摘要
【目的】探讨低强度脉冲式超声波(LIPU)刺激结合恒古骨伤愈合剂对骨质疏松性桡骨远端骨折愈合的促进作用。【方法】根据是否应用LIPU结合中药恒古骨伤愈合剂治疗,将90例新鲜骨质疏松性桡骨远端骨折患者分为观察组和对照组,每组各45例。2组患者均给予手法复位、夹板固定和康复锻炼,在此基础上,观察组患者给予LIPU及恒古骨伤愈合剂治疗,对照组未予LIPU及恒古骨伤愈合剂治疗,疗程为12周。每周对患者进行随访并拍摄X线片,比较2组患者术后X线片灰度值比值、骨折愈合情况、解剖学评分及患肢功能恢复情况。【结果】(1)治疗4周后,2组患者的X线片灰度值比值比较,差异无统计学意义(P>0.05);但治疗8周后和治疗12周后,观察组的X线片灰度值比值水平均高于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,观察组患者的骨折愈合时间较对照组明显缩短,Gartland-Werley腕关节评分的优良率较对照组明显提高,差异均有统计学意义(P<0.05)。(3)末次随访时,观察组患者的掌倾角、尺偏角均较对照组大,差异均有统计学意义(P<0.05);而2组患者的桡骨高度比较,差异无统计学意义(P>0.05)。【结论】LIPUS结合恒古骨伤愈合剂治疗骨质疏松性桡骨远端骨折疗效确切,可有效加速骨折愈合和局部骨形成,促进腕关节的功能恢复。
Objective To investigate the effect of low-intensity pulsed ultrasound(LIPU)stimulation combined with Henggu Gushang Yuhe Mixture(also known as Osteoking)on promoting the healing of osteoporotic distal radius fracture. Methods Ninety patients with fresh osteoporotic distal radius fractures were retrospectively observed, and they were allocated to observation group and control group based on the medication of Henggu Gushang Yuhe Mixture or not. Each group had 45 cases. All of the patients were given manual reduction,splint fixation and exercises for rehabilitation. And additionally, the observation group was given LIPU stimulation combined with the medication of Henggu Gushang Yuhe Mixture while the control group did not receive LIPU stimulation or the medication of Henggu Gushang Yuhe Mixture. The course of treatment lasted for 12 weeks.Patients were followed up and were X-rayed every week. The gray value ratio of X-ray film,fracture healing,anatomy scores and functional recovery of the affected limb were compared between the two groups after the treatment. Results(1)After treatment for 4 weeks,the difference of the gray value ratio of X-ray film was not statistically significant between the two groups(P>0.05). After treatment for 8 and 12 weeks,the mean gray value ratio of X-ray film in the observation group was higher than that in the control group, and the difference was statistically significant between the two groups(P < 0.05).(2)After treatment, the fracture healing time of the observation group was significantly shorter than that of the control group(P < 0.05),and the excellent rate of Gartland-Werley wrist function scoring in the observation group was higher than that in the control group,the difference being statistically significant between the two groups(P < 0.05).(3)At the last follow-up,the palmer tilt angle and ulnar inclination in the observation group were greater than those in the control group the two groups(P <0.05),but the difference of radial height was no statistically significant between th
作者
蔡立雄
刘园林
吴峰
霍志谦
杨海韵
CAI Li-Xiong;LIU Yuan-Lin;WU Feng;HUO Zhi-Qian;YANG Hai-Yun(Foshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Foshan 528000 Guangdong,China;Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第2期289-293,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
中国科学院重点资助项目(编号:2019XZZX-GK003)。
关键词
低强度脉冲式超声波
骨折愈合
桡骨远端骨折
骨质疏松
恒古骨伤愈合剂
low-intensity pulsed ultrasound
fracture healing
distal radius fracture
osteoporosis
Henggu Gushang Yuhe Mixture(Osteoking)
