云南白药胶囊辅助经皮微创内固定术对胫骨平台骨折患者愈合的影响

Effect of Yunnan Baiyao Capsule Assisted with Percutaneous Minimally Invasive Internal Fixation on Healing of Tibial Plateau Fracture

目的探讨与分析云南白药胶囊辅助经皮微创内固定术对胫骨平台骨折患者愈合的影响。方法选取2020年2月—2022年12月在西宁恒生骨伤专科医院进行诊治的108例胫骨平台骨折患者作为研究对象,根据随机数表法把108例患者分为白药组和传统组,每组54例。白药组与传统组都给予微创内固定术治疗,传统组在术后给予常规治疗,白药组术后在传统组治疗的基础上给予云南白药胶囊治疗,观察与记录患者骨折愈合情况。结果白药组与传统组患者的手术时间、术中出血量、术中透视次数比较,差异无统计学意义(P>0.05);白药组的术后住院时间显著短于传统组,差异有统计学意义(P<0.05)。白药组患者的骨折愈合时间显著短于传统组,差异有统计学意义(P<0.05)。白药组治疗后6个月的疗效优良率显著高于传统组,差异有统计学意义(P<0.05)。白药组治疗后6个月的尿潴留、切口感染、肺部感染、下肢静脉血栓等并发症发生率显著低于传统组,差异有统计学意义(P<0.05)。结论云南白药胶囊辅助经皮微创内固定术在胫骨平台骨折患者中的应用能促进患者康复,缩短患者的骨折愈合时间,降低患者并发症发生率,从整体上改善患者的预后疗效。

Objective To investigate and analyze the eff ect of Yunnan Baiyao capsule assisted with percutaneous minimally invasive internal fi xation on the healing of tibial plateau fracture.Method From February 2020 to December 2022,108 cases of patients with tibial plateau fractures who were diagnosed and treated at Xining Hang Seng Bone Hospital were selected as the research subjects.Accorded to a random number table method,108 patients were divided into Baiyao group of 54 cases and traditional group of 54 cases.Both groups were treated with minimally invasive internal fi xation.The traditional group were treated with routine treatment after surgery,and the Baiyao group were treated with Yunnan Baiyao capsule on the basis of the traditional group.The fracture healing of patients were observed and recorded.Result There were no signifi cant diff erences in surgical time,intraoperative bleeding volume,and intraoperative fl uoroscopy frequency compared between the two groups(P>0.05),while the postoperative hospitalization time of Baiyao group was shorter than that of the traditional group,with statistically signifi cant diference(P<0.05).The fracture healing time of Baiyao group were signifi cantly shorter than that of traditional group,with statistically signifi cant diferences(P<0.05).The excellent and good effi cacy rates of Baiyao group were higher than the traditional group,with statistically significant diferences(P<0.05).At 6 months after treatment,the incidence of complications such as urinary retention,incision infection,pulmonary infection,were signifi cantly lower than that in the traditional group(P<0.05).Conclusion The application of Yunnan Baiyao capsule assisted percutaneous minimally invasive internal fixation in patients with tibial plateau fracture can promote the recovery of patients,shorten the fracture healing time of patients,reduce the incidence of complications of patients,and improve the prognosis of patients as a whole.