补肾活血方药对膝关节骨折术后功能恢复的影响

Effects of invigorating Kidney and Promoting Blood flow Treatment of Functional Rehabilitation after Knee Fracture Operation

目的:通过临床研究,探讨运用补肾活血方药辨证加减,序贯用药,能否有效影响关节骨折术后的关节功能康复。方法:选取涉及膝关节内骨折的并已经进行内固定术的患者60人,设补肾活血组、西乐葆组和对照组。补肾活血组予以补肾活血汤药分期加减口服。术后3周和8周,通过对症状、体征及中医证候进行综合计分。结果:3周时3组患者的计分均无显著性差异。8周时西乐葆组疼痛计分最优,补肾活血组次之。补肾活血组和西乐葆组总计分相近。补肾活血组中医证候计分最高。结论:辨证分期加减应用补肾活血方药,能对关节骨折术后病人在全身证候上产生调理,使患者关节功能的更快和有效康复,有利于防治创伤性关节炎。

Objective： Through clinical studies, discuss whether using invigorating kidney and promoting blood flow treament of syndrome differentiation and sequential therapy, can have rehabilitation effects on the patients after the articular fracture operations. Method： Choose about 60 patients with knee fracture, who have go through the internal fixation operations, to set up a invigorating kidney and promoting blood flow group, a Celebrex group and a blank group. The invigorating kidney and promoting blood flow group will take the oral medication of invigorating kidney and promoting blood flow treament. Three weeks and eight weeks after operation, evaluate the curative effect by means of overall scoring on the related symptoms, physical signs and Traditional Chinese Medicine（TCM） symptoms. Result： There are little difference among the scorings of all the three groups in the 3rd week. In terms of pain scoring, the Celebrex group are much better than the other two groups, while the invigorating kidney and promoting blood flow group exceeds the blank group in the 8th week. Judging from the comparison between the total scorings and function scorings of the three groups in the 8th week, the difference in the invigorating kidney and promoting blood flow group and the Celebrex group are no significance. In terms of TCM symptom scoring, the invigorating kidney and promoting blood flow group＇s scores are all higher than that of the other two groups. Conclusion： Using invigorating kidney and promoting blood flow treament with syndrome differentiation, can promote the healing process of the joint function of the patients after the articular fracture operations for a better curative effect, and can have overall conditioning and rehabilitation effects on the patients after the articular fracture operations.