中药熏洗配合克氏针内固定治疗掌指骨骨折临床研究  

Clinical Study on Chinese Medicine Fumigation Combined with Kirschner Wire Internal Fixation for Metacarpal and Phalange Fractures

作　　者：许仁伟 徐凌志 胡坚伟 方弘伟 XU Renwei;XU Lingzhi;HU Jianwei;FANG Hongwei(Department of Hand Surgery,Jinhua Yongkang Lingzhi Hospital,Jinhua Zhejiang 321300,China;Department ofOrthopedics,Jinhua Hospital of Traditional Chinese Medicine,Jinhua Zhejiang 321300,China)

机构地区：[1]金华市永康凌志医院手外科,浙江金华321300 [2]金华市中医院骨伤科,浙江金华321300

出　　处：《新中医》2024年第17期58-62,共5页New Chinese Medicine

摘　　要：目的:观察中药熏洗配合克氏针内固定术治疗掌指骨骨折的临床疗效。方法:按随机数字表法将124例掌指骨骨折患者分为对照组和观察组各62例。对照组行切开复位克氏针内固定术治疗,观察组在对照组基础上给予中药熏洗治疗。评价2组临床疗效,比较2组中医证候积分、手功能、血清炎症因子白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平,并记录2组肿胀、疼痛、瘀斑消失时间及骨折愈合时间。结果:观察组优良率为98.39%,高于对照组88.71%(P<0.05)。治疗后,2组中医证候积分较治疗前降低,观察组中医证候积分低于对照组(P<0.05);治疗后,2组手功能评分较治疗前升高,观察组手功能评分高于对照组(P<0.05)。观察组术后肿胀、疼痛、瘀斑消失时间及骨折愈合时间均早于对照组(P<0.05)。治疗后,2组血清IL-6、TNF-α水平较治疗前降低(P<0.05),且观察组血清IL-6、TNF-α水平低于对照组(P<0.05)。结论:中药熏洗配合克氏针内固定术治疗掌指骨折患者效果显著,可促进症状体征改善及骨折愈合,改善手功能,抑制患者掌指骨局部炎症反应。Objective:To observe the clinical effect of the combination use of Chinese medicine fumigation and Kirschner wire internal fixation on metacarpal and phalange fractures.Methods:A total of 124 patients with metacarpal and phalange fractures were assigned to the control group and the observation group according to the random number table method,with 62 cases in each group.The control group was treated with open reduction and Kirschner wire internal fixation,and the observation group was additionally treated with Chinese medicine fumigation based on the treatment of the control group.The clinical effects in both groups were evaluated;the traditional Chinese medicine(TCM)syndrome scores,the finger function,and the levels of serum inflammatory factors interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were compared between the two groups;the disappearance time of swelling,pain and ecchymosis,and the recovery time of fractures in both groups were recorded.Results:The excellent-and-good rate was 98.39%in the observation group,higher than that of 88.71%in the control group(P<0.05).After treatment,the TCM syndrome scores in both groups were reduced when compared with those before treatment,and the above scores in the observation group were lower than those in the control group(P<0.05);after treatment,the scores of finger function in the two groups were elevated when compared with those before treatment,and the score of finger function in the observation group was higher than that in the control group(P<0.05).After surgery,the disappearance time of swelling,pain and ecchymosis and the recovery time of fractures in the observation group were shorter than those in the control group(P<0.05).After treatment,the levels of serum IL-6 and TNF-αin the two groups were dwindled when compared with those before treatment(P<0.05),and the above two levels in the observation group were lower than those in the control group(P<0.05).Conclusion:The combination use of Chinese medicine fumigation and Kirschner wire internal fixation has

关 键 词：掌指骨骨折 气滞血瘀证 克氏针内固定 中药熏洗 手功能 炎症因子 

分 类 号：R687.3[医药卫生—骨科学]