摘要
目的:观察七厘散辅助手术治疗踝关节骨折的临床疗效。方法:回顾性选取87例踝关节骨折患者,根据治疗方法不同分为对照组43例和观察组44例。对照组给予手术治疗,观察组在对照组基础上给予七厘散口服。比较2组踝关节功能评分、等速肌力、炎性因子水平。结果:治疗前,2组踝关节评分(Kofoed评分)、美国骨科足踝外科学会踝-后足评分系统评分(AOFAS评分)比较,差异无统计学意义(P>0.05)。治疗后,2组Kofoed评分、AOFAS评分较治疗前升高,且观察组Kofoed评分、AOFAS评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组从背伸、趾屈、内翻、外翻等角度检测的力矩加速能、相对锋利矩值、耐力值均优于对照组,差异均有统计学意义(P<0.05)。治疗前,2组炎症因子水平比较,差异无统计学意义(P>0.05)。治疗后,2组C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)水平低于治疗前,观察组CRP、TNF-α、IL-6、IL-8水平低于对照组,差异有统计学意义(P<0.05)。结论:七厘散辅助手术治疗踝关节骨折疗效较好,可以改善踝关节功能,降低炎症因子水平。
Objective:To observe the clinical effect of the additional application of Qili powder based on surgery on ankle fracture.Methods:A total of 87 cases with ankle fracture were retrospectively selected and divided into the control group(43 cases)and the observation group(44 cases)according to different treatment methods.The control group was given surgical treatment,and the observation group was additionally given Qili powder orally based on the treatment of the control group.The score of ankle joint function,isokinetic muscle strength and level of inflammatory factors were compared between the two groups.Results:Before treatment,there was no significant difference in the comparison of ankle joint score(Kofoed)and American Orthopedic Ankle Hindfoot Scale(AOFAS)between the two groups(P>0.05).After treatment,the scores of Kofoed and AOFAS in the two groups were increased when compared with those before treatment,and the Kofoed and AOFAS scores in the observation group were higher than those in the control group,differences being significant(P<0.05).After treatment,the levels of the moment of accelerating torque acceleration energy,relative sharp moment and endurance in the observation group detected from the angles of dorsalis,toe flexion,varus and valgus were better than those in the control group,differences being significant(P<0.05).Before treatment,there was no significant difference in the levels of inflammatory factors between the two groups(P>0.05).After treatment,the levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),Interleukin-6(IL-6)and Interleukin-8(IL-8)in the two groups were lower than those before treatment,and the above levels in the observation group were lower than those in the control group,the difference being significant(P<0.05).Conclusion:The additional application of Qili powder based on surgery for ankle fracture has a good effect,which can improve ankle joint function and reduce the level of inflammatory factors.
作者
宋晓东
于彬
SONG Xiaodong;YU Bin
出处
《新中医》
CAS
2021年第21期112-114,共3页
New Chinese Medicine
关键词
踝关节骨折
七厘散
多排螺旋CT三维重建技术
踝关节功能评分
等速肌力
炎症因子
Ankle fracture
Qili powder
Multi-slice spiral CT 3D reconstruction technique
Ankle function score
Isokinetic muscle strength
Inflammatory factors
