摘要
目的:观察口服中药补阳还五汤配合切开复位内固定术治疗旋后外旋型踝关节骨折的疗效。方法:将所有入选的旋后外旋型踝关节骨折患者共70例,随机分为对照组与治疗组两组,每组各35例。所有患者均对症处理后行手术切开复位,然后采用钢板及空心钉内固定。治疗组于术后采用补阳还五汤加减口服,对照组术后口服伤科接骨片。两组疗程均为8周,并随访3个月。结果:疗程结束后,治疗组的总有效率为97.1%,对照组的总有效率为73.3%,两组相比,有统计学差异(P<0.05)。治疗组的平均肿痛消失时间及平均骨折愈合时间均明显短于对照组,两组相比,有统计学差异(P<0.05)。治疗组骨折愈合程度评分在第4周、6周和8周时均少于对照组,两组相比,有统计学差异(P<0.05)。结论:口服补阳还五汤配合切开复位内固定术治疗旋后外旋型踝关节骨折,可以明显提高临床疗效,缩短肿痛消失时间及骨折愈合时间,且无明显不良反应,值得临床推广使用。
Objective： To observe the efficacy of oral medicine Buyang Huanwu Decoction with open reduction and internal fixation for treatment of supination external rotation ankle fracture.Methods： All selected supination external rotation ankle fracturespatients with a total of 70 cases were randomly divided into control group and treatment group,each 35 cases.All patients underwent surgery with open reduction and symptomatic treatmentand then fixed with plate and hollow needling.The treatment group received postoperative Buyang Huanwu Decoction orally and the control group oral Shangke Jiegu sheet.Both were treated for eight weeksandfollowed for three months.Results： After treatment,the total effective rate of the treatment group was 97.1% and that of the control group 73.3%.Compared the two groups,there was a significant difference（ P〈0.05）.Average swellingdisappearedtime in treatment group and the average healing time were significantly shorter than those of the control group with a significant difference（ P〈0.05）.Fracture healing scores in the treatment group in the first four weekswere less than those of the control group at 6th week and 8th week with a significant difference（ P〈0.05）.Conclusion： Oral Buyang Huanwu Decoction with open reduction and internal fixation forsupination external rotation ankle fracturescan significantly improve the clinical efficacy,swelling and pain disappeared time and shorten healing timeand there is no obvious sideeffects,worthy of clinical use.
出处
《中华中医药学刊》
CAS
北大核心
2016年第4期1021-1024,共4页
Chinese Archives of Traditional Chinese Medicine
关键词
踝关节骨折
旋后外旋型
补阳还五汤
临床观察
ankle fracture
supination external rotation
Buyang Huanwu Decoction
clinical observation
