摘要
目的:探讨血府逐瘀汤治疗多发性肋骨骨折并血气胸的临床效果及对患者凝血功能的影响。方法:选取2016年6月-2018年1月本院收治的80例多发性肋骨骨折并血气胸患者作为研究对象。采用随机数字表法将其分为观察组与对照组,各40例。对照组接受基础治疗,观察组在对照组基础上联合血府逐瘀汤进行治疗,比较两组患者治疗效果及治疗前后凝血功能的变化情况。结果:治疗前,两组肺功能相关指标(FEV1、VC、MVV、FVC)水平比较,差异均无统计学意义(P>0.05);治疗后,观察组患者肺功能相关指标改善效果均明显优于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗总有效率明显高于对照组(P<0.05)。观察组疼痛消失时间、肿胀消失时间、住院时间、骨折痊愈时间均明显短于对照组(P<0.05)。治疗后,两组患者PT、APTT、TT水平均较治疗前明显升高(P<0.05),但两组患者PT、APTT、TT水平比较,差异均无统计学意义(P>0.05);两组患者治疗后FIB水平均较治疗前明显降低,且观察组治疗后FIB水平明显低于对照组,差异均有统计学意义(P<0.05)。结论:在常规治疗基础上联合血府逐瘀汤治疗多发性肋骨骨折并血气胸效果理想,能够显著改善患者肺功能并加快患者康复进程,且对患者的凝血功能具有良好的改善作用,值得临床推广应用。
Objective:To investigate the clinical effect of Xuefu Zhuyu Decoction on the treatment of multiple rib fractures with hematopneumothorax and its effect on the coagulation function of patients.Method:80 patients with multiple rib fractures associated with hemopneumothorax were selected from June 2016 to January 2018,they were divided into observation group and control group by random digital table method,40 cases in each group.The control group received basic treatment,the observation group was treated with Xuefu Zhuyu Decoction on the basis of control group.The effect of treatment and the changes of coagulation function before and after treatment were compared between the two groups.Result:Before treatment,there were no statistically significant differences in the levels of lung function related indicators(FEV1,VC,MVV,FVC)between the two groups(P>0.05);after treatment,the improvement effect of pulmonary function related indicators in the observation group were significantly better than those in the control group,with statistically significant differences(P<0.05).The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).The pain disappear time,swelling disappear time,hospitalization time and fracture recovery time in the observation group were significantly shorter than those in the control group(P<0.05).After treatment,the levels of PT,APTT,TT in both groups were significantly higher than those before treatment(P<0.05),but the levels of PT,APTT,TT in both groups were not statistically significant(P>0.05).After treatment,the level of FIB in both groups were significantly lower than those before treatment,and the level of FIB in the observation group was significantly lower than that in the control group,with statistically significant differences(P<0.05).Conclusion:On the basis of conventional treatment,combined with Xuefu Zhuyu Decoction for the treatment of multiple rib fractures and hemopneumothorax has an ideal effect,which can significantly improve the pulmonary function of patients and accelerate the rehabilitation process of patients,and has a good effect on improving the coagulation function of patients,and is worthy of clinical promotion and application.
作者
章高鹏
ZHANG Gaopeng(Jiaocheng Hospital of Ningde City,Ningde 352100,China)
出处
《中国医学创新》
CAS
2019年第2期70-74,共5页
Medical Innovation of China
关键词
血府逐瘀汤
多发性肋骨骨折
血气胸
凝血功能
Xuefu Zhuyu Decoction
Multiple rib fracture
Hemopneumothorax
Coagulation function
