摘要
目的:观察跌打七厘片联合四黄膏外敷对锁骨骨折围手术期快速康复的影响。方法:采用随机数字表法将60例锁骨骨折患者分为对照组、观察组各30例。2组均给予锁骨骨折切开复位内固定治疗,对照组口服塞来昔布胶囊治疗,观察组在对照组基础上口服跌打七厘片联合四黄膏外敷治疗。比较2组治疗前后中医证候积分、视觉模拟评分法(VAS)评分、Constant-Murley肩关节功能评分;比较2组临床疗效、术前等待时间、术中出血量、住院时长及不良反应发生率。结果:观察组总有效率93.33%,高于对照组70.00%(P<0.05)。治疗1周、2周后中医证候积分、VAS评分均较治疗前降低(P<0.05),Constant-Murley肩关节功能评分升高(P<0.05),且观察组Constant-Murley肩关节功能评分高于对照组(P<0.05),中医证候积分、VAS评分低于对照组(P<0.05)。观察组术前等待时间及住院时长短于对照组(P<0.05)。2组不良反应发生率及术中出血量比较,差异无统计学意义(P>0.05)。结论:跌打七厘片联合四黄膏外敷能够促进锁骨骨折围手术期快速康复,有效减轻患者疼痛,改善肩关节功能,缩短术前等待时间,临床疗效显著,安全性较高。
Objective:To observe the effect of Dieda Qili Tablets combined with external application of Sihuang Ointment on rapid rehabilitation during the perioperative period of clavicular fracture.Methods:A total of 60 cases of patients with clavicular fractures were randomly divided into the control group and the observation group according to the random number table method,with 30 cases in each group.Both groups were treated with open reduction and internal fixation of clavicular fractures.The control group was treated with oral Celecoxib Capsules,and the observation group was treated with oral administration of Dieda Qili Tablets combined with external application of Sihuang Ointment on the basis of the treatment of the control group.Compared the traditional Chinese medicine(TCM)syndrome scores,Visual Analogue Scale(VAS)scores,and Constant-Murley scores between the two groups before and after treatment;compared the clinical efficacy,preoperative waiting time,intraoperative bleeding volume,length of hospital stay,and incidence of adverse reactions between the two groups.Results:The total effective rate was 93.33%in the observation group,which was higher than that of 70.00%in the control group(P<0.05).After one and two weeks of treatment,the TCM syndrome scores and VAS scores were decreased when compared with those before treatment(P<0.05),and the Constant-Murley scores were increased(P<0.05);the Constant-Murley score in the observation group was higher than that in the control group(P<0.05),and the TCM syndrome score and VAS score were lower than those in the control group(P<0.05).The observation group had a shorter preoperative waiting time and hospitalization time compared to the control group(P<0.05);there was no significant difference in the incidence of adverse reactions and intraoperative bleeding between the two groups(P>0.05).Conclusion:The combination of Dieda Qili Tablets and external application of Sihuang Ointment can promote rapid rehabilitation during the perioperative period of clavicular fracture,effecti
作者
刘勇
刘伟
张文彬
LIU Yong;LIU Wei;ZHANG Wenbin(Department of Orthopedics,Chuzhou Integrated Chinese and Western Medicine Hospital Affiliated to Anhui University of Chinese Medicine,Chuzhou Anhui 239000,China)
出处
《新中医》
CAS
2024年第22期90-94,共5页
New Chinese Medicine
关键词
锁骨骨折
围手术期
跌打七厘片
四黄膏
快速康复
肩关节功能
疼痛
Clavicular fracture
Perioperative period
Dieda Qili Tablets
Sihuang Ointment
Rapid rehabilitation
Shoulder joint function
Pain
