血府逐瘀汤合防己黄芪汤加减治疗骨伤后期肢体肿胀50例疗效观察

Clinical Observation of Modified Xuefu Zhuyu Decoction and Fangji Huangqi Decoction for Treating Limb Swelling in the Later Period of Bone Fracture in 50 Cases

目的探讨血府逐瘀汤合防己黄芪汤加减治疗骨伤后期肢体肿胀的临床疗效。方法将医院2015年10月至2016年9月收治的100例骨伤后期肢体肿胀患者随机分为观察组和对照组,各50例。对照组患者静脉滴注甘露醇,观察组患者采用血府逐瘀汤合防己黄芪汤加减治疗。结果治疗后,两组患者SF-36生活质量评分均显著高于治疗前,且观察组显著高于对照组(P<0.05);观察组总有效率为94.00%,明显高于对照组的80.00%(P<0.05)。结论血府逐瘀汤合防己黄芪汤加减治疗骨伤后期肢体肿胀,可全面缓解患者水肿症状,有助于疾病转归,改善预后,提高生活质量,值得临床推广。

Objective To investigate the clinical effect of modified Xuefu Zhuyu Decoction and Fangji Huangqi Decoction in treating limb swelling in the later period of bone fracture. Methods Totally 100 patients with limb swelling in the later period of bone fracture admitted to our hospital were randomly divided into the obversation group and the control group, 50 cases in each group. The control group was given intravenous drip of mannitol,while the observation group was treated with modified Xuefu Zhuyu Decoction and Fangji Huangqi Decoction. Results After treatment,the scores of SF-36 quality of life in the two groups were significantly higher than those before treatment,and the observation group was significantly higher than the control group（ P〈0. 05）. The total effective rate of the observation group was 94. 00%, which was significantly higher than 80. 00% of the control group（ P〈0. 05）. Conclusion Modified Xuefu Zhuyu Decoction and Fangji Huangqi Decoction in treating limb swelling in the later period of bone fracture can comprehensively relieve the symptoms of edema, improve the outcome and prognosis of the disease, and improve the quality of life. It is worthy of clinical promotion.