活血化瘀汤联合推拿按摩治疗骨伤后期肢体肿胀随机平行对照研究

Soup with Massage Therapy for Activating Blood Circulation Late Fractures Limb Swelling Random Parallel Control Study

[目的]观察活血化瘀汤联合推拿按摩治疗骨伤后期肢体肿胀疗效。[方法]使用随机平行对照方法,将80例门诊及住院患者按抛硬币法简单随机分为两组。卧床休息,骨折肢体抬高,并镇痛。对照组40例500m L20%甘露醇,2次/d,静滴。治疗组40例推拿按摩:揉、搓、擦、捏;按摩肢体肿胀部位,先轻柔,适应后小力度揉搓,配以伸屈活动,活化皮肤组织细胞,然后擦、捏,30min/次,1次/d;活血化瘀汤(青皮、郁金、丹皮、桃仁各15g,红花、乳香各10g,连翘20g,大黄15g,香附10g,泽兰15g,枳壳、柴胡、路路通各10g;上肢骨折肿胀加桂枝、羌活;下肢骨折肿胀加川牛膝、独活),1剂/d,水煎200m L,早晚口服。连续治疗7d为1疗程。观测临床症状、肿胀肢体、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效30例,有效9例,无效1例,总有效率97.50%。对照组显效15例,有效15例,无效10例,总有效率75.00%。治疗组疗效优于对照组(P<0.01)。[结论]活血化瘀汤联合推拿按摩治疗骨伤后期肢体肿胀效果显著,值得推广。

[Objective]To observe the promoting blood circulation to remove blood stasis soup combined tuina massage in the treatment of fractures late limb swelling effect. [Methods] Using random parallel control method, 80 cases of outpatient and hospitalized patients were randomly divided into two groups according to flip a coin method. Bed rest, fractures of limbs, and analgesia. Mannitol, control group 40 cases 500 ml20%2 times/d, static drops. Treatment group（40 cases of tuina massage： rub, rub, rub and knead; Gently massage for limb swelling, first, to adapt to the small strength after knead, match with flex, activate skin cells, and then wipe, kneading, Chinese massage massage, 30 min/times, 1 / d; Decoction for activating blood circulation（Qingpi,Yujin,Danpi,Taoren each 15 g, Honghua,Ruxiang each 10 g, Lianqiao 20 g,Dahuang 15 g,Xiangfu 10 g, Zelan15 g, Zhike,Chaihu,Lulutong every 10 g, swelling of the upper extremity fractures and Guizhi,Qianghuo, swelling of the lower limb fractures with Chuanniuxi,Duhuo）, 1/d, boiling water 200 ml, oral sooner or later. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. [Results] the treatment group 30 cases were markedly effective, effective 9 cases, 1 had no effect, the total effective rate was 97.50%. Control group 15 cases were markedly effective, effective, 15 cases, 10 cases were invalid, the total effective rate was 75.00%. The treatment group curative effect is better than that of control group（P〈0.01）.[Conclusion] Blood circulation by removing blood stasis soup with massage therapy late fractures limb swelling effect is remarkable, is worth promoting.