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观察中医中药治疗围术期创伤感染性骨皮缺损的疗效 被引量:1

Observation of the curative effect of traditional Chinese medicine in the treatment of perioperative traumatic bone defect
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摘要 目的:探究围术期患者发生创伤感染性骨皮缺损时采取中医药进行治疗的临床效果。方法:本次研究于2016年1月-2017年12月在我院收集的围术期创伤感染性骨皮缺损患者共76例,根据随机数字表法将纳入研究的患者分为两组,包括对照组38例以及观察组38例。对照组患者行围术期常规方案予以治疗,观察组则在对照组基础上实施中药外洗内服方案予以治疗,对两组患者的临床疗效、骨缺损愈合用时以及疼痛症状消退用时等临床指标进行比较。此外通过视觉模拟评分法(VAS)对两组患者治疗前后的疼痛程度进行评定和比较。结果:观察组患者的临床疗效(92.11%)显著高于对照组(68.42%),数据差异有统计学意义(P<0.05);观察组患者的骨缺损愈合用时以及疼痛症状消退用时均明显短于对照组,数据差异有统计学意义(P<0.05);治疗前两组患者的疼痛评分相比较无统计学意义(P> 0.05),治疗后,两组患者疼痛评分均有显著下降,其中观察组患者VAS评分下降更为显著,数据差异有统计学意义(P<0.05)。结论:围术期患者发生创伤感染性骨皮缺损时采取中医药进行治疗具有良好的临床效果,可有效促进患者骨缺损的愈合,减轻患者的疼痛感,有利于促进患者的康复,因此该种治疗方案值得在临床中推广与应用。 Objective:To investigate the clinical effect of traditional Chinese medicine(TCM)in the treatment of traumatic bone defects in perioperative patients.Methods:A total of 76 patients with perioperative traumatic bone defect were collected from January 2016 to December 2017 in this study.The patients included in the study were divided into two groups according to the random number table method,with 38 patients in the control group and 38 in the observation group.The control group was treated with routine routine perioperative treatment.The observation group was treated on the basis of the control group by external washing and oral administration of the traditional Chinese medicine regimen.The clinical efficacy of the two groups of patients,the time of bone defect healing,and the time when the pain symptoms disappeared were evaluated and compared.In addition,visual analog scale(VAS)was used to assess and compare the pain level before and after treatment in both groups.Results:The clinical efficacy(92.11%)of the observation group was significantly higher than that of the control group(68.42%),and the difference was statistically significant(P<0.05).The observation group had a significantly shorter time for healing of bone defect and the disappearance of pain symptoms.In the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in pain scores between the two groups before treatment(P>0.05).After the treatment,the pain scores of both groups decreased significantly.The VAS score in the observation group decreased more significantly,and the difference was statistically significant(P<0.05).Conclusion:The use of traditional Chinese medicine for the treatment of traumatic bone defects in perioperative patients had a good clinical effect,it could effectively promote the healing of patients with bone defects,reduce the patient’s pain,and help promote the recovery of patients.The treatment plan was worthy of promotion and application in clinical practice.
出处 《中医临床研究》 2018年第33期103-105,共3页 Clinical Journal Of Chinese Medicine
关键词 中医药 围术期 创伤感染性骨皮缺损 临床疗效 Traditional Chinese medicine Perioperative period Traumatic infected bone defect Clinical efficacy
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