克氏针钢丝张力带内固定配合熏洗二号方治疗髌骨骨折的临床研究

A clinical study on the treatment of patellar fracture by Kirschner wire tension band internal fixation with No.2 fumigation prescription

目的:研究克氏针钢丝张力带内固定配合熏洗二号方治疗髌骨骨折的治疗效果。方法:选取切开复位克氏针钢丝张力带内固定的髌骨骨折42例,随机分成两组,每组21例,治疗组为熏洗二号方熏洗,对照组为扶他林,观察并比较两组患者术后VAS疼痛评分、患膝关节活动改善度以及Bostman功能评分。结果:在膝关节活动度方面,熏洗二号方熏洗组在术后6周和12周的膝关节活动度优于扶他林外敷组;两组术后VAS疼痛评分差异无统计学意义(P>0.05);Bostman髌骨骨折术后疗效评价,两组优良率均为100%,但是熏洗组优秀率(80.95%)高于对照组疗效优秀率(33.33%),差异有统计学意义(P>0.05)。结论:熏洗二号方对髌骨骨折切开复位克氏针钢丝张力带内固定术后具有一定的有止痛效果,能有效恢复膝关节活动度,能够提高克氏针钢丝张力带内固定术治疗髌骨骨折治疗效果,值得推广。

Objective: To evaluate the effect of Kirschner wire tension band internal fixation with No.2 fumigation prescription on patellar fracture. Methods: According to diagnostic criteria, inclusion criteria and exclusion criteria, 42 patients treated by modified Kirschner-wire tension band were selected and randomly divided into two groups. The treatment group was applied with fumigating and washing with the prescription of the fumigation No.2. The control group was applied with the Futalin ointment. The range of motion of the injured knee, Visual Analog Scale, Bostman score were observed and compared. Results: Improved range of motion of the affected knee in the treatment group were better than the control group, and the difference was statistically significant(P<0.05). The difference of VAS between two groups was not statistically significant(P>0.05). Bostman score in the treatment group was better than the control group, and the difference was statistically significant(P<0.05). Conclusion: The prescription of the fumigation No.2 could effectively relieve the pain, improve the range of motion and the curative effect, and was worthy of promotion.