significant difference being found between the two groups(P>0.05).Conclusion:For patients with postoperative rehabilitation of ti

关 键 词：胫骨骨折 经皮复位内固定术 消瘀接骨散 外敷 针刺 疼痛 血液流变学 

分 类 号：R274.12[医药卫生—中医骨伤科学]