弹性髓内钉微创手术联合三期辨证中药内服治疗儿童长管骨骨折的临床研究  

Clinical Study on Minimally Invasive Surgery with Elastic Intramedullary Nails Combined with Three-stage Differentiation of Traditional Chinese Medicine Oral Administration for the Treatment of Long Bone Fractures in Children

作　　者：万春虎[1] 华水生 马国洋 WAN Chunhu;HUA Shuisheng;MA Guoyang(Pediatric Orthopedics DepartmentⅡ,Nanchang Hongdu Hospital of TCM,Nanchang 330006,China)

机构地区：[1]南昌市洪都中医院小儿骨科二科,江西南昌330006

出　　处：《中国医学创新》2024年第35期56-60,共5页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2023A0145)。

摘　　要：目的:探讨弹性髓内钉微创手术与三期辨证中药内服的联合治疗方案对儿童长管骨骨折(LBFC)的治疗效果。方法:前瞻性选取南昌市洪都中医院小儿骨科二科2023年4—10月收治的60例LBFC患儿并将其按照随机数字表法分为观察组和手术组,各30例。手术组行常规弹性髓内钉微创手术,观察组在手术组基础上加用三期辨证中药内服。比较两组手术情况、术后愈合情况、并发症及治疗效果。结果:观察组术中出血量、手术时间及住院时间均优于手术组,差异均有统计学意义(P<0.05)。两组患儿骨折对位对线情况均良好,均出现骨性愈合。观察组并发症发生率、患肢肿胀消退时间、骨痂出现时间、骨折临床愈合时间、骨性愈合时间均优于手术组,观察组优良率高于手术组,差异均有统计学意义(P<0.05)。结论:弹性髓内钉微创手术联合三期辨证中药内服治疗LBFC效果良好,可加速患儿骨折愈合时间,减少术后并发症的发生。Objective:To explore the therapeutic effect of a combined treatment plan of minimally invasive surgery with elastic intramedullary nails and three-stage differentiation of traditional Chinese medicine oral administration for children with long bone fractures(LBFC).Method:A total of 60 children with LBFC admitted to the Pediatric Orthopedics DepartmentⅡin Nanchang Hongdu Hospital of TCM from April to October 2023 were prospectively selected and divided into observation group and surgical group according to random number table method,with 30 cases in each group.The surgical group underwent routine minimally invasive surgery with elastic intramedullary nails,while the observation group was additionally given three-stage differentiation of traditional Chinese medicine for oral administration on the basis of the surgical group.The surgical conditions,postoperative healing,complications and therapeutic effect of the two groups were compared.Result:The amount of blood loss,operation time and hospital stay in the observation group were better than those in the surgical group,the differences were statistically significant(P<0.05).The alignment of fractures in both groups of children were good,and bone healing occurred in both groups.The incidence of complications,swelling resolution time,callus formation time,clinical fracture healing time,and bone healing time in the observation group were better than those in the surgical group,the excellent and good rate of the observation group was higher than that of the surgical group,the differences were statistically significant(P<0.05).Conclusion:The combination of minimally invasive surgery with elastic intramedullary nails and three-stage differentiation of traditional Chinese medicine oral administration for the treatment of LBFC has a good effect,can accelerate the healing time of fractures in children,and reduce the occurrence of postoperative complications.

关 键 词：弹性髓内钉 三期辨证中药内服 儿童 长管骨骨折 

分 类 号：R726.8[医药卫生—儿科]