三七断骨巴布膏辅助桡骨远端骨折内固定治疗效果

Effect of Sanqi Duangu Cataplasma Assisted in Internal Fixation for Distal Radial Fracture

目的:探讨三七断骨巴布膏对桡骨远端骨折内固定的辅助治疗效果。方法:选取在无锡市新吴区新瑞医院和无锡市第九人民医院采用内固定治疗的118例桡骨远端骨折患者为研究对象,采用随机数字表法将其分为对照组和研究组,每组59例。术后,对照组采用常规方法处理,研究组在对照组基础上采用三七断骨巴布膏外敷,持续4周。比较2组患者的疼痛程度、肿胀程度、骨折愈合时间、住院时间及腕关节功能恢复情况。结果:术后1 d,8、12周,2组肿胀程度比较,组间差异无统计学意义(P>0.05);术后3 d,1、2、4周,研究组肿胀程度小于对照组,组间差异有统计学意义(P<0.05)。术后1、3 d,术后1、2、4周,研究组疼痛程度数字评估量表(NRS)评分均小于对照组,组间差异有统计学意义(P<0.05);术后8、12周,2组NRS评分比较,组间差异无统计学意义(P>0.05)。术后4、8周,研究组腕关节功能Cooney法评分(Cooney)及腕关节患者自我评分(PREW)均低于对照组,组间差异有统计学意义(P<0.05);术后12、24周,2组Cooney及PREW评分比较,组间差异无统计学意义(P>0.05)。结论:在桡骨远端骨折内固定术后应用三七断骨巴布膏,可以减轻在患肢肿胀、疼痛程度,促进腕关节功能恢复,缩短骨折愈合与住院时间。

Objective:To explore the assisted efficacy of Sanqi duangu cataplasma for internal fixation of distal radius fracture.Methods:118 patients with distal radius fracture treated with internal fixation in Xinrui Hospital of Xinwu District and Ninth Peopleˊs Hospital of Wuxi City were selected as the study objects,and were divided into a control group and a study group by random number table method,with 59 cases in each group.After operation,the control group was treated with conventional methods,and the study group was applied with Sanqi broken bone babu paste on the basis of the control group for 4 weeks.The pain degree,swelling degree,fracture healing time,hospital stay and wrist function recovery were compared between the two groups.Results:At 1 day,8 weeks and 12 weeks after surgery,there were no significant differences in swelling degree between 2 groups(P>0.05);after 3 days,1,2 and 4 weeks,the swelling degree of the study group was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).The Numerical Evaluation Scale(NRS)score of the study group was lower than that of the control group on the 1st and 3rd day after surgery and at the 1st,2nd and 4th week after surgery.with statistical significance(P<0.05);at 8 and 12 weeks after operation,there were no significant differences in NRS scores between the two groups(P>0.05).At 4 and 8 weeks after operation,the wrist function Cooney score(Cooney)and wrist self-score(PREW)of the study group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05);at 12 and 24 weeks after operation,there were no significant differences in Cooney and PREW scores between the two groups(P>0.05).Conclusion:Sanqi duangu cataplasma has significant assisted therapeutic effects on reducing swelling,relieving pain,and improving function in the affected limbs in the early stage after internal fixation surgery for distal radius fractures.