参芪知甘汤联合中药熏洗对肱骨髁间骨折患者术后患肢肿胀、疼痛及并发症的影响  

Effects of Shenqi Zhigan decoction combined with traditional Chinese medicine fumigation on postoperative swelling of affected limbs,pain and complications in patients with humeral intercondylar fractures

作　　者：付佳[1] 唐承杰[1] 杜丹[1] 贾军峰 李峰 FU Jia;TANG Cheng-jie;DU Dan(Department of Gerontology,Sichuan Orthopedic Hospital,Chengdu,Sichuan(610000),China)

机构地区：[1]四川省骨科医院,成都610000

出　　处：《中国中西医结合外科杂志》2024年第1期50-54,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:分析参芪知甘汤联合中药熏洗对肱骨髁间骨折患者术后患肢肿胀、疼痛及并发症的影响。方法:选取2019年7月-2021年7月在我院行复位内固定术,且术后辨证分型为气滞血瘀型的肱骨髁间骨折患者176例,按照随机数字表法分为对照组与中药组各88例,对照组术后给予常规抗炎镇痛治疗,中药组给予参芪知甘汤联合中药熏洗治疗。比较两组中医证候积分、视觉模拟评分法(VAS)评分、患肢周径、术后恢复状况、凝血功能及术后并发症发生率。结果:中药组中医症候积分低于对照组,差异有统计学意义(P <0.05),干预后3 d、5 d及7 d,中药组VAS评分及患肢最大周径均小于对照组,差异有统计学意义(P <0.05);中药组患肢消肿及止痛时间均短于对照组,差异有统计学意义(P <0.05);中药组凝血酶原时间、凝血酶时间及活化部分凝血酶时间均高于对照组,纤维蛋白原值均低于对照组,差异有统计学意义(P <0.05);中药组总并发症发生率小于对照组(5.68%vs 17.05%),差异有统计学意义(P <0.05)。结论:参芪知甘汤联合中药熏洗可缓解肱骨髁间骨折术后患肢肿胀与疼痛,改善凝血功能,减少深静脉血栓(DVT)与并发症的发生。Objective To analyze the effects of Shenqi Zhigan decoction combined with traditional Chinese medicine fumigation on postoperative swelling of affected limbs,pain and complications in patients with humeral intercondylar fractures.Methods 176 patients with humeral intercondylar fractures who underwent reduction and internal fixation and whose postoperative syndrome differentiation was qi stagnation and blood stasis were selected in the hospital from July 2019 to July 2021.According to the random number table method,the patients were divided into control group and traditional Chinese medicine group,with 88 cases in each group.The control group was treated with conventional anti-inflammatory and analgesic drugs after surgery,and the traditional Chinese medicine group was given Shenqi Zhigan decoction combined with traditional Chinese medicine fumigation.The scores of TCM syndromes,Visual Analogue Scale(VAS)score,circumference of the affected limb,postoperative recovery status,coagulation function and incidence rates of postoperative complications were compared between the two groups.Results After intervention,the scores of TCM syndromes in the traditional Chinese medicine group were lower than those in the control group(P<0.05).At 3 d,5 d and 7 d after surgery,the VAS score and the maximum circumference of the affected limb were lower in the traditional Chinese medicine group than those in the control group(P<0.05).The swelling elimination time and pain relief time of affected limbs in the traditional Chinese medicine group were shorter compared with those in the control group traditional Chinese medicine group were shorter compared to the control group,and the fibrinogen was lower than that in the control group(P<0.05).The total incidence rate of complications in the traditional Chinese medicine group was lower than that in the control group(5.68%vs 17.05%,P<0.05).Conclusion Shenqi Zhigan decoction combined with traditional Chinese medicine fumigation for postoperative patients with humeral intercondylar fractures

关 键 词：参芪知甘汤 肱骨髁间骨折 患肢肿胀 疼痛程度 深静脉血栓 

分 类 号：R683[医药卫生—骨科学] R274.11[医药卫生—外科学]