中药辅助外科固定术治疗股骨转子周围粉碎性骨折优势.pdf

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1、辽宁中医杂志2013年第40卷第11期·2305·活血化瘀中药辅助外科固定术治疗股骨转子周围粉碎性骨折优势探讨施初云，李强(浙江省桐庐县中医院骨科，浙江桐庐311500)摘要:目的:观察中药辅助外科固定术治疗股骨转子周围粉碎性骨折的优势。方法:将146例患者随机分为治疗组(65例)和对照组(81例)。两组均采用内固定术治疗及术后常规处理，治疗组加用桃红四物汤合乳香没药散加减。结果:术后第1周起，治疗组VAS评分低于对照组，差异有统计学意义(P＜0.05)。术后第2周起，治疗组X线评分优于对照组，差异有统计学意义(P＜0.05)。治

2、疗组平均愈合时间(11.35±2.68)周，对照组平均愈合时间(13.26±3.51)周，组间比较，差异有统计学意义(P＜0.05)。结论:中药桃红四物汤合乳香没药散加减配合内固定术，可减轻患者疼痛，促进骨痂形成，减少深静脉血栓形成的发生，有助于股骨转子周围粉碎性骨折的康复，临床疗效优于单纯使用西医治疗。关键词:活血化瘀;桃红四物汤;乳香没药散;股骨转子周围粉碎性骨折;中西医结合疗法中图分类号:Ｒ274．1文献标志码:A文章编号:1000－1719(2013)11－2305－02DiscussiononAdvantageofSur

3、gicalFixationandActivatingBloodandＲesolvingStasisChineseMedicineasAdjuvantinTreatingPatientswithFemoralPeritrochantericComminutedFracturesSHIChuyun，LIQiang(Orthopedics，HospitalofTraditionalChineseMedicineofTonglu，Hangzhou311500，Zhejiang，China)Abstract:Objective:Todisc

4、usstheadvantageofsurgicalfixationandtraditionalChinesemedicineasadjuvantintreatingpa-tientswithfemoralperitrochantericcomminutedfractures．Methods:Atotalof146patientsweredividedintotwogroupsrandomly．81casestreatedwithinternalfixationandpostoperativeconventionaltreatmen

5、tweretakenasthecontrolgroup，andtheother65casestreatedwithTaohongSiwuDecoctioncombinedwithＲuxiangMoyaoPowderonthebasisofcontrolgroupweretakenasthetreatmentgroup．Ｒesults:Fromthefirstweekwithpostoperation，theVASscoreofthetreatmentgroupwaslowerthanthatofthecontrolgroup，an

6、dthedifferenceshadstatisticalsignificance(P＜0.05)．Fromthesecondweekwithpostoperation，theX－linescoreofthetreatmentgroupwasbetterthanthatofthecontrolgroup，andthedifferenceshadstatisticalsignificance(P＜0.05)．Themeanhealingtimeofthetreatmentgroupwas(11.35±2.68)weeks，andth

7、econtrolgroupwas(13.26±3.51)weeks，andthedifferenceshadstatisticalsignificance(P＜0.05)．Conclusion:InternalfixationandTaohongSiwuDecoctioncombinedwithＲuxiangMoyaoPowderasadjuvantcanalleviatethepainofpatients，promotetheformationofcallus，reducetheoccurrenceofdeepvenousthr

8、ombosisandishelpfulfortherecoveryoffemoralperitrochantericcomminutedfractures，andtheclinicaleffectisbetterthanusingwesternme