补肾活血汤治疗桡骨远端骨折后期并发Sudeck骨萎缩患者的效果分析

Efficacy of the Bushen Huoxue decoction on Sudeck’s bone atrophy with late distal radius fracture

目的:分析补肾活血汤治疗桡骨远端骨折后期并发Sudeck骨萎缩患者的临床效果。方法:选取2018年1月-2020年1月收治的76例桡骨远端骨折后期并发Sudeck骨萎缩患者作为本次研究的对象,应用双色球法随机分为针刺组和试验组,各38例。针刺组应用针刺进行治疗,试验组在针刺组基础上加用补肾活血汤进行治疗。比较分析两组临床疗效,治疗前后的临床症状体征、腕关节功能、骨密度。结果:相比针刺组,试验组的总有效率显著更高(P <0.05)。治疗后,相比针刺组,试验组视觉模拟评分法(Visual Analogue Scale,VAS)、关节活动度、压痛及皮肤颜色评分及肿胀体积显著更低(P <0.05)。治疗后,相比针刺组,试验组疼痛、功能状况、活动度百分比、屈伸活动度、握力评分显著更高(P <0.05)。治疗4、8周后,相比针刺组,试验组骨密度显著更高(P <0.05)。结论:应用补肾活血汤治疗桡骨远端骨折后期并发Sudeck骨萎缩患者效果显著,可明显改善患者的临床症状和腕关节功能,提高骨密度,值得推广。

Objective:To analyze the clinical efficacy of the Bushen Huoxue decoction(补肾活血汤)on patients with late distal radius fracture complicated by Sudeck bone atrophy.Methods:From January 2018 to January 2020,and 76 cases were randomly divided into the acupuncture group and the experimental group by the two-color ball method,with 38 cases in each group.The acupuncture group was treated by acupuncture,while the experimental group was treated with the Bushen Huoxue decoction plus acupuncture.The clinical efficacy,clinical symptoms and signs,wrist joint function and bone mineral density before and after treatment were compared and analyzed between the two groups.Results:Compared with the acupuncture group,the total efficiency in the experimental group was significantly higher(P<0.05).After treatment,compared with the acupuncture group,the VAS,joint range of motion,tenderness and skin color scores,and swelling volume in the experimental group were significantly lower(P<0.05).After treatment,compared with the acupuncture group,the experimental group had significantly higher scores of pain,functional status,range of motion,flexion and extension range of motion,and grip strength(P<0.05).After 4 and 8 weeks of treatment,the bone mineral density in the experimental group was significantly higher than that in the acupuncture group(P<0.05).Conclusion:The Bushen Huoxue decoction is effective in treating Sudeck bone atrophy with late distal radius fracture,can significantly improve the clinical symptoms and wrist joint function,and improve bone mineral density,which is worthy of promotion.