大黄芒硝散肘部外敷治疗儿童GartlandⅡ型肱骨髁上骨折术后肿痛的疗效观察

Observation on the Efficacy of External Application of Dahuang Glauber's Salt Powder on the Elbow in the Treatment of Postoperative Swelling and Pain in Children with Gartland Type II Supracondylar Humeral Fracture.

目的:观察大黄芒硝散肘部外敷辅助治疗儿童GartlandⅡ型肱骨髁上骨折术后肿痛的临床疗效。方法:选择芜湖市中医医院采用闭合复位克氏针内固定治疗GartlandⅡ型肱骨髁上骨折51例患儿作为研究对象,随机分为观察组(30例)与对照组(21例),对照组进行常规治疗,观察组在常规治疗的基础上加用大黄芒硝散肘部外敷,观察2组术前、术后3d、术后6d疼痛评分、肘关节肿胀度及住院天数、术后是否发生并发症。结果:观察组术后3d、6d疼痛评分、肘关节肿胀度及住院天数均显著低于对照组,差异有统计学意义;对照组发现2例术后患肘出现张力性水泡,观察组未发生张力性水泡。结论:对GartlandⅡ型肱骨髁上骨折的患儿术后采用大黄芒硝散外敷可显著减轻肿痛症状,减少并发症,缩短住院时间,值得临床推广应用。

Objective:To observe the clinical efficacy of external application of Dahuang Glauber’s Salt Powder on the elbow as an auxiliary treatment for postoperative swelling and pain in children with Gartland type II supracondylar humeral fracture.Methods:51 children with Gartland type II supracondylar humeral fractures treated with closed reduction and Kirschner wire internal fixation in Wuhu Traditional Chinese Medicine Hospital were selected as research subjects and randomly divided into observation group(30 cases)and control group(21 cases).Routine treatment was carried out,and the observation group was treated with Rhubarb Glauber’s Salt Powder for external application on the elbow.The pain scores,elbow joint swelling,hospitalization days,and postoperative complications of the two groups were observed before surgery,3 days after surgery,and 6 days after surgery.disease.Results:The pain scores,elbow joint swelling,and hospitalization days in the observation group were significantly lower than those in the control group on the 3rd and 6th days after surgery,and the differences were statistically significant;tension blisters were found in 2 cases of postoperative elbow pain in the control group,while no cases occurred in the observation group.Tension blisters.Conclusion:For children with Gartland type II supracondylar humeral fractures,external application of rhubarb and sodium salt powder after surgery can significantly reduce swelling and pain symptoms,reduce complications,and shorten hospitalization time,which is worthy of clinical promotion and application.