活血生骨汤辅治骨质疏松性桡骨远端骨折患者的疗效及对腕关节功能的影响

Efficacy of Huoxue Shenggu Decoction in the Treatment of Patients with Osteoporotic Distal Radius Fracture and its Effect on Wrist Joint Function

目的 探讨活血生骨汤辅治骨质疏松性桡骨远端骨折(Osteoporotic Distal Radius Fracture, ODRF)患者的疗效及对腕关节功能的影响。方法 随机选取2021年7月—2023年7月泉州市永春县中医院收治的100例ODRF患者为研究对象,并按照随机数表法分为对照组和观察组,每组50例。对照组接受中医正骨处理,观察组在对照组的基础上辅用活血生骨汤,对比两组的治疗效果、骨折愈合情况、腕关节功能。结果 观察组的治疗有效率(94.00%)高于对照组(78.00%),差异有统计学意义(χ^(2)=5.315,P=0.021)。观察组治疗后4、8周的骨折愈合评分系统得分均高于对照组,骨折愈合及消肿时间均短于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组Cooney评分标准中各项目(疼痛、握力、活动度以及功能状况)得分均高于对照组,差异有统计学意义(P均<0.05)。结论 活血生骨汤辅治能够促进ODRF患者的恢复,加快骨折愈合,有效改善患者的腕关节功能。

Objective To investigate the efficacy of Huoxue Shenggu Decoction in the treatment of patients with osteo-porotic distal radius fracture(ODRF)and its effect on wrist function.Methods A total of 100 patients with ODRF ad-mitted to Yongchun County Traditional Chinese Medicine Hospital of Quanzhou City from July 2021 to July 2023 were randomly selected as the research objects and divided into control group and observation group according to the ran-dom number table method,with 50 cases in each group.The control group received traditional Chinese medicine bone-setting treatment,and the observation group was supplemented with Huoxue Shenggu Decoction on the basis of the control group.The therapeutic effect,fracture healing and wrist function of the two groups were compared.Results The effective rate of treatment in the observation group(94.00%)was higher than that in the control group(78.00%),and the difference was statistically significant(χ^(2)=5.315,P=0.021).The scores of Radiographic Scoring System at 4 and 8 weeks after treatment in the observation group were higher than those in the control group,and the time of frac-ture healing and detumescence was shorter than that in the control group,the differences were statistically significant(all P<0.05).After treatment,the scores of each item(pain,grip strength,activity and functional status)in the Cooney score of the observation group were higher than those of the control group,and the differences were statistically signifi-cant(all P<0.05).Conclusion The auxiliary treatment of Huoxue Shenggu Decoction can promote the recovery of ODRF patients,accelerate fracture healing,and effectively improve the wrist function of patients.