活血化瘀汤结合中医按摩治疗骨伤后期产生肢体肿胀效果研究

Explore the Effect of Patients with Late Fractures of Limbs Swelling Treat with Promoting Blood Circulation to Remove Blood Stasis Soup and Combine with the Chinese Medicine Massage

目的:探究活血化瘀汤结合中医按摩对骨伤后期产生的肢体肿胀进行治疗的临床效果。方法:选择自2010年7月—2012年7月我院收治的骨伤后期产生肢体肿胀的患者76例,并将这76例患者按照其入院顺序分为观察组和对照组,各组均38例患者,对照组患者采用西药进行治疗,20%甘露醇250 m L静脉滴注每天1次,1个疗程1周;观察组则采用口服活血化瘀汤结合中医按摩对患者进行治疗,同样是每天1次,1周为1个疗程。对2组患者进行1个疗程的治疗之后,通过观察2组患者的肢体肿胀情况、消除肿胀的时间、患者的肢体疼痛和功能等情况来判断2组患者的治疗效果。结果:在经过1周的治疗之后,观察组患者的总有效率(94.74%)显然比对照组的(65.79%)高;观察组患者在进行治疗后第1天、第3天、第7天其肿胀情况较对照组患者而言具有明显的好转,2组患者在总有效率及肿胀情况方面具有显著性的差异(P<0.05);观察组患者在治疗后消除肿胀的时间以及住院时间方面明显的短于对照组患者所用的时间,以及其在治疗2周、3个月后,肢体功能优于对照组患者的情况,2组相比较差异具有显著性(P<0.05);观察组患者在治疗3 d后肢体的疼痛情况与对照组相比较明显减轻,有显著性差异(u=2.539 2,P=0.011 1)。结论:采用活血化瘀汤结合中医按摩治疗骨伤后期产生的肢体肿胀,在短时间内能够取得良好的临床效果,有效减轻了患者的肢体疼痛以及肿胀情况,改善了患者的肢体功能。

Objective ： To explore the promoting blood circulation to remove blood stasis soup and combine with the Chinese medicine massage on late fractures of limbs swelling effect of clinical treatment. Methods： From July 2010 to July 2012, our hospital late fractures of limbs swelling of 76 cases of patients, and 76 patients in the hospital order divided into observation group and control group, all 38 patients in control group were treated by western medicine treatment, the patients＇ intravenous drip every day 1 time 250 mL of 20% mannitol, one course of treatment for 1 week. Observation group, the use of the blood circulation by removing blood stasis decoction combined with oral Chinese medicine massage treatment of patients, is also 1 times a day, a course of treatment for 1 week. For a period of treatment of 2 groups of patients after treatment, by observing the patients of two groups of patients with limb swelling, swelling time, body pain, and limb function, and so on and so forth to judge the curative effect of two groups patients. Results ： After the treatment of 1 week, the observation group of patients with total effective rate （ 94.74% ） obviously higher than control group （ 65.79% ）; observation group of patients treated in 1 day,3 days,7 days after the swelling, compared with the control group patients has obvious improvement in 2 groups had a total effective rate and the swelling has significant differences （ P〈0.05 ）; observation group of patients after treatment to eliminate swelling time and hospital stay time obviously shorter than that in control group patients, and its in 2 weeks, 3 months after treatment, patients with limb function is better than that of control group, two groups have significant difference compared with （ P〈0.05 ）; observation group of patients in the treatment of 3 d body pain after comparing with the control group significantly reduce, has significant difference （ u=2.539 2, P=0.011 1 ）. Conclusion ： Using promoting blood circulation to remove blood stasis soup and late combined with Chinese medicine massage in the treatment of fractures of limbs swelling, and in a short period of time can obtain good clinical effect, effectively alleviate the patients＇ physical pain and swelling of the situation, improve the patient＇s body function.