维吾尔族医治疗四肢骨折的方法及其用药规律分析

Treatment and Medication Discipline of Limb Fractures in Uyghur Medicine

目的:回顾性整理分析四肢骨折维吾尔族医治疗原则、方法、用药规律。方法:采用回顾性整理分析方法收集从2013年1月—2014年12月期间在新疆维吾尔自治区维吾尔医医院确诊为四肢骨折并接受住院治疗患者住院病历,整理分析四肢骨折治疗原则、方法、方药及其用药情况,探索骨折的维吾尔族医特色治疗方法及其规律。结果:符合纳入标准的骨折住院病历450例中以用维吾尔族医手法复位284(63.1%)例、手术正骨166(37.9%)例。药物治疗以活血化瘀、消炎消肿、促骨痂生成为主,占72%,其中莎拉吉提蜜膏、强力玛得土力阿亚特蜜膏及其干姜、肉桂、阿纳其根、荜茇、草豆蔻、中亚白及、丁香、花椒、肉豆蔻、草果、安息香、乳香、珍珠等增强自然力,促进骨代谢、骨痂生长和骨折愈合。结论:维吾尔族医治疗骨折的方法及用药规律符合临床实际,采用手法复位石膏外固定术或手术治疗,正骨后可应用相应的内服药物,包括活血化瘀及消炎消肿类制剂、促进骨代谢及骨痂生长制剂、助于自然力制剂及其相应药材。

Objective： To retrospectively analyze the treatment principles,methods and medication disciplines of Uyghur medicine for limb fractures. Method： Retrospective analysis method was used to collect the medical records of patients with limb fracture from January 2013 to December 2014 in Uyghur Medicine Hospital of Xinjiang Uyghur Autonomous Region,analyze the treatment principles,methods,formulas and drugs for limb fractures,and explore the characteristics and medication disciplines of Uyghur medical treatment methods for fractures. Result： Among 450 fracture cases included in the study,Uyghur medicine manual reduction was used in 284 cases（ 63. 1%）,and surgery bonesetting was used in 166 cases（ 37. 9%）. The medicines used were mainly of promoting blood circulation,relieving the swelling and inflammation,and promoting the callus formation.These kinds of medicines accounted for 72% of the used medicines. Shalajit Migao,Maddatulhayat Migao Preparations,and Zingiberis Rhizoma,Cinnamomi Cortex,Anakin Root,Piperis Longi Fructus,Semen Alpiniae Katsumadai,Bletillae Rhizoma,Caryophylli Flos,Pericarpium Zanthoxyli,Semen Myristicae,Tsaoko Fructus,Benzoinum,Olibanum,Margarita and other medicinal materials could enhance the body nature,promote the bone metabolism,callus growth and fractures healing. Conclusion： The Uyghur medical treatment methods and medication disciplines for fractures were in conformity with the clinical practice. After manual reduction with plaster external fixation and surgical treatment,corresponding oral medicines shall be taken. The oral medicines include the agents and corresponding medicinal materials which can activate blood circulation to dissipate stasis,relieve swelling and inflammatory,promote bone metabolism,callus growth,and assist in body nature.