老年桡骨远端骨折术后鹿瓜多肽治疗的临床疗效(1)
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【摘要】 目的 探讨鹿瓜多肽治疗老年桡骨远端骨折的临床疗效。方法选取老年桡骨远端骨折术后患者40例，随机分为两组，对照组20例术后常规功能锻炼，常规应用抗生素，未予任何促进骨折愈合药物。治疗组20例在对照组基础上每日应用鹿瓜多肽注射液12 ml，加入250～500 ml生理盐水静滴，15日为一疗程，每个患者治疗2个疗程。对比观察两组术后疼痛程度、肿胀消失时间及骨折愈合时间。结果 治疗组患者术后第1、3、5、7 d的NPS评分显著低于对照组(P<0.01),至第14 d两组疼痛NPS评分无显著性差异(P>0.05)。治疗组Ⅰ度、Ⅱ度和Ⅲ度肿胀的消肿时间均显著短于对照组(P<0.01)，骨折愈合时间显著短于对照组(P<0.01)。结论鹿瓜多肽可促进桡骨远端骨折肿痛消退，利于早期肢体功能康复锻炼，促进骨折愈合。
【关键词】 桡骨远端骨折；鹿瓜多肽；疼痛；肿胀
文章编号：1003-1383(2010)06-0667-02 中图分类号：R 683.41 文献标识码：A
doi:10.3969/j.issn.1003-1383.2010.06.006
Clinical effect of CervusandCucumis Polypeptide on elderly fracture of distal radius
LI Yujun,HUANG Yuanqiao
(Department of Traumatic Orthopaedics,the Central Hospital of Jiangmen City,Jiangmen,Guangdong 529000,China)
【Abstract】 ObjectiveTo evaluate the effect of CervusandCucumis Polypeptide on elderly fracture of distal radius.
Methods 40 elder patients with distal radius osteoporotic fractures after operation were randomly divided into two groups,20 cases each. The control group applied routine dirigation and antibiotic only.But the treating group appliedCervusandCucumis Polypeptide baise on the control group. The pain degree,swelling time and curing time of all patients after the operation in two groups were compared Results The NPS in treating group were obviously lower than those in the control group at day 1,3,5,7 after the operation(P<0.01),but there was no statistically significant between two groups at day 14(P>0.05).The swelling time in the treating group were obviously shorten than those in the control group,so do the curing time(P<0.01).
Conclusion CervusandCucumis Polypeptide could do great help in releasing pain and swelling of elderly fracture of distal radius,and shorting the curing time.
【Key words】 fracture of distal radius；CervusandCucumispolypeptide；pain；swelling
桡骨远端骨折多见于老年患者，一般采取手法复位或手术治疗纠正骨折畸形，恢复患肢功能，但两种方法均可引起患肢长时间肿痛，影响肢体早期功能康复。我院自2008年6月～2010年6月应用鹿瓜多肽治疗桡骨远端骨折20例，探讨其在缓解患肢肿痛和促进骨折愈合方面的疗效，现将结果报道如下。
资料与方法
1.一般资料选择因手法复位失败而进行手术治疗的桡骨远端骨折患者40例，年龄50～70岁，平均58.0岁，术后将患者随机分为两组。治疗组20例，男9例，女11例，50～55岁4例，56～60岁7例，61～65岁5例，65～70岁4例，平均年龄58.4岁；对照组20例，男9例，女11例 ......
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