解剖钢板固定联合中医疗法治疗胫骨平台骨折的临床分析

Clinical Analysis of Anatomical Plate Fixation Combined with Chinese Medicine in the Treatment of Tibial Plateau Fracture

目的分析解剖钢板固定联合中医疗法治疗胫骨平台骨折的临床疗效。方法选取该院2015年1月—2018年12月收治的85例胫骨平台骨折患者为研究对象,随机分为两组,对照组患者仅行解剖钢板固定治疗,观察组在对照组基础上联合采用中医疗法治疗,对比两组手术前后HSS(膝关节功能)评分、骨代谢指标变化情况、TGF-β(转化生长因子-β)水平以及手术指标。结果观察组术后7d时HSS评分为(89.98±6.18)分,高于对照组,最早负重时间为(2.15±1.08)个月、骨折愈合时间为(3.12±0.18)个月,住院时间为(15.12±0.59)d,短于对照组,差异有统计学意义(t=12.633、8.526、9.664、12.633,P<0.05)。结论解剖钢板固定联合中医疗法治疗胫骨平台骨折的临床疗效显著,能对术后骨折愈合进行有效促进,缩短患者住院时间。

Objective To analyze the clinical efficacy of anatomical plate fixation combined with Chinese medicine in the treatment of tibial plateau fractures.Methods Eighty-five patients with tibial plateau fractures admitted to the hospital from January 2015 to December 2018 were randomly divided into two groups.The control group was treated with anatomical plate fixation only.The observation group was combined with the control group.In the treatment of Chinese medicine,the HSS(knee function)score,the change of bone metabolic index,the level of TGF-β(transforming growth factor-β)and the surgical index were compared before and after surgery.Results The HSS score of the observation group was(89.98±6.18)points at 7 d after operation,which was higher than that of the control group.The earliest weight-bearing time was(2.15±1.08)months,the fracture healing time was(3.12±0.18)months,and the hospitalization time was(15.12±0.59)d,shorter than the control group,the difference was statistically significant(t=12.633,8.526,9.664,12.633,P<0.05).Conclusion The clinical effect of anatomical plate fixation combined with Chinese medicine in the treatment of tibial plateau fracture is significant,which can effectively promote postoperative fracture healing and shorten the hospitalization time.