加味桃红四物汤辅助治疗四肢骨折后早期疼痛肿胀临床观察(1)
【摘要】 目的：观察加味桃红四物汤辅助治疗四肢骨折后早期疼痛肿胀的临床效果。方法：将100例四肢闭合性骨折患者随机分为对照组和观察组，每组50例。对照组采用常规杨氏正骨手法(保守复位夹板外固定)的治疗方式，观察组在对照组常规治疗基础上加用加味桃红四物汤进行治疗，治疗周期均为7 d，并于治疗后1、3、7 d评价两组患肢肿胀及疼痛程度，评定治疗效果。结果：治疗后1 d，两组患肢肿胀和疼痛程度比较，差异均无统计学意义(P>0.05);治疗后3、7 d，观察组肿胀及疼痛消退程度均显著优于对照组，差异均有统计学意义(P<0.05)。结论：加味桃红四物汤辅助治疗四肢骨折后早期疼痛肿胀的临床效果显著，值得在临床推广应用。
【关键词】 加味桃红四物汤; 四肢骨折; 肢体肿胀; 疼痛; 疗效
doi：10.14033/j.cnki.cfmr.2019.26.012 文献标识码 B 文章编号 1674-6805(2019)26-00-03
Clinical Observation of Modified Taohong Siwu Decoction in the Treatment of Early Pain and Swelling after Limb Fracture/QIN Qing，LI Xiao，YANG Li.//Chinese and Foreign Medical Research，2019，17(26)：-31
【Abstract】 Objective：To observe the clinical effect of modified Taohong Siwu Decoction in the treatment of early pain and swelling after limb fracture.Method：A total of 100 patients with closed fracture of limbs were randomly divided into the control group and the observation group，50 cases in each group.The control group was treated with conventional Yang’s bonesetting skill(conservative reduction and splint external fixation)，while the observation group was treated with modified Taohong Siwu Decoction on the basis of routine treatment in the control group.The treatment periods were 7 days，and the degree of affected limbs swelling and pain were evaluated on 1 day，3 days and 7 days after treatment.The therapeutic effect was evaluated.Result：The degree of affected limbs swelling and pain were compared between the two groups on the 1st day after treatment，and the differences were not statistically significant(P>0.05).On the 3rd and 7th day after treatment，the degree of swelling and pain in the observation group were significantly better than those of the control group，and the differences were statistically significant(P<0.05).Conclusion：Modified Taohong Siwu Decoction is effective in the treatment of early pain and swelling after limb fracture，which is worthy of clinical application.
【Key words】 Modified Taohong Siwu Decoction; Limb fracture; Limb swelling; Pain; Curative effect
First-author’s address：Ya’an Traditional Chinese Medicine Hospital，Ya’an 625000，China
四肢骨折是骨折疾病中常見的一种，患者常伴有早期肢体肿胀、疼痛、瘀斑、畸形、发热、骨擦音等临床症状[1]。因近年来车祸、高处坠落等事件发生率增加，使临床接诊的四肢骨折患者也明显增多[2]。部分患者肿胀疼痛严重时可造成肢体远端血液循环受阻，引发神经肌肉组织产生缺血性坏死，严重影响骨折预后[3]。因此，对于如何有效减缓骨折后肢体肿胀疼痛程度，关系着骨折后的临床治疗效果。本研究探析加味桃红四物汤辅助治疗四肢骨折后早期疼痛肿胀效果，报道如下。
1 资料与方法
1.1 一般资料
选择2016年1月-2019年1月笔者所在医院收治的100例四肢闭合性骨折患者为研究对象。诊断标准参考《骨与关节损伤和疾病的诊断分类及功能评定标准》中的内容：患者入院前有明确外伤;局部有疼痛、肿胀感，影响肢体活动功能;有骨擦音;X线检查结果显示有骨折线[4]。纳入标准：均符合诊断标准，且骨折为单侧肢体单发，但无明显骨折端移位。排除标准：(1)伴有心、脑、肝、肾等重要器官严重疾病;(2)伴有血液系统严重疾病;(3)伴有精神病或无法配合完成治疗;(4)拒绝参与本次研究。将上述患者按照随机数字表法分为观察组和对照组，各50例。对照组男27例，女23例;年龄15～59岁，平均(25.12±2.61)岁;骨折原因：交通事故损伤24例，外力损伤16例，跌落摔伤10例;骨折部位：胫腓骨干骨折17例，肱骨髁上骨折13例，肱骨外髁骨折10例，肱骨干骨折10例。观察组男26例，女24例;年龄15～60岁，平均(24.88±2.61)岁;骨折原因：交通事故损伤23例，外力损伤18例，跌落摔伤9例;骨折部位：胫腓骨干骨折16例，肱骨髁上骨折14例，肱骨外髁骨折11例，肱骨干骨折9例。两组性别、年龄、骨折原因及部位等一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(秦晴 李肖 杨莉)
