中西医结合治疗高能量损伤胫骨平台骨折

Combined treatment of traditional Chinese and Western medicine on tibial plateau fracture with high-energy damage

目的探讨手术切开双钢板内固定联合中药内服外洗治疗高能量损伤胫骨平台骨折的临床效果。方法选择本院2011年8月～2012年4月收治的胫骨平台骨折患者41例,在手术切开双钢板内固定的同时,给予中药汤剂内服、外洗治疗,另与同期仅接受双钢板内固定治疗的30例患者作对比。结果术后8周,观察组HSS评分显著低于对照组(P<0.05),两组愈合时间分别为(9.0±2.1)个月和(10.2±2.8)个月,观察组显著低于对照组(P<0.05);观察组总优良率和并发症率分别为92.7%和2.4%,均显著优于对照组(P<0.05)。结论中西医结合治疗高能量损伤胫骨平台骨折具有显著的疗效,能显著降低术后并发症发生,加速患者恢复,值得推广。

Objective To investigate the clinical effect of surgical incision dual plate fixation combined with internal medicine and washing treatment treating high energy tibial plateau fractures injury. Methods 41 patients with tibial plateau fractures were treated with surgical incision dual plate fixation from August 2011 to April 2012 in our hospital, by giving oral decoction, external washing treatment and the others at the same period, 30 patients received only double plate fixation were selected and compared with the above. Results After 8 weeks, the HSS score in observation group was significantly lower than that in control group （P 〈 0.05）, the healing time was （9.0 ± 2.1） months and （10.2 ±2.8） months between the two groups, the healing time in observation group was significantly lower than that in control group （P 〈 0.05 ）; the total fine rate and complication rate in observation group were 92.7% and 2.4%, respectively, they were significantly better than those in control group （P 〈 0.05）. Conclusion Integrative treatment of high energy tibial plateau fracture injury has a significant effect, can significantly reduce the incidence of postoperative complications, and accelerate patient recovery, worthy of promotion.