中药治疗下肢骨折术后肿胀118例临床疗效探讨

目的通过内服和外洗中药疗法治疗下肢骨折术后肿胀,探讨中药疗法的治疗效果。方法将从2007年2月～2009年1月入住我院接受下肢骨折手术的118例患者随机平均分为两组。对照组患者术后适当使用止血剂和镇痛剂,实验组患者在对照组基础上加用消肿中药疗法,治疗结束后对比和分析治疗效果。结果实验组患者痊愈34例,无效3例,总有效率94.9%。对照组患者痊愈21例,无效11例,总有效率81.4%。实验组疗效显著优于对照组(P<0.05)。另外两组平均消肿时间也有显著统计学差异(P<0.05)。结论常规消肿疗法联合中药疗法应用于下肢骨折术后肿胀副反应低,效果显著,值得在临床上应用和推广。

Objective By treating fracture lower limb with post-surgical swelling with internal and external TCM therapy, to explore the therapeutic effect of TCM therapy. Methods 118 cases of fracture lower limb with post-surgical swelling in hospital for treatment from February 2007 to January 2009 were randomly divided into two groups on average. Hemostat and anodyne were used in control group, and TCM therapy was used in experimental group based on patients in control group. The therapeutic effect were compared and analyzed after treatment. Results 34 patients healed in experimental group, and 3 cases failed, the total effective rate reached up 94.9%.21 patients healed in control group, and 11 cases failed, the total effective rate was 81.4%. The curative effect of experimental group was significantly better than control group （P〈0.05）. In the other direction, detumescence average time in two groups also showed significant difference （P〈0.05）. Conclusion Routine deturnescence medicine combined TCM therapy applied to fracture lower limb with post-surgical swelling, showed low side reaction and high clinical effect, so it is deserved application and promotion in clinical work.