独活寄生汤联合中药熏蒸治疗桡骨中上段骨折术后桡神经损伤效果观察

Effect of Duhuo Jisheng Decoction combined with Traditional Chinese Medicine fumigation on radial nerve injury in patients with postoperative fracture of middle and upper radius

目的探讨独活寄生汤联合中药熏蒸治疗桡骨中上段骨折术后桡神经损伤的效果。方法选取2015年2月至2020年10月收治的122例桡骨中上段骨折术后桡神经损伤患者分为观察组和对照组,对照组给予西药常规治疗,观察组给予独活寄生汤联合中药熏蒸治疗,比较两组桡神经功能恢复情况,治疗前后肌电图检测MCV等指标及神经传导速度。结果观察组、对照组桡神经功能恢复优良率分别为95.08%与83.61%,观察组桡神经功能恢复情况优于对照组(P<0.05),治疗前两组肌电图检测指标无显著性差异(P>0.05),治疗后观察组肌电图指标改善优于对照组(P<0.05)。治疗前两组桡神经传导速度无显著性差异(P>0.05),治疗后观察组MCV、SCV、波幅、潜伏期改善情况均优于对照组(P<0.05)。结论独活寄生汤联合中药熏蒸治疗桡骨中上段骨折术后桡神经损伤可促进桡神经功能的恢复,改善桡神经的运动和感觉传导速度,值得推广。

Objective To investigate and analyze the effect of Duhuo Jingsheng Decoction combined with traditional Chinese medicine fumigation in the treatment of radial nerve injury after middle and upper radius fractures.Methods 122 patients were selected and randomly divided into observation group and control group,of which the radial nerve injury after middle and upper radius fractures admitted from February 2019 to October 2020.The control group was given conventional Western medicine treatment,and the observation group was given Duhuo Jingsheng Decoction combined with traditional Chinese medicine fumigation treatment.These two groups were compared with the recovery of radial nerve function,electromyogram detection indexes and nerve conduction velocity before and after treatment.Results The rate of recovery of radial nerve function in the control group was 95.08%that in observation group was 83.61%.The recovery of radial nerve function in the observation group was better than that in the control group(P<0.05).There was no significant difference in EMG test indexes before treatment(P>0.05).The improvement of EMG indexes in the observation group was better than that of the control group.There was no significant difference in radial nerve conduction velocity before treatment(P>0.05).After treatment,the improvement of MCV,SCV,amplitudeand latency in the observation group was better than that of the control group(P<0.05).Conclusion Duhuo Jingsheng combined with traditional Chinese medicine fumigation for the treatment of radial nerve injury after middle and upper radial fractures can promote the recovery of radial nerve function,promote the movement and sensory conduction velocity of the radial nerve,and it is worthy of promotion.