骨折迟缓愈合、骨不连与中医体质特征研究探讨

Study on the Fracture Healing,Nonunion and the Characteristics of TCM Constitution

目的:分析骨折延缓愈合、骨不连患者的中医体质特征,为骨折延缓愈合、骨不连的临床防治提供理论依据。方法:选取2010年01月—2015年12月骨折延缓愈合、骨不连患者256例,参照《中医体质分类与判定表》对入选病例的体质类型进行调查、分析,探讨骨折延缓愈合、骨不连的发生规律。结果:骨折延缓愈合患者主要体质特质(按频数百分比高低排列)为血瘀质、气郁质、气虚质、阳虚质、阴虚质;骨不连患者主要为血瘀质、气虚质、阳虚质、阴虚质;78例合并骨质疏松患者的中医体质主要为血瘀质、气虚质、阴虚质、阳虚质。结论:骨折延缓愈合、骨不连患者的中医体质特征主要为血瘀、气虚质,其次为阳虚质,而后为阴虚质和气郁质,提示血瘀、气虚是引发骨折延缓愈合或骨不连的本质特征。

Objective：To analyze the characteristics of traditional Chinese medicine constitution of patients with fracture healing,nonunion,and to provide theoretical basis for clinical prevention and treatment of delayed union and nonunion of bone fracture. Methods：January 2010 to December 2015 256 cases of patients with fracture delayed healing and nonunion,according to the TCM constitution classification to determine the form of the investigation of the selected cases of physical types,analysis,investigate fracture delayed healing,bone was not even the occurrence regularity. Results：Bone fracture delayed healing in patients with main physical characteristics（in order of frequency percentage level）were blood stasis,Qi stagnation,Qi deficiency,Yang deficiency,Yin deficiency;bone nonunion were mainly blood stasis,Qi deficiency,Yang deficiency,Yin deficiency;78 cases with osteoporosis TCM constitution mainly blood stasis,Qi deficiency,Yin deficiency,Yang deficiency. Conclusion：Bone fracture delayed healing and bone nonunion patients with TCM physique characteristics mainly were blood stasis,Qi deficiency. Secondly is Yang deficiency and Yin deficiency and Qi stagnation,it showed blood stasis and Qi deficiency that the essential characteristics of is the initiation fracture delayed union or nonunion.