摘要
目的:探讨中医骨折三期辨证用药联合运动疗法治疗桡骨远端骨折中的应用效果。方法:选取2021年3月—2022年9月于福建省龙岩市人民医院骨伤科诊治的100例桡骨远端骨折患者为研究对象,采用随机数字表法分为联合组(n=50)和对照组(n=50)。两组均采用中医骨折三期辨证用药联合夹板外固定术治疗桡骨远端骨折,对照组拆除外固定后开始常规功能锻炼,联合组在骨折复位后立即采用运动疗法早期功能锻炼。比较两组肿胀消退及夹板拆除愈合时间、疼痛VAS评分、腕关节功能及不良反应发生情况。结果:联合组肿胀消退、夹板拆除时间短于对照组,差异有统计学意义(P<0.05);联合组治疗后VAS评分低于对照组,差异有统计学意义(P<0.05);联合组腕关节优良率高于对照组,差异有统计学意义(P<0.05)。两组均未发生不良反应。结论:中医骨折三期辨证用药联合运动疗法治疗桡骨远端骨折的应用效果良好,可有效促进骨折肿胀消退,缩短夹板拆除愈合时间,减轻患者病痛,促进腕关节功能恢复。
Objective:To explore the effect of three-stage syndrome differentiation of traditional Chinese medicine combined with exercise therapy in the treatment of distal radius fracture.Methods:A total of 100 patients with distal radius fractures who were treated in the Department of Orthopaedics and Traumatology,Longyan People's Hospital of Fujian Province from March 2021 to September 2022 were selected as the research objects.They were divided into combined group(n=50)and control group(n=50)by random number table method.Both groups were treated with traditional Chinese medicine fracture three-stage dialectical medication combined with splint external fixation for distal radius fractures.The control group began routine functional exercise after the removal of external fixation,and the combined group immediately used exercise therapy for early functional exercise after fracture reduction.The swelling regression and splint removal healing time,pain VAS score,wrist function and adverse reactions were compared between the two groups.Results:The time of swelling regression and splint removal in the combined group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The VAS score of the combined group was lower than that of the control group after treatment,and the difference was statistically significant(P<0.05).The excellent and good rate of wrist joint in the combined group was higher than that in the control group,the difference was statistically significant(P<0.05).No adverse reactions occurred in both groups.Conclusion:The application of three-stage syndrome differentiation of traditional Chinese medicine combined with exercise therapy in the treatment of distal radius fracture has a good effect,which can effectively promote the reduction of fracture swelling,shorten the time of splint removal and healing,and alleviate the patient's pain,promote wrist function recovery.
作者
王玉祥
温弘成
刘佩旺
谢晓焜
WANG Yuxiang;WEN Hongcheng;LIU Peiwang;XIE Xiaokun(Department of Orthopedics and Traumatology,Longyan People's Hospital,Longyan 364000,Fujian,China;Medical Department of Longyan People's Hospital,Longyan 364000,Fujian,China)
出处
《中国药物滥用防治杂志》
CAS
2024年第6期1148-1151,共4页
Chinese Journal of Drug Abuse Prevention and Treatment
基金
龙岩市科技创新联合资金卫生项目(编号:2020LYF19015)。
关键词
运动疗法
桡骨远端骨折
早期功能锻炼
夹板外固定术
肿胀
疼痛
腕关节功能
Exercise therapy
Distal radius fracture
Early functional exercise
External fixation with splints
Swelling
Pain
Wrist function
