摘要
观察中药联合交锁髓内钉治疗股骨骨折的临床疗效。方法:将本院骨科收治的63例股骨骨折患者随机分为治疗组33例和对照组30例,治疗组采用中药汤剂联合交锁髓内钉治疗,对照组单独采用交锁髓内钉治疗,比较两组患者的手术时间、术中出血量、术后1周、4周的疼痛评分、骨折愈合时间、术后12个月的膝关节Hohl评分、术后并发症发生率等指标的差异。结果:两组患者在手术时间、术中出血量方面比较差异不具有统计学意义(P>0.05);治疗组的愈合时间显著短于对照组、VAS疼痛评分显著低于对照组且差异均具有统计学意义(P<0.05)。治疗组的优良率为96.97%,高于对照组的90.00%,但是差异不具有统计学意义(P>0.05);两组患者均未发生伤口感染,对照组有1例患者骨折愈合延迟,在术后第9个月经X线检查骨痂全部行成,骨折线基本消失。结论:中药联合交锁髓内钉治疗股骨干骨折具有缩短骨折愈合时间、减轻术后疼痛,帮助膝关节功能恢复的积极作用。
Objective： To observe the clinical effects of Chinese medicine combined with interlocking intramedullary nail on femoral fracture. Methods： 63 cases with femoral fracture were randomized into treatment group（ 33 cases） and control group（ 30 cases）.Treatment group were given the treatment of Chinese medicine combined with interlocking intramedullary nail while control group were simply performed interlocking intramedullary nail treatment. The differences of duration of operation,amount of bleeding during the operation,the pain scores after one week and 4 weeks of the operation,healing time of the fracture,the Hohl score of knee12 months after the operation and the occurrence rate of postoperative complications between the two groups were compared. Results： There was no statistical significance of the difference in the duration of operation and amount of bleeding during the operation between the two groups（ P 〉0. 05）. The healing time of fracture in treatment group was markedly shorter than that in control group; the pain score of VAS in treatment group was also greatly less than that in control group（ P 〈0. 05）. The excellent and good rate of treatment group was 96. 97%,higher than 90. 00% of control group,but the difference had no statistical significance（ P 〉0. 05）. For the grading distribution of the function of knees in the two groups,the distribution of treatment group was significantly better than that of control group; the difference had statistical significance（ P 〈0. 05）. No wound infection occurred in both groups. One case in control group appeared delayed fracture healing and the callus formed completely 9 months after the operation with X-ray examination and the fracture line primarily disappeared. Conclusion： In the treatment of femoral shaft fracture,Chinese medicine combined with interlocking intramedullary nail therapy can effectively shorten the fracture healing time,reduce the postoperative pain and promote the function recovery of the knee.
出处
《河南中医》
2015年第9期2136-2138,共3页
Henan Traditional Chinese Medicine
关键词
股骨干骨折
交锁髓内钉
中药治疗
fracture of the femoral shaft
interlocking intramedullary nail therapy
Chinese medicine
