补肾养血健骨汤加减联合切开复位内固定治疗急性锁骨骨折对患者术后患肢功能的影响观察  

Effects of modified Bushen Y angxue Jiangu Decoction combined with open reduction and internal fixation on postop-erative function of affcted limb in patients with acute clavicle fractures

作　　者：李明生 程永胜 周树阳 马骏 LI Mingsheng;CHENG Yongsheng;ZHOU Shuyang(Tianchang Hospital of Traditional Chinese Medicine,Department of Orhopaedics,Tianchang Anhui 239300,China)

机构地区：[1]天长市中医院骨伤科,安徽天长239300 [2]南京市第一医院神经外科,江苏南京210000

出　　处：《四川中医》2024年第3期159-162,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：江苏省中医药科技发展计划项目合同(编号:YB2020036)。

摘　　要：目的:探究补肾养血健骨汤加减联合切开复位内固定治疗急性锁骨骨折对患者术后患肢功能的影响。方法:选取2020年4月~2022年4月期间,本院收治的急性锁骨骨折患者共计80例,采用随机数表法将上述研究对象划分为观察组(n=40)、对照组(n=40);全部研究对象均接受切开复位内固定治疗,对照组术后给予常规营养支持及康复治疗;观察组在上述治疗方案的基础之上联合补肾养血健骨汤加减治疗;治疗结束后,记录并比较两组研究对象接受干预前后肾虚中医证候积分、功能恢复时间、骨折痊愈时间、总住院时间、简式Fugl-Meyer运动功能量表(FMA)评分、神经功能缺损评分(CSS)、SF-36健康调查简表得分以及治疗后并发症发生率。结果:两组研究对象接受治疗后,肢体沉重、神疲乏力、情志失调的证候积分相比干预前均下降,且观察组低于对照组,差异存在统计学意义(P<0.05);观察组功能恢复时间、骨折痊愈时间短于对照组(P<0.05),而两组的总住院时间差异无统计学意义(P>0.05);治疗后,FMA评分出现上升、CSS评分出现下降,且观察组上述变化趋势更加显著(P<0.05);另外,观察组SF-36各维度评分均高于对照组(P<0.05);与此同时,两组术后并发症发生率无显著差异(P<0.05)。结论:补肾养血健骨汤加减联合切开复位内固定治疗对加快患者骨折愈合、改善患肢功能具有良好的效果,且联合用药不增加不良反应发生率,具有较高的应用价值。Obective To explore the effects of modified Bushen Yangxue Jiangu Decoction combined with open reduction and intermal fixation on postoperative function of afcted limb in patients with acute clavicle fractures.Methods A total of 80patients with acute clav icle fractures admitted to the hospital were enolled between April 2020and April 2022.According to random num-ber table method,they were divided into observation group(n=40)and control group(n=40).After open reduction and internal fixation,control group was given routine nutrition support and rehabilitation treatment,while observation group was additionally treated with modified Bushen Yangxue Jiangu Decoction.After treatment,scores of TCM syndromes,functional recovery time,fracture healing time,total hospitalization time,scores of Fugl-Meyer Assessment Scale(FMA),China Stroke Scale(CSS)and the 36-item shot-form health status survey(SF-36),and the incidence of complications after treatment were recorded and compared between the two groups.Results After treatment,scores of TCM syndromes(physical heaviness,mental fatigue,emotional disorders)in both groups were decreased,which were lower in observation group than control group(P<0.05).The functional recovery time and fracture healing time in observation group were shorter than those in control group(P<0.05),but there was no significant difference in total hospitalization time between the two groups(P>0.05).After treatment,FMA score was increased,while CSS score was decreased in both groups,and change amplitude of the above scores was more significant in observation group(P<0.05).In addition,the SF-36scores of the observation group were higher than those of the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Modified Bushen Yangxue Jiangu Decoction combined with open reduction and internal fixation can effectively accelerate fracture healing and improve function of affected limbs,with low incidence of adverse reaction

关 键 词：急性锁骨骨折 切开复位内固定 补肾养血健骨汤 术后患肢功能 

分 类 号：R274.11[医药卫生—中医骨伤科学]