宽筋散联合加速康复外科治疗桡骨远端骨折的临床研究  

Clinical Study on Kuanjin Powder Combined with Enhanced Recovery After Suryery in the Treatment of Distal Radius Fracture

作　　者：周孝文[1] 汤晓晨[1] 孟祥奇[1] 徐天人 ZHOU Xaio-wen;TANG Xiao-chen;MENG Xiang-qi;XU Tian-ren(Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Suzhou,Jiangsu,215009,China)

机构地区：[1]南京中医药大学附属苏州市中医医院,江苏苏州215009

出　　处：《中国血液流变学杂志》2024年第3期419-422,共4页Chinese Journal of Hemorheology

摘　　要：目的研究桡骨远端骨折在以中医宽筋散外用为特色,结合加速康复外科(ERAS)方案手术治疗的临床效果。方法以在南京中医药大学附属苏州市中医医院行单侧桡骨远端骨折切开复位内固定术治疗的患者为研究对象。分为两组:传统组17例,实施常规治疗;ERAS组21例,在ERAS理念指导下应用宽筋散治疗。统计两组所有患者术前、术后24 h、术后3 d、术后1周VAS评分,两组4周、12周腕关节功能评分、日常生活能力评分,统计并发症发生概率。结果两组患者术前及术后24 h VAS评分差异无统计学意义,术后3 d、1周VAS评分差异有统计学意义(P<0.05),术后4周及12周两组腕关节功能评分、日常生活能力评分、健康知识掌握程度差异具有统计学意义(P<0.05)。结论在ERAS理念指导下,桡骨远端骨折手术治疗方案得到优化,可减轻患者的术后疼痛,联合宽筋散外用治疗可促使腕关节功能快速恢复,提高康复治疗效果,值得临床推广应用。Objective To study the clinical effect of surgical treatment of distal radius fracture characterized by the external use of traditional Chinese medicine Kuanjin powder with enhanced recovery after surgery(ERAS).Methods Patients who underwent open reduction and internal fixation of unilateral distal radius fractures in Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine were studied.They were divided into two groups:17 cases in the traditional group were treated with routine treatment.21 cases in ERAS group were treated with Kuanjin powder under the guidance of ERAS concept.The VAS scores of all patients in the two groups before operation,24 hours after operation,3 days after operation and 1 week after operation,the wrist function score and ability of daily living score of the two groups at 4 weeks and 12 weeks,and the probability of complications were counted.Results There was no significant difference in VAS score between the two groups before and 24 hours after operation.There was significant difference in VAS score at 3 days and 1 week after operation(P<0.05).There was significant difference in wrist function score,ability of daily living score and health knowledge mastery at 4 and 12 weeks after operation(P<0.05).Conclusion Under the guidance of ERAS concept,the surgical treatment scheme of distal radius fracture is optimized,which can reduce the postoperative pain of patients.Combined with Kuanjin powder,external treatment can promote the rapid recovery of wrist function and improve the effect of rehabilitation treatment,which is worthy of clinical application.

关 键 词：桡骨远端骨折 ERAS理念 宽筋散 临床效果 

分 类 号：R274.1[医药卫生—中医骨伤科学]