摘要
目的探讨加减桃红四物汤配合中药贴敷治疗四肢创伤性骨折的临床效果。方法选取2021年1月—2023年8月我院收治的84例四肢创伤性骨折患者为研究对象,按随机数字表法将其分为对照组和观察组,每组42例。两组均行切开复位内固定术治疗,对照组术后予以常规治疗,观察组在对照组基础上加用加减桃红四物汤配合中药贴敷治疗,两组均持续7 d。比较两组的恢复情况、血液流变学指标、炎症指标及不良反应发生情况。结果治疗后,观察组肢体肿胀恢复、骨折愈合及住院时间分别为(28.96±2.85)d、(70.58±6.12)d、(10.35±1.26)d,均短于对照组的(31.54±3.29)d、(80.34±7.58)d、(12.89±1.32)d,组间差异有统计学意义(P<0.05);治疗后,观察组全血低切黏度、全血高切黏度、血浆黏度和红细胞沉降率分别为(9.02±1.14)mPa·s、(3.25±0.41)mPa·s、(1.61±0.24)mPa·s、(11.02±1.25)mm/h,均低于对照组的(11.83±1.22)mPa·s、(4.28±0.46)mPa·s、(2.05±0.28)mPa·s、(14.18±1.34)mm/h,组间差异有统计学意义(P<0.05);治疗后,观察组C反应蛋白、肿瘤坏死因子-α、白细胞计数水平分别为(6.85±1.12)mg/L、(18.63±1.42)ng/L、(7.02±1.13)×10~9/L,均低于对照组的(9.31±1.28)mg/L、(22.35±2.48)ng/L、(8.96±1.22)×10~9/L,组间差异有统计学意义(P<0.05);两组不良反应发生率相比,差异无统计学意义(P>0.05)。结论加减桃红四物汤配合中药贴敷可加快四肢创伤性骨折患者术后恢复,纠正血液流变学异常,减轻炎症反应,安全可靠。
Objective To investigate the clinical effect of Taohong Siwu Decoction combined with traditional Chinese medicine application in the treatment of traumatic fracture of extremities.Methods A total of 84 patients with traumatic fractures of the limbs admitted to our hospital from January 2021 to August 2023 were selected as the research subjects,dividedinto a control group and an observation group using a random number table method,with 42 cases in each group.The two groups were treated with open reduction and internal fixation,the control group was treated with routine treatment after operation,and the observation group was treated with modified Taohong Siwu Decoction combined with traditional Chinese medicine application on the basis of the control group,and both groups continued for 7 days.The recovery,hemorheology,inflammation and adverse reactions of the two groups were compared.Results After treatment,the recovery of limb swelling,fracture healing,and hospitalization time in the observation group were(28.96±2.85)d,(70.58±6.12)d,and(10.35±1.26)d,respectively,which were shorter than the control group's(31.54±3.29)d,(80.34±7.58)d,and(12.89±1.32)d,the differences between groups were statistically significant(P<0.05);after treatment,the low blood viscosity,high blood viscosity,plasma viscosity,and erythrocyte sedimentation rate of the observation group were(9.02±1.14)mPa·s,(3.25±0.41)mPa·s,(1.61±0.24)mPa·s,and(11.02±1.25)mm/h,respectively,lower than(11.83±1.22)mPa·s,(4.28±0.46)mPa·s,(2.05±0.28)mPa·s,and(14.18±1.34)mm/h of the control group,the differences between groups were statistically significant(P<0.05);after treatment,C-reactive protein,tumor necrosis factor-α,and white blood cell count levels of the observation group were(6.85±1.12)mg/L,(18.63±1.42)ng/L,and(7.02±1.13)×109/L,respectively,lower than the control group's(9.31±1.28)mg/L,(22.35±2.48)ng/L,and(8.96±1.22)×109/L,the differences between groups were statistically significant(P<0.05);the adverse reactions of the two groups were compared,the differences was not statistically significant(P>0.05).Conclusion Modified Taohong Siwu Decoction combined with traditional Chinese medicine application can accelerate the postoperative recovery of patients with traumatic fracture of limbs,correct the abnormal hemorheology,reduce the inflammatory reaction,and is safe and reliable.
作者
郑宏鼎
ZHENG Hongding(Department of Orthopedics and Traumatology,Xiyuan Hospital Jining Hospital,Jining 272000,China)
出处
《反射疗法与康复医学》
2024年第8期22-25,共4页
Reflexology And Rehabilitation Medicine
关键词
四肢创伤性骨折
加减桃红四物汤
中药贴敷
血液流变学指标
炎症指标
Traumatic fractures of the limbs
Modified Taohong Siwu Decoction
Traditional Chinese medicine application
Hemorheological indicators
Inflammatory indicators
