加味桃红四物汤联合常规消肿疗法治疗足踝部骨折肿胀临床研究  

Clinical Study on Modified Taohong Siwu Decoction Combined with Conventional Detumescence Therapy for Fracture Swelling of Foot and Ankle

作　　者：余小梨 张丽 何赛赟 焦利斌 YU Xiaoli;ZHANG Li;HE Saiyun;JIAO Libin(Jinhua Tian's Orthopedic Hospital,Jinhua Zhejiang 321000,China;Department of Surgery,Jinhua Traditional Chinese Medicine Hospital,Jinhua Zhejiang 321000,China)

机构地区：[1]金华田氏骨科医院,浙江金华321000 [2]金华市中医医院外二科,浙江金华321000

出　　处：《新中医》2024年第13期18-22,共5页New Chinese Medicine

摘　　要：目的:观察加味桃红四物汤联合常规消肿疗法治疗足踝部骨折肿胀的疗效。方法:选取118例气滞血瘀型足踝部骨折肿胀患者,按随机数字表法分为治疗组与对照组各59例。对照组给予常规消肿疗法治疗,治疗组给予加味桃红四物汤联合常规消肿疗法治疗。2组均连续治疗7d。比较2组临床疗效及临床症状改善情况,比较2组治疗前后中医证候积分、肿胀程度、疼痛程度[疼痛视觉模拟评分法(VAS)]及血流变指标值(全血黏度、血浆比黏度)的变化。结果:治疗组总有效率为98.31%,对照组为88.14%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组中医证候积分、肿胀程度、VAS评分均较治疗前下降(P<0.05),治疗组上述3项指标值均低于对照组(P<0.05)。治疗后,治疗组肿胀减轻时间、疼痛消失时间均早于对照组(P<0.05),踝关节背伸、踝关节屈曲度大于对照组(P<0.05)。治疗后,2组全血黏度、血浆比黏度指标值均较治疗前下降(P<0.05),治疗组全血黏度、血浆比黏度指标值均低于对照组(P<0.05)。结论:加味桃红四物汤联合常规消肿疗法治疗气滞血瘀型足踝部骨折肿胀患者有利于改善血液黏稠度,促进血液循环恢复,缓解临床症状,减轻骨折处肿胀、疼痛,缩短肿胀、疼痛改善时间,加速关节功能恢复。Objective:To observe the curative effect of Modified Taohong Siwu Decoction combined with conventional detumescence therapy for fracture swelling of foot and ankle.Methods:A total of 118 cases of patients with fracture swelling of foot and ankle of qi stagnation and blood stasis type were selected and divided into the treatment group and the control group according to the random number table method,with 59 cases in each group.The control group was treated with conventional detumescence therapy,and the treatment group was treated with Modified Taohong Siwu Decoction combined with conventional detumescence therapy.Both groups were treated continuously for seven days.The clinical effects and improvement of clinical symptoms were compared between the two groups.The changes in traditional Chinese medicine syndrome scores,swelling degree,pain degree[Visual Analogue Scale for Pain(VAS)],and hemorheological index values(whole blood viscosity,and plasma specific viscosity)were compared before and after treatment between the two groups.Results:The total effective rate was 98.31%in the treatment group,and 88.14%in the control group,the difference being significant(P<0.05).After treatment,the traditional Chinese medicine syndrome scores,swelling degree,and VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the values of the above three indicators in the treatment group were lower than those in the control group(P<0.05).After treatment,the swelling reduction time and pain disappearance time in the treatment group were earlier than those in the control group(P<0.05),and the ankle dorsiflexion and ankle flexion degree were greater than those in the control group(P<0.05).After treatment,the values of whole blood viscosity and plasma viscosity in the two groups were decreased when compared with those before treatment(P<0.05),and the values of whole blood viscosity and plasma viscosity in the treatment group were lower than those in the control group(P<0.05).Conclusion:Modified Taohon

关 键 词：足踝部骨折肿胀 气滞血瘀型 桃红四物汤 

分 类 号：R274.9[医药卫生—中西医结合]