海桐皮汤加减熏洗结合手术钢板固定治疗肘关节恐怖三联征肝肾亏虚证临床观察

Clinical Observation of Fumigation and Washing of Modified Haitongpi Tang Combined with Surgical Plate Fixation for Terrible Triad of the Elbow with Liver and Kidney Deficiency Syndrome

目的:观察海桐皮汤加减熏洗结合手术钢板固定对肘关节恐怖三联征肝肾亏虚证的疗效。方法:将肘关节恐怖三联征患者24例按随机数字表法分为2组各12例。对照组采取手术钢板固定。治疗组在对照组基础上于拆除石膏后采取海桐皮汤加减熏洗,连续熏洗4周。比较2组Mayo功能评分、肝肾亏虚证症状(腰膝酸痛、肢体萎软、神疲乏力)评分。评估2组临床疗效。结果:治疗组总有效率为100%,明显高于对照组的58.33%(P <0.05)。与对照组比较,治疗组患者的肘关节Mayo功能评分(疼痛、屈伸运动幅度、日常生活功能、关节稳定性)高于对照组(P <0.01)。与对照组比较,治疗组治疗后肝肾亏虚证症状评分低于对照组(P <0.01)。结论:海桐皮汤加减熏洗结合手术钢板固定治疗肘关节恐怖三联征,可明显改善患者的肘关节功能,降低肝肾亏虚证症状评分,提高临床疗效。

Objective:To observe the clinical effect of fumigation and washing of modified Haitongpi tang combined with surgical plate fixation for terrible triad of the elbow with liver and kidney deficiency syndrome. Methods:Divided 24 cases of patients with terrible triad of elbow joint into two groups randomly according to random number table,12 cases in each group. The control group was fixed with a surgical plate;the treatment group was additionally treated with fumigation and washing of modified Haitongpi tang for four weeks after removing plaster. Compared the Mayo function score and score of the liver and kidney deficiency syndrome (soreness and pain of waist and knee,limb weakness,and fatigue) in the two groups. Evaluated the clinical effect in the two groups. Results:The total effective rate was 100% in the treatment group, being significantly higher than that in the control group (58.33% ) (P<0.05). Compared with the control group,the Mayo function score (pain,flexion and extension range,daily living ability,joint stability) of the elbow joint in the treatment group was higher than those in the control group (P<0.01). Compared with the control group, the symptom score of the liver and kidney deficiency syndrome in the treatment group was lower than that in the control group(P<0.01). Conclusion:The application of fumigation and washing of modified Haitongpi tang combined with surgical plate fixation for terrible triad of the elbow can significantly improve the elbow joint function of patients,reduce the score of the liver and kidney deficiency syndrome,and promote the clinical effect.