赤参壮骨汤对气血瘀滞证早期手部骨折患者术后手功能及骨折愈合的影响

doi:10.3969/j.issn.1671-7171.2023.03.011

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摘要【目的】探讨赤参壮骨汤对气血瘀滞证早期手部骨折患者术后手功能及骨折愈合的影响。【方法】选取2017年1月至2020年1月本院收治的100例气血瘀滞证早期手部骨折患者,按照随机数字表法分为对照组和观察组,每组50例。对照组采用常规微型钢板内固定术治疗,观察组在对照组基础上加服赤参壮骨汤。比较两组手部功能优良率、总主动屈曲度、内固定去除时间、骨折愈合时间、住院时间、术后骨折愈合不良事件发生情况及治疗前后手部功能恢复评分[徒手肌力评定(MMT)、Fugl-Meyer手运动功能(FMA)评分及中医症候积分]。【结果】观察组手部功能优良率为94.00%,显著高于对照组的80.00%(P<0.05)。观察组总主动屈曲度大于对照组(P<0.05),内固定去除时间、骨折愈合时间、住院时间均少于对照组(P<0.05)。两组治疗后MMT、FMA评分较治疗前升高(P<0.05),中医症候积分较治疗前降低(P<0.05);观察组治疗后MMT、FMA评分高于对照组(P<0.05),中医症候积分低于对照组(P<0.05)。观察组术后骨折愈合不良事件发生率为4.00%,低于对照组的16.00%(P<0.05)。【结论】赤参壮骨汤治疗手部骨折术后患者的临床疗效明确,可增强肌力,促进骨折愈合,恢复手部功能,降低术后骨折愈合不良事件的发生风险,值得临床推广。

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	王潇
	王桂玲
	刘彤

关键词 ：掌骨/损伤, 指损伤/外科学, 指损伤/中医药疗法, 骨折愈合

Abstract：【Objective】 To explore the effect of the Chishen Zhuanggu Decoction on hand function and fracture healing in patients with energy-stagnation and blood stasis syndrome in early hand fracture patients. 【Methods】 From January 2017 to January 2020,100 patients with early hand fracture of energy-stagnation and blood stasis syndrome admitted to our hospital were randomly divided into a control group and an observation group,with 50 patients in each group. The control group was treated with conventional micro plate internal fixation,while the observation group was treated with the Chishen Zhuanggu Decoction on the basis of the control group. The excellent and good rate of hand function,total active flexion,removal time of internal fixation,fracture healing time,hospitalization time,occurrence of adverse events of postoperative fracture healing,and hand function recovery scores before and after treatment [barehanded muscle strength assessment (MMT),Fugl-Meyer hand motor function (FMA) scores,and TCM syndrome scores] were compared and analyzed between the two groups.【Results】 The excellent and good rate of hand function in the observation group was 94.00%,significantly higher than 80.00% in the control group (P<0.05). The total active flexion in the observation group was greater than that in the control group(P<0.05). After treatment,the scores of MMT and FMA in both groups increased compared with those before treatment(P<0.05). After treatment,the MMT and FMA scores in the observation group were higher than those in the control group(P<0.05). The TCM syndrome score was lower than that of the control group (P<0.05). The incidence of adverse events in postoperative fracture healing in the observation group was 4.00%,lower than 16.00% in the control group (P<0.05). 【Conclusion】 The Chishen Zhuanggu Decoction has a clear clinical efficacy in the treatment of postoperative patients with hand fractures,which can enhance muscle strength,promote fracture healing,restore hand function,and reduce the risk of adverse events in postoperative fracture healing. It is worthy of clinical promotion.

Key words： Metacarpal Bones/IN Finger Injuries/SU Finger Injuries/ZY Fracture Healing

收稿日期: 2022-05-11

中图分类号:

R683.418

引用本文:

王潇, 王桂玲, 刘彤. 赤参壮骨汤对气血瘀滞证早期手部骨折患者术后手功能及骨折愈合的影响[J]. 医学临床研究, 2023, 40(3): 359-362.
WANG Xiao, WANG Gui-ling, LIU Tong. Effect of the Chishen Zhuanggu Decoction on Hand Function and Fracture Healing in Patients with Energy-Stagnation and Blood Stasis Syndrome in Early Hand Fracture Patients. JOURNAL OF CLINICAL RESEARCH, 2023, 40(3): 359-362.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.03.011 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I3/359

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