摘要
目的探讨血府逐瘀汤加减联合胸腔镜下TiNi记忆合金接骨器治疗多发性肋骨骨折(FMR)的效果。方法选取2020年1月至2021年6月梅州市中医医院收治的80例胸部外伤FMR患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各40例。对照组患者进行胸腔镜下TiNi记忆合金接骨器内固定治疗,观察组患者在对照组的基础上给予血府逐瘀汤加减治疗。比较两组患者的治疗效果、术后胸腔引流管留置时间、疼痛消失时间、肿胀消失时间、住院时间、骨折愈合时间以及治疗前后的血气情况。结果观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者的术后胸腔引流管留置时间、疼痛消失时间、肿胀消失时间、住院时间、骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);治疗后,观察组患者的动脉血氧分压(PaO_(2))、动脉血氧饱和度(SaO_(2))、氧合指数(OI)均高于对照组,动脉血二化碳分压(PaCO_(2))低于对照组,差异有统计学意义(P<0.05)。结论血府逐瘀汤加减联合胸腔镜下TiNi记忆合金接骨器治疗可明显改善FMR患者血气指标,提高疗效,缩短康复时间,值得在临床推广。
Objective To investigate the effect of Modified Xuefu Zhuyu Decoction combined with thoracoscopic TiNi memory alloy bone connector in the treatment of fractures of multiple ribs(FMR).Methods A total of 80 MRFs patients with thoracic trauma admitted to Meizhou Hospital of TCM from January 2020 to June 2021 were selected as subjects,and divided them into a control group and an observation group by random number table method,with 40 cases in each group.In the control group,patients were treated with internal fixation with TiNi memory alloy bone fittings under thoracoscope.On the basis of the control group,the observation group was additionally provided with the Modified Xuefu Zhuyu Decoction.The therapeutic efficacy,postoperative thoracic drainage tube indwelling time,pain disappearance time,swelling disappearance time,hospital stay,fracture healing time,and blood gas before and after treatment were compared between the two groups.Results The total effectiveness rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The postoperative thoracic drainage tube indwelling time,pain disappearance time,swelling disappearance time,hospital stay,and fracture healing time of the observation group were all shorter than those in the control group,with statistically significant differences(P<0.05).After treatment,the arterial partial pressure of oxygen(PaO_(2)),arterial oxygen saturation(SaO_(2))and oxygenation index(OI)in the observation group were all higher than those in the control group,the partial pressure of carbon dioxide in arterial blood(PaCO_(2))was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Modified Xuefu Zhuyu Decoction combined with TiNi memory alloy bone connector treatment under thoracoscope can significantly improve the blood gas indexes in patients with FMR,improve the curative effect,and shorten the recovery time,which is worthy of clinical promotion.
作者
饶新辉
吴国超
曾天宝
王浩
邓楚雯
RAO Xinhui;WU Guochao;ZENG Tianbao;WANG Hao;DENG Chuwen(Department of Thoracic Surgery,Meizhou Hospital of TCM,Guangdong Province,Meizhou514031,China)
出处
《中国当代医药》
CAS
2022年第23期68-71,共4页
China Modern Medicine
基金
广东省中医药局科研项目(20212239)。
关键词
血府逐瘀汤加减
胸腔镜下TiNi记忆合金接骨器
多发性肋骨骨折
疗效
Modified Xuefu Zhuyu Decoction
TiNi memory alloy bone connector under thoracoscope
Fractures of multiple ribs
Curative effect
作者简介
饶新辉(1979-),男,广东兴宁人,副主任医师,研究方向:胸外科。
