摘要
目的观察红元胶囊对跟骨骨折局部肿胀、术后切口愈合的影响。方法将沧州中西医结合医院2016年3月-2018年10月收治的100例跟骨骨折患者随机分为2组,均行跟骨外侧"L"型切口切开复位内固定术,术后对照组50例给予西医对症干预,观察组50例则在此基础上给予红元胶囊辅助治疗,2组均治疗7 d,比较2组外侧皮肤皱褶试验(+)出现时间、术后切口干燥时间、术后切口愈合等级、足踝肿胀程度及术后并发症发生情况。结果观察组皮肤皱褶试验(+)出现时间和术后切口干燥时间分别为(3.4±0.7)d和(4.5±1.1)d,对照组分别为(5.3±1.0)d和(6.6±1.5)d,观察组均显著短于对照组(P均<0.05);观察组术后切口愈合甲级率为38%(19/50),乙级率为48%(24/50),丙级率为14%(7/50),对照组分别为20%(10/50),46%(23/50)和34%(17/50),观察组切口愈合甲级率显著高于对照组(P<0.05),2组术后切口愈合乙级率比较差异无统计学意义(P>0.05)。2组治疗后患侧肢体足踝均有不同程度肿胀,但观察组治疗后患侧肢体足踝肿胀程度显著轻于对照组(P<0.05);观察组术后并发症发生率为60%(30/50),对照组为82%(41/50),观察组并发症发生率显著低于对照组(P<0.05)。结论红元胶囊辅助西医对症干预用于跟骨骨折术后治疗可有效促进足踝肿胀消退,加快切口干燥,提高切口总体愈合效果,减轻足踝肿胀程度,并有助于预防术后并发症出现。
Objective It is to observe the effect of Hongyuan capsule on local swelling of calcaneal fracture and postoperative incision healing. Methods A total of 100 patients with calcaneal fractures treated in Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine from March 2016 to October 2018 were randomly divided into two groups, all the patients underwent open reduction and internal fixation with "L" incisions on the lateral calcaneus. 50 cases in the control group were given symptomatic intervention with western medicine, and 50 cases in the observation group were given adjuvant treatment with Hongyuan capsules based on the control group. Both groups were treated for 7 days. The appearance time of the lateral skin wrinkle test(+) and dryness time of postoperative incision, postoperative incision healing classification, foot and ankle swelling degree and postoperative complications were compared between the two groups. Results The appearance time of skin wrinkle test(+) and dryness time of postoperative incision in the observation group were(3.4±0.7) d and(4.5±1.1) d, respectively. The appearance time of skin wrinkle test(+) and dryness time of postoperative incision in the control group were(5.3±1.0) d and(6.6±1.5) d, respectively. The appearance time of skin wrinkle test(+) and dryness time of postoperative incision in the observation group were significantly shorter than those in the control group(P<0.05). The first rate of postoperative incision healing in the observation group was 38%(19/50), the second rate was 48%(24/50), the third rate was 14%(7/50), and those rates in the control group was 20%(10/50), 46%(23/50) and 34%(17/50), respectively. The first rate of postoperative incision healing was significantly higher in the observation group than that in the control group(P<0.05), but there was no significant difference in the second rate between the two groups(P>0.05). The ankles of the injury limb was swelling more or less in the two groups after treatment(P<0.05), but the swelling degr
作者
刘德峰
王江静
邓海峰
刘道阔
王景双
LIU Defeng;WANG Jiangjing;DENG Haifeng;LIU Daokuo;WANG Jingshuang(Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 061000,Hebei,China)
出处
《现代中西医结合杂志》
CAS
2020年第1期44-47,共4页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
河北省中医药管理局科研计划项目(2018497)
关键词
红元胶囊
西医
跟骨骨折
手术
肿胀
切口
Hongyuan capsule
western medicine
calcaneal fracture
surgery
swelling
incision
