摘要
目的:观察中医药活血化瘀药物对骨折愈合的影响和远期的临床疗效。方法:选取104例需行内固定手术治疗的骨折患者,其中以胫骨中下1/3及股骨颈骨折为主,随机分为观察组与对照组各52例,观察组在术后采取活血化瘀中药组方,观察两组术后的疼痛程度及愈合情况。结果:观察组患者术后3d、5d、7d疼痛视觉模拟评分(VAS)均明显低于对照组,组间在不同时间段VAS评分比较均存在统计学差异(P<0.05);观察组患者术后3周末、4周末、5周末骨痂处骨密度测定值均高于对照组,组间在不同时间段骨密度测定值比较均存在统计学差异(P<0.05);观察组治愈率92.31%,好转率7.69%,无骨不连发生,平均骨折愈合时间(29.31±1.22)周,对照组治愈率80.77%,好转率13.46%,骨不连发生率5.77%,平均骨折愈合时间为(38.41±1.41)周,两组骨折愈合时间比较存在统计学差异(t=35.19,P<0.05),治愈率观察组高于对照组,骨不连发生率低于对照组,骨不连发生率对比,差异具有统计学意义(t=4.42,P<0.05),但治愈率统计学比较无统计学差异(P>0.05)。结论:骨折术后采取中医药活血化瘀药物治疗能明显减轻患者术后疼痛、缩短骨折愈合时间,利于骨折愈合,降低骨不连发生率。
Objective： To investigate clinical efficacy of TCM medicine of Huoxue Huayu on bone healing. Methods： 104 bone fracture patients taking internal fixing surgery were randomly divided into the treated and control group, 52 for each. In the treated group TCM medicine was applied, and the degree of pain and healing were recorded for comparing. Results： In the treated group VAS score on 3d, 5d and 7d were clearly lower than control, difference is significant （P〈0.05）. Bone density also was higher at bone callus than the control group and P〈0.05. In the treated group curing efficacy is 92.31%, better than before is 7.69%, no non-connecting, the average bone healing time is （29.31 ± 1.22） weeks. In the control the data separately are 80.77%, 13.46%, 5.77%, （38.41 ± 1.41）weeks. Among these aspects on the curing efficacy there was no significant difference; on the other three aspects there were difference （P〈0.05）. Conclusion： TCM medicines have lots of advantages of pain, bone healing, and bone connecting.
出处
《中医临床研究》
2013年第8期20-22,共3页
Clinical Journal Of Chinese Medicine
