桃红接骨胶囊联合微创截骨手法整复术治疗拇外翻临床观察

Curative Effect Analysis of Taohong Jiegu Capsules Combined with Minimally Invasive Osteotomy and Manipulative Reduction in Treatment of Hallux Valgus

目的:探讨桃红接骨胶囊联合微创截骨手法整复术治疗拇外翻的临床疗效。方法:抽取2020年1月-2022年12月安徽省中医药大学附属太和中医院骨一科符合纳入标准的60例92足拇外翻患者为研究对象,随机分为对照组和观察组,每组30例,对照组行拇外翻微创截骨手法整复术,观察组在对照组的基础上加用桃红接骨胶囊,观察比较两组患者的临床疗效;术前、术后3月拍摄足负重正侧位片,测量比较术前、术后对照组与观察组骨密度、拇外翻角(HVA)、第1、2跖骨夹角(IMA)及远端跖骨关节面角(DMAA);采用美国骨科足踝外科协会(AOFAS)前足评分系统及视觉模拟评分法(VAS)评价术后恢复效果。结果:治疗后观察组有效率高于对照组,差异具有统计学意义(P<0.05)。两组患者术后3月HVA、IMA较术前明显减小,差异具有统计学意义(P<0.05)。观察组患者术后3月骨密度、AOFAS较对照组升高,VAS低于对照组,差异具有统计学意义(P<0.05)。结论:桃红接骨胶囊联合微创截骨手法整复术治疗拇外翻的临床疗效确切,可明显改善跖趾关节功能,加速骨折愈合时间,有效缓解患者疼痛症状,有利于术后恢复,具有较高的临床应用价值。

Objective:To investigate the early clinical efficacy of Taohong Jiegu Capsule combined with minimally invasive osteotomy in the treatment of hallux valgus with thumb bursitis.Methods:From January 2020 to December 2022,60 patients(92 feet)with hallux valgus admitted to the First Department of Orthopedics,Taihe Hospital of Anhui University of Traditional Chinese Medicine were randomly divided into control group and study group,with 30 cases in each group.The control group was treated with minimally invasive osteotomy of hallux valgus,and the study group was treated with Taohong Jiegu Capsule on the basis of the control group.The clinical efficacy of the two groups was observed and compared.Bone mineral density,hallux valgus angle(HVA),intermetarsal angle(IMA)and distal metatarsal articular angle(DMAA)were measured and compared between the control group and the study group before and after operation.The American Orthopedic Foot and Ankle Society(AOFAS)forefoot scoring system and visual analogue scale(VAS)were used to evaluate the postoperative recovery effect.Results:The effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The HVA and IMA of the two groups were significantly reduced at 3 months after operation,and the difference was statistically significant(P<0.05).The bone mineral density and AOFAS in the study group were higher than those in the control group at 3 months after operation,and the VAS was lower than that in the control group(P<0.05).Conclusion:Taohong Jiegu Capsule combined with minimally invasive osteotomy for the treatment of hallux valgus.