摘要
目的观察电针治疗胫腓骨骨折术后肿胀的临床疗效。方法将40例胫腓骨骨折患者采用随机数字表法分为治疗组和对照组,各20例。对照组采用静脉滴注七叶皂苷钠治疗,治疗组在对照组治疗方法的基础上联合电针足三里、三阴交穴治疗。治疗7 d后比较2组治疗前后的各项临床指标[包括患肢周径、肿胀率、血浆黏度、红细胞沉降率(ESR)、凝血酶原时间]及临床疗效。结果治疗后2组的患肢周径、肿胀率、血浆黏度、ESR均明显降低,与同组治疗前比较差异均有统计学意义(P<0.05或P<0.01),且治疗组下降更显著,与对照组治疗后比较差异均有统计学意义(P<0.05或P<0.01); 2组治疗后凝血酶原时间均升高,但差异无统计学意义(P>0.05);对照组总有效率为85.0%,治疗组为95.0%,2组比较差异有统计学意义(P<0.05)。结论电针治疗胫腓骨骨折术后肿胀临床疗效显著,且可显著改善患者各项临床指标,值得临床推广应用。
Objective To observe the clinical efficacy of electro acupuncture in treating postoperative swelling of tibiofibular fracture.Methods Fourty cases of tibiofibular fractures were divided into 2 groups according to ran- dom number table, namely, the treatment group and the control group, 20 cases in each group. The control group was treated with intravenous drip of Sodium Aescinate, while electro acupuncture at Zusanli （ ST36 ） and Saninjiao （SP6） was added in the treatment group.The circumference of the affected limb, swelling rate, plasma viscosity ratio,erythrocyte sedimentation rate （ESR） and prothrombin time （PT） were compared between the two groups on the first day and the seventh day after operation, and the clinical effects were compared between the two groups on the seventh day after operation.Results After 7 days of treatment,the circumference of the affected limb, swelling rate, plasma viscosity ratio, ESR and prothrombin time in the two groups reduced significantly ,there was significant difference before and after treatment in the same group（P〈0.05 or P〈0.01）. Moreover,those of the treatment re- duced more significantly, there was significant difference compared with the control group after the treatment （P〈 0.05 or P〈0.01 ） ; there was no significant difference in prothrombin time before and after treatment in the two groups（P〉0.05）. The total effective rate of the control group was 85.0%, and that of the treatment group was 95.0%. The difference between the two groups was statistically significant （P〈0.05）.Conclusion The clinical efficacy of electro acupuncture on postoperative swelling of tibiofibular fracture is significant, and the clinical indicators are significantly improved, which is worthy of clinical promotion and application.
作者
方浡灏
许超
何滨
赵胜科
姜献
周红云
范鑫
张文凯
FANG Bohao;XU Chao;HE Bin;ZHAO Shengke;JIANG Xian;ZHOU Hongyun;FAN Xin;ZHANG Wenkai(The Second Clinical Medicine School of Zhejiang University of Chinese Medicine,Hangzhou,Zhejiang,310053,China;Orthopedics Department,Zhejiang Xinhua Hospital,Hangzhou,Zhejiang,310005,China)
出处
《甘肃中医药大学学报》
2018年第5期81-84,共4页
Journal of Gansu University of Chinese Medicine
基金
2017年浙江省大学生科技创新活动计划暨新苗人才计划(2017R410046)
关键词
胫腓骨骨折
术后肿胀
电针
足三里
三阴交
临床观察
tibiofibular fracture
postoperative swelling
electro acupuncture
Zusanli （ ST36 ）
Saninjiao（SP6）
clinical observation
