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1、加味桃红四物汤降低骨筋膜室内压的临床研究[摘要]目的:探讨加味桃红四物汤对骨折后骨筋膜室内压的影响,为临床防治骨室筋膜综合征提供有效方剂。方法:临床确诊为胫腓骨骨折和梯尺骨骨折患者共70例,随机分为治疗组38例和对照组32例,胫腓骨骨折均采用跟骨骨牵引、夹板固定,橈尺骨骨折均采用手法复位、夹板固定,治疗组加服加味桃红四物汤,检测治疗前、治疗后第1、2、3、4天伤侧相关骨筋膜室内压,对两组数据进行比较分析。结果:小腿治疗组治疗后第2天的骨筋膜室内压与治疗前比较,差异有统计学意义(P〈0.05),第4天骨筋膜室内压下降到治疗前的水平
2、;而对照组治疗后第1、2、3和4天的骨筋膜室内压与治疗前比较,差异有统计学意义(P〈0・05)。两组之间比较,第2、3和4天的骨筋膜室内压比较,差异有统计学意义(P〈0.05)o前臂治疗组治疗后第1天和第2天的骨筋膜室内压与治疗前比较,差异有统计学意义(P〈0.05),第4天骨筋膜室内压下降到治疗前的水平;而对照组治疗后第1、2、3和4天的筋膜室内压与治疗前比较,差异有统计学意义(P<0.05)o两组之间的比较,第1、2、3、4天的筋膜室内压比较,差异有统计学意义(P〈0・05)。结论:加味桃红四物汤能降低骨折伤肢骨筋膜室内压,
3、对骨筋膜室综合征有防治作用。[关键词]桃红四物汤;骨折;骨筋膜室内压;防治[中图分类号]R287[文献标识码]A[文章编号]1674-4721(2011)07(c)-o15-03TheclinicalstudyofModifiedTaohongSiwuDecoctionindecreasinginternalpressureofosseousfasciacompartmentFANGChuquan,ZHANGZevu,WEIXiaobin,LIPing'an,ZHONGBiIlenggangPeople'sIlospiLalof
4、LonggangDistrict,ShenzhenCity,GuangdongProvince,Shenzhen518115,China[Abstract.]Objective:TostudytheinfluenceofModifiedTaohongSiwuDecoctionforinternalpressureofosseousfasciacompartment・Methods:70patientsdiagnosedasfractureoftibiaandfibulaandradiusandulnawererandomlydi
5、videdintotreatmentgroup38casesandcontrolgroup32cases,fractureoftibiaandfibulaweretreatedwithcalcaneusskeletaltractionandsplintfixation,thetreatmentgroupweretreatedwithmanualreductionandsplintfixation,thenthetreatmentgroupweretreatedwithModifiedTaohongSiwuDecoction.Th
6、einternalpressureofosseousfasciacompartmentoftwogroupsbeforeandafterthetreatmentatfirst,second,thirdandforthdayweredetected,theresultsoftwogroupswereanalyzedandcompared.Results:Leg,theinternalpressureofosseousfasciacompartmentoftreatmentgroupafterthetreatmentatsecond
7、daywascomparedtothatbeorethetreatment,therewassignificantdifferences(卩〈0.05),theinternalpressuredecreasedtothelevelbeforethetreatmentattheforthday;buttheinternalpressureofcontrolgroupafterthetreatmentatfirst,second,thirdandforthdaywerecomparedtothatbeforethetreatment
8、,therewereallsignificantdifferences(卩〈0.05),thelevelsoftwogroupsatsecondandthirddaywerecomparedtothoseatforthday,thereweresignifica