摘要
目的:探讨中西医结合治疗骨创伤后期肢体肿胀的效果。方法:选取2018年3月至2019年3月湛江市第二中医医院收治的骨创伤后期肢体肿胀患者108例,按照抽签的顺序分为对照组和观察组,每组54例。对照组给予甘露醇治疗,观察组在甘露醇治疗的基础上增加中药熏洗,比较两组患者治疗效果。结果:治疗后,观察组患者的消肿时间、住院时间明显低于对照组,差异具有统计学意义(P<0.05)。治疗前两组患者视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后观察组患者VAS评分明显低于对照组,差异具有统计学意义(P<0.05);治疗前两组患者的肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)与白细胞介素-6(IL-6)水平比较,差异无统计学意义(P>0.05);治疗后观察组患者的TNF-α、CRP与IL-6水平明显低于对照组,差异具有统计学意义(P<0.05)。结论:中西医结合治疗能够有效改善骨创伤后期患者肢体的肿胀情况,并缓解患者的疼痛状况,改善炎症反应。
Objective Explore the effect of integrated traditional Chinese and western medicine on the treatment of limb swelling in the late stage of bone trauma.Methods A total of 108 patients with post-traumatic limb swelling admitted to Zhanjiang Second Hospital of Traditional Chinese Medicine from March 2018 to March 2019 were selected and divided into control group and observation group according to the order of drawing lots,with 54 cases in each group.The control group was given mannitol treatment,and the observation group added traditional Chinese medicine fumigation and washing on the basis of mannitol treatment to compare the treatment effects of the two groups of patients.Results After treatment,the swelling time and hospital stay of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).Before treatment,the visual analogue scoring(VAS)scores of the two groups were not statistically different(P>0.05);after treatment,the VAS scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05);Before treatment,there was no significant difference in tumor necrosis factor(TNF-α),C-reactive protein(CRP)and interleukin-6(IL-6)between the two groups of patients before treatment(P>0.05);observation group after treatment The TNF-α,CRP and IL-6 indexes of the patients were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The combined treatment of traditional Chinese and western medicine can effectively improve the swelling of the limbs of the patients in the later stage of bone trauma,relieve the pain of the patients,and improve the inflammatory response with significant effects.
作者
李晓
蔡开磊
石优宏
LI Xiao;CAI Kai-lei;SHI You-hong(Zhanjiang Second Hospital of Traditional Chinese Medicine,Guangdong Zhanjiang 524013)
出处
《深圳中西医结合杂志》
2021年第18期58-60,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
骨创伤
肢体肿胀
中西医结合疗法
Bone trauma
Limb swelling
Integrated traditional Chinese and western medicine
