摘要
目的:观察扶元活血汤配合螺钉固定术治疗老年三踝骨折患者的临床疗效。方法:将95例患者随机分为两组,其中治疗组48例和对照组47例。对照组施以固定术治疗,治疗组在对照组治疗基础上,术后配合口服扶元活血汤(柴胡12 g,天花粉9 g,当归9 g,红花6 g,炮穿山甲6 g,酒大黄10 g,桃仁9 g,甘草6 g)治疗,血瘀重者加乳香、没药、三七;气滞较甚者加香附、木香、青皮。每日1剂,早晚各1次,7 d为1个疗程。术后1周观察患者骨折患处的疼痛、出血、其他并发症、住院时间。出院后随访半年,观察患者的治疗效果。结果:术后1周后,治疗组患者踝关节肿胀痊愈达28例,痊愈率为58.33%,差异有统计学意义(P<0.05);踝关节疼痛情况,治疗组患者有5例患者痊愈,痊愈率为10.41%;治疗组患者和对照组患者好转例数相差不大,好转率均达到50%以上,差异有统计学意义(P<0.05);踝关节出血情况,治疗组的痊愈为15例,痊愈率为31.25%,对照组的痊愈率为14.89%,差异有统计学意义(P<0.05);韧带损伤情况的痊愈率均不高,治疗组患者的好转率为75.00%,较对照组患者的好转率(46.81%),差异有统计学意义(P<0.05)。在住院期间,治疗组患者的症状改善时间为(11.37±2.19)d,而对照组患者的症状改善时间为(15.89±3.21)d,差异有统计学意义(P<0.05)。治疗组患者的住院治疗时间仅为(15.96±3.41)d,相比于对照组患者的(20.66±4.21)显著缩短,且差异有统计学意义(P<0.05)。在术后随访半年后,治疗组患者疗效为优是到68.75%,显著高于对照组患者的38.29%,差异有统计学意义(P<0.05)。结论:扶元活血汤配合螺钉固定术治疗老年三踝骨折患者疗效显著,且在治疗过程中均未发现的不良反应。
Objective： to observe the curative effect and to evaluate the safety of Fuyuan Huoxue Decoction combined with screw fix- ation in treatment of three ankle fracture of elderly patients. Method：95 patients were randomly divided into treatment group （48 patients） and control group （47 patients）. All patients received treatment of screw fixation, and patients of the treatment group took fuyuan Huoxue Decoction in addition to that of the control group. One week after the operation, pain of fracture, bleeding, oth- er complications and the hospital stay of both groups were observed. Six months after discharge, the curative effects of both groups were observed. Results：One week after surgery, the cure rate of ankle swelling （28 cases,58.33% ） , the ankle pain, the recovery rate of the disease （5 cases, 10.41% ）, the improvement rate, the recovery rate of ankle bleeding （ 15 cases, 31.25 %, the ligamentinjury healed rate （75.00%） of the treatment group were significantly higher than those of the control group respectively （ P 〈 0. 05）. Both the symptom improvement time （11.37 ± 2.19 d） during hospitalization and the hospitalization time （15.96 ± 3.41 d） were significantly shorter than those of the control group （ P 〈 0.05 ）. In the postoperative follow-up six months later, the clinical efficacy of the treatment group （68.75%） was significantly higher than that （38.29%） of the control group （P 〈0. 05 ）. Conclu- sion：Fuyuan Huoxue Decoction combined with screw fixation in treatment of three ankle fracture of elderly patients can achieve significant effect without obvious adverse reactions during treatment.
出处
《中医学报》
CAS
2016年第9期1306-1308,共3页
Acta Chinese Medicine
基金
四川省中医药科学研究基金项目(2015036601A)
关键词
老年三踝骨折
扶元活血汤
螺钉固定术
中医药疗法
中西医结合
three ankle fracture of elderly patients
Fuyuan Huoxue Decoction
screw fixation
TCM treatment
Integrative Medicine
