摘要
目的探讨桡骨远端骨折(DRF)患者应用桃红四物汤加减治疗的效果.方法纳入2020年2月—2021年12月我院收治的98例DRF患者,采用随机数字表法分为两组,每组49例.对照组采用手法复位夹板外固定治疗,观察组在此基础上采用桃红四物汤加减治疗.比较两组的临床疗效、腕关节功能、疼痛程度、骨钙素(BGP)、碱性磷酸酶(ALP)、护骨素(OPG)水平、并发症发生率及骨折愈合时间.结果观察组的临床治疗总有效率为95.92%,高于对照组的81.63%,差异有统计学意义(P<0.05).治疗后,观察组的Cooney腕关节功能评分为(90.55±4.39)分,BGP、ALP、OPG水平分别为(4.65±0.93)μg/L、(136.67±32.16)U/L、(130.75±12.34)ng/L,均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的疼痛视觉模拟评分为(2.55±0.32)分,骨折愈合时间为(35.29±5.37)d,均低于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为4.08%,低于对照组的16.32%,差异有统计学意义(P<0.05).结论DRF患者采用桃红四物汤加减治疗的效果较好,可有效减轻疼痛,改善腕关节功能及骨代谢指标,缩短骨折愈合时间,且并发症少,安全可靠.
Objective To investigate the effect of modified Taohong Siwu Decoction in the treatment of distal radial fracture(DRF).Methods A total of 98 patients with DRF admitted to our hospital from February 2020 to December 2021 were enrolled and were divided into two groups by random number table method,with 49 cases in each group.The control group was treated with manual reduction and splint external fixation,and the observation group was treated with modified Taohong Siwu Decoction on this basis.The clinical efficacy,wrist joint function,pain degree,bone glaprotein(BGP),alkaline phosphatase(ALP),osteoprotegerin(OPG)levels,complication rate and fracture healing time of the two groups were compared.Results The total effective rate of the observation group was 95.92%,which was higher than 81.63%of the control group,the difference was statistically significant(P<0.05).After treatment,the Cooney wrist function score of the observation group was(90.55±4.39)points,the BGP,ALP and OPG levels were(4.65±0.93)μg/L,(136.67±32.16)U/L and(130.75±12.34)ng/L,respectively,which were higher than those of the control group,the differences between groups were statistically significant(P<0.05).After treatment,the visual analogue scale of pain in the observation group was(2.55±0.32)points,and the fracture healing time was(35.29±5.37)d,both of which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The complication rate of the observation group was 4.08%,lower than 16.32%of the control group,and the difference was statistically significant(P<0.05).Conclusion Modified Taohong Siwu Decoction has a good effect on DRF patients,which can effectively relieve pain,improve wrist joint function and bone metabolism index,shorten fracture healing time,with fewer complications,safe and reliable.
作者
袁伟
YUAN Wei(2nd Department of Orthopaedics,Tengzhou Hospital of Traditional Chinese Medicine,Tengzhou Shandong,277500,China)
出处
《反射疗法与康复医学》
2022年第13期19-21,共3页
Reflexology And Rehabilitation Medicine
关键词
桡骨远端骨折
桃红四物汤
骨折愈合
腕关节功能
Distal radius fracture
Taohong Siwu Decoction
Fracture healing
Wrist joint function
作者简介
袁伟(1977-),男,山东滕州人,本科,主治医师,研究方向:中医骨伤。
