小儿伤科方与小儿伤科颗粒对肱骨髁上骨折患儿依从性的影响对比

Comparison of effects of Xiao'er Shangke Recipe and Xiao'er Shangke Granules on compliance of children with supracondylar fractures of humerus

目的观察肱骨髁上骨折患儿分别使用小儿伤科方与小儿伤科颗粒的依从性,旨在优化后续肱骨髁上骨折治疗方案。方法选取2018年2月至2019年7月收治的84例肱骨髁上骨折患儿,随机分为对照组和观察组,每组42例。两组均予以常规治疗,在此基础上对照组使用小儿伤科方治疗,观察组使用小儿伤科颗粒治疗。两组均连续治疗1个月,评估并对比两组治疗前、治疗3 d、治疗15 d及治疗1个月时的疼痛程度,治疗1个月时骨折愈合情况、肘关节功能;采用自制问卷评估两组患儿治疗依从性;治疗期间,记录两组不良反应。结果两组治疗3 d、15 d及1个月时的VAS评分较治疗前逐渐降低,且观察组各时点VAS评分均低于对照组(P<0.05);观察组骨折愈合时间短于对照组,且观察组治疗1个月时的骨痂X线评分高于对照组(P<0.05);观察组肘关节功能优良率高于对照组(P<0.05),总依从率高于对照组(P<0.05),不良反应发生率低于对照组(P<0.05)。结论相比于小儿伤科方,肱骨髁上骨折患儿使用小儿伤科颗粒治疗的依从性更好,更利于提高治疗整体疗效、促进患儿骨折愈合,且服用颗粒制剂的不良反应少,更为安全可靠。

Objective To observe the compliance of children with supracondylar fractures of humerus in using Xiao’er Shangke Recipe and Xiao’er Shangke Granules, aiming to guide the optimization of the subsequent treatment plan for supracondylar fracture of humerus. Methods A total of 84 children with supracondylar fractures of humerus admitted to the hospital from February 2018 to July 2019 were selected and randomly divided into the control group and the observation group, with 42 cases in each group. Both groups were given routine treatment. On this basis, the control group was treated with Xiao’er Shangke Recipe, and the observation group was treated with Xiao’er Shangke Granules. Both groups were treated continuously for 1 month, and the pain degree, fracture healing and elbow joint function of the two groups were evaluated and compared before treatment, 3 days, 15 days and 1 month after treatment. Self-made questionnaire was used to evaluate the treatment compliance of the two groups, and the adverse reactions of the two groups were recorded during the treatment. Results The visual analogue scale(VAS) scores of the two groups at 3 d, 15 d and 1 month of treatment were gradually lower than those before treatment, and the VAS scores of the observation group were lower than those of the control group at each time point(P<0.05);the fracture healing time of the observation group was shorter than that of the control group, and the callus X-ray score of the observation group at 1 month of treatment was higher than that of the control group(P<0.05);the excellent and good rate of elbow joint function in the observation group was higher than that in the control group(P<0.05);the total compliance rate of the observation group was higher than that of the control group(P<0.05);the incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion Compared with Xiao’er Shangke Recipe, the compliance of children with supracondylar fracture of humerus treated with Xiao’er Shangke Granules is better, which is more conducive to improve the overall curative effect and promote fracture healing.And taking Xiao’er Shangke Granules is more safe and reliable with less adverse reactions.