【关键词】 加味桃红四物汤; 四肢骨折; 肢体肿胀; 疼痛; 疗效
doi：10.14033/j.cnki.cfmr.2019.26.012 文献标识码 B 文章编号 1674-6805(2019)26-00-03
Clinical Observation of Modified Taohong Siwu Decoction in the Treatment of Early Pain and Swelling after Limb Fracture/QIN Qing，LI Xiao，YANG Li.//Chinese and Foreign Medical Research，2019，17(26)：-31
【Abstract】 Objective：To observe the clinical effect of modified Taohong Siwu Decoction in the treatment of early pain and swelling after limb fracture.Method：A total of 100 patients with closed fracture of limbs were randomly divided into the control group and the observation group，50 cases in each group.The control group was treated with conventional Yang’s bonesetting skill(conservative reduction and splint external fixation)，while the observation group was treated with modified Taohong Siwu Decoction on the basis of routine treatment in the control group.The treatment periods were 7 days，and the degree of affected limbs swelling and pain were evaluated on 1 day，3 days and 7 days after treatment.The therapeutic effect was evaluated.Result：The degree of affected limbs swelling and pain were compared between the two groups on the 1st day after treatment，and the differences were not statistically significant(P>0.05).On the 3rd and 7th day after treatment，the degree of swelling and pain in the observation group were significantly better than those of the control group，and the differences were statistically significant(P<0.05).Conclusion：Modified Taohong Siwu Decoction is effective in the treatment of early pain and swelling after limb fracture，which is worthy of clinical application.
【Key words】 Modified Taohong Siwu Decoction; Limb fracture; Limb swelling; Pain; Curative effect
First-author’s address：Ya’an Traditional Chinese Medicine Hospital，Ya’an 625000，China
四肢骨折是骨折疾病中常見的一种，患者常伴有早期肢体肿胀、疼痛、瘀斑、畸形、发热、骨擦音等临床症状[1]。因近年来车祸、高处坠落等事件发生率增加，使临床接诊的四肢骨折患者也明显增多[2]。部分患者肿胀疼痛严重时可造成肢体远端血液循环受阻，引发神经肌肉组织产生缺血性坏死，严重影响骨折预后[3]。因此，对于如何有效减缓骨折后肢体肿胀疼痛程度，关系着骨折后的临床治疗效果。本研究探析加味桃红四物汤辅助治疗四肢骨折后早期疼痛肿胀效果，报道如下。
1 资料与方法
1.1 一般资料
选择2016年1月-2019年1月笔者所在医院收治的100例四肢闭合性骨折患者为研究对象。诊断标准参考《骨与关节损伤和疾病的诊断分类及功能评定标准》中的内容：患者入院前有明确外伤;局部有疼痛、肿胀感，影响肢体活动功能;有骨擦音;X线检查结果显示有骨折线[4]。纳入标准：均符合诊断标准，且骨折为单侧肢体单发，但无明显骨折端移位。排除标准：(1)伴有心、脑、肝、肾等重要器官严重疾病;(2)伴有血液系统严重疾病;(3)伴有精神病或无法配合完成治疗;(4)拒绝参与本次研究。将上述患者按照随机数字表法分为观察组和对照组，各50例。对照组男27例，女23例;年龄15～59岁，平均(25.12±2.61)岁;骨折原因：交通事故损伤24例，外力损伤16例，跌落摔伤10例;骨折部位：胫腓骨干骨折17例，肱骨髁上骨折13例，肱骨外髁骨折10例，肱骨干骨折10例。观察组男26例，女24例;年龄15～60岁，平均(24.88±2.61)岁;骨折原因：交通事故损伤23例，外力损伤18例，跌落摔伤9例;骨折部位：胫腓骨干骨折16例，肱骨髁上骨折14例，肱骨外髁骨折11例，肱骨干骨折9例。两组性别、年龄、骨折原因及部位等一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(秦晴 李肖 杨莉)
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