中药纱布外敷治疗小儿骨折肢体肿胀154例临床观察

Clinical Observation of Chinese Medicine External Application with Gauze for Limb Swelling Due to Fracture in Children:A Study of 154 Cases

目的:观察中药纱布外敷治疗小儿骨折肢体肿胀的临床疗效。方法:将收治的采用中药纱布外敷治疗的154例骨折肢体肿胀患儿作为观察组,另选取同期给予常规西药消肿治疗的150例骨折肢体肿胀患儿作为对照组,比较2组患儿的临床治疗效果。结果:2组经治疗后,临床总有效率观察组94.81%,对照组77.33%,2组比较,差异有统计学意义(P<0.05)。治疗后,观察组视觉模拟评分法(VAS)评分改善情况优于对照组(P<0.05)。观察组消肿时间(1.5±0.4)天,优于对照组(4.1±1.2)天,2组消肿时间比较,差异有统计学意义(P<0.05)。2组患儿不良反应比较,差异无统计学意义(P>0.05)。结论:中药纱布外敷治疗小儿骨折肢体肿胀,临床疗效显著,可快速消肿,缓解疼痛,且不良反应少。

Objective：To observe the clinical effect of Chinese medicine external application with gauze for limb swelling due to fracture in children.Methods：Selected 154 children with limb swelling due to fracture as the observation group which was given the therapy of Chinese medicine external applying gauze,and the other 150 cases at the same stage which were given the therapy of routine western medicine of detumescence were regarded as the control group.Compared the clinical effect of the two groups.Results：After treatment,the total clinical effective rate was 94.81%in the observation group,and was 77.33%in the control group,the difference being significant（P〈0.05）.After treatment,improvement of visual analogue scale（VAS） scores of the observation group was better that those of the control group（P〈0.05）.Detumescence time of the observation group was（1.5± 0.4） days,being better than the（4.1 ± 1.2） days of the control group,the difference being significant（P〈0.05）.Compared adverse reaction of the two groups,there was no significant difference（P〈0.05）.Conclusion：Chinese medicine external application with gauze has significant clinical efficacy in treating limb swelling due to fracture in children,which can quickly relieve pain,swelling,and has less adverse reaction.