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| 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 |
| WANG Xiao, WANG Gui-ling, LIU Tong |
| Shandong Provincial Third Hospital,Jinan Shandong 250031 |
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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.
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Received: 11 May 2022
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2023, Vol. 40 
