养血止痛丸治疗骶骨骨折并神经损伤术后的疗效观察

Curative Effect Observation on Yangxue Zhitong Pill combined with Surgery in the Treatment of Sacral Fractures and Nerve Damage

目的观察养血止痛丸治疗骶骨骨折合并神经损伤的临床疗效。方法将60例骶骨骨折并神经损伤患者,按照住院先后顺序完全随机分为实验组和对照组,每组各30例。两组均行手术治疗;实验组术后加服养血止痛丸6 g,3次/d,4~8周为1个疗程,治疗8周并比较两组的总有效率。结果 60例患者随访6~30个月,中位随访时间15个月。Majeed功能评价,实验组优18例（60%）、良9例（30%）,优良率90%（27例）;对照组优11例（37%）、良12例（40%）,总有效率77%（23例）;组间优良率比较,差异有统计学意义（χ2=4.48,P〈0.05）。结论手术治疗骶骨骨折并神经损伤可取得良好效果;养血止痛丸对其临床疗效能够起到强化作用,有助于患者神经功能更好的恢复。

Objective To observed the clinical curative effect of Yangxue Zhitong（YGZT） pill in the treatment of sacral fracture and nerve damage. Methods 60 cases of patients with sacral fractures and nerve damage were randomly divided into experimental group and control group in chronological order, and each group had 30 cases. The two groups were performed surgical treatment. After surgery, the experimental group used 6 g YGZT pill, 3 times every day, and 4 to 8 weeks was a period of treatment. After 8 weeks, the total effective rate of the the two groups was compared. Results 60 cases were followed up for 6 to 30 months, and the median follow-up time was 15 months. For Majeed function evaluation： in the experimental group, 18 cases（60%） were excellent, 9 cases（30%） were good, and excellent rates was 90%（27 cases）; in the control group, 11 cases（37%） were excellent, 12 cases（40%） were good, and the total effective rate was77%（23 cases）; and the difference was statistically significant（χ2=4.48, P〈0.05）. Conclusion Surgical treatment of sacral fractures and nerve injury can achieve good effect. YGZT pill can reinforce its clinical curative effect, and help the recovery of nerve function.