中西医结合治疗肱骨骨折合并桡神经损伤的临床观察

Clinical Observation on Therapy of Integrated Traditional Chinese and Western Medicine in the Treatment of Tibial Fracture with Radial Nerve Injury

目的观察黄芪桂枝五物汤联合上肢损伤洗方治疗肱骨骨折合并桡神经损伤患者的效果。方法收集2017年7月—2018年7月收治的肱骨骨折合并桡神经损伤患者80例,分为对照组与观察组。对照组患者40例,常规治疗后加用上肢损伤洗方进行治疗;观察组患者40例,常规治疗基础上采用黄芪桂枝五物汤联合上肢损伤洗方进行治疗,对比2组患者的治疗效果、生活质量、神经功能状况等相关指标。结果观察组治疗总有效率97.5%(39/40)明显优于对照组80%(32/40)(P<0.05);观察组SF-36量表中SF、PF、RE、MH和GH各项目分数均优于对照组(P<0.05);观察组患者的桡神经功能恢复率97.5%(39/40)明显优于对照组82.5%(33/40)(P<0.05)。结论肱骨骨折合并桡神经损伤患者经治疗后,能有效提高患者的生活质量,值得临床推广应用。

Objective To observe the effect of Huangqi Guizhi Wuwu decoction combined with upper limb injury prescription in the treatment of patients with tibiofibular fracture complicated with radial nerve injury. Methods Eighty patients with tibiofibular fractures and sacral nerve injury were enrolled between July 2017 and July 1818. They were divided into control group and observation group. 40 patients in the control group were given conventional therapy and upper limb injury prescription. After routine treatment, 40 patients in the observation group were treated with Huangqi Guizhi Wuwu decoction combined with upper limb injury wash. The therapeutic effects, quality of life and neurological status of the two groups were compared. Results The total effective rate of the observation group was 97.5%, which was significantly better than that of the control group (80%)(P<0.05). The scores of SF, PF, RE, MH and GH in the observation group were better than those of the control group (P <0.05). The recovery rate of sacral nerve function in the observation group was 97.5%, which was significantly better than that in the control group (82.5%)(P<0.05). Conclusion After treatment, patients with tibiofibular fracture combined with radial nerve injury can effectively improve the quality of life of patients, which is worthy of clinical application.