摘要
目的探讨黄芪桂枝五物汤为代表的温和法中药熏洗治疗桡骨远端骨折的效果评价。方法选取福建省龙岩人民医院2020年4月—2023年4月收治的桡骨远端骨折患者120例,按照不同康复干预方法分为对照组与观察组,各60例。对照组给予常规治疗及康复干预,观察组在对照组基础上加用以黄芪桂枝五物汤为代表的温和法中药熏洗,对比2组中医证候积分、临床相关指标、腕关节功能评分及日常生活能力评分。结果观察组康复治疗后的肢体困难、神情、肿胀、疼痛以及烦恼易怒评分分别为(1.08±0.33)分、(0.98±0.33)分、(1.03±0.30)分、(0.91±0.22)分、(1.12±0.33)分,观察组疼痛缓解时间、肿胀消失时间、住院时间、骨折愈合时间分别为(2.11±0.64)d、(1.87±0.41)d、(5.80±1.21)d、(2.75±0.90)月,观察组康复治疗后腕关节功能评分、日常生活能力评分分别为(85.85±5.30)分、(86.45±6.31)分,观察组康复治疗后与对照组康复治疗后相比各中医证评分较低,各临床症状消失时间均较短,腕关节功能评分及日常生活能力评分也升高,差异有统计学意义(P<0.05)。结论在常规治疗及康复干预基础上加用中药熏洗治疗能够有效改善桡骨远端骨折的临床症状及体征,提高患者的腕功能以及日常生活能力,预后表现更好。
Objective To explore and analyze the effect evaluation of mild Chinese medicine fumigation represented by Huangqi Guizhi Wuwu Decoction in the treatment of distal radius fracture.Methods A total of 120 patients with distal radius fracture admitted to Longyan People Hospital of Fujian from April 2020 to April 2023 were collected,and divided into control group and observation group according to different rehabilitation intervention methods,with 60 cases in each group.The control group was given routine treatment and rehabilitation intervention,and the observation group was also given mild Chinese medicine fumigation represented by Huangqi Guizhi Wuwu Decoction on the basis of the control group.TCM syndrome score,clinical related index,wrist function score and daily living ability score were compared between the two groups.Results The scores for limb difficulties,facial expression,swelling,pain,and irritability in the observation group after rehabilitation treatment were(1.08±0.33)points,(0.98±0.33)points,(1.03±0.30)points,(0.91±0.22)points,and(1.12±0.33)points.The time for pain relief,swelling disappearance,hospital stay,and fracture healing in the observation group were(2.11±0.64)days,(1.87±0.41)days,(5.80±1.21)days,and(2.75±0.90)months,respectively.The wrist joint function score and daily life ability score in the observation group after rehabilitation treatment were(85.85±5.30)points and(86.45±6.31)points,respectively.Comparing the observation group with the control group after rehabilitation treatment,the scores for various traditional Chinese medicine syndromes were lower,the disappearance time of various clinical symptoms was shorter,and the wrist joint function score and daily life ability score were higher,with statistically significant differences(P<0.05).Conclusion On the basis of routine treatment and rehabilitation intervention,Chinese medicine fumigation treatment can effectively improve the clinical symptoms and signs of distal radius fracture,promote the improvement of patients′wrist fun
作者
温弘成
罗添杰
陈巧玲
WEN Hongcheng;LUO Tianjie;CHEN Qiaoling(Department of Orthopedics and Traumatology,Longyan People Hospital of Fujian,Longyan Fujian 364000,China)
出处
《中国卫生标准管理》
2024年第11期131-134,共4页
China Health Standard Management
关键词
黄芪桂枝五物汤
温和法中药熏洗
桡骨远端骨折
腕功能
日常生活能力
预后
Huangqi Guizhi Wuwu Decoction
mild chinese medicine fumigation
fracture of distal radius
wrist function
ability of daily living
prognosis
