金黄膏联合伤药膏外敷对桡骨远端骨折术后早期肿胀患者的临床疗效

Clinical efficacy of external application of Jinhuang ointment combined with Shangyao ointment in the treatment of early swelling in patients with distal radius fractures after surgery

目的探讨金黄膏联合伤药膏外敷治疗桡骨远端骨折术后患者早期肿胀的临床疗效。方法选取2020年9月至2023年8月在南昌市洪都中医院行手术治疗的桡骨远端骨折术后早期肿胀患者90例作为研究对象,采用随机数字表法将患者分为对照组(45例)和观察组(45例)。对照组男22例,女23例;年龄30~68(50.47±9.63)岁;骨折时间1.3~9.0(4.23±1.82)h;左患侧15例,右患侧30例;屈曲型9例,伸直型36例。观察组男21例,女24例;年龄26~69(50.53±9.68)岁;骨折时间1.0~8.2(4.22±1.81)h;左患侧17例,右患侧28例;屈曲型7例,伸直型38例。对照组采用常规消炎止痛、预防感染等对症治疗,观察组在对照组的基础上,采用金黄膏联合伤药膏外敷治疗。两组均治疗2周。比较两组治疗前后的肿胀情况、肿胀消退时间、疼痛解除时间和治疗效果。采用独立样本t检验、配对t检验和χ^(2)检验。结果治疗后,观察组肿胀评分[(0.91±0.36)分]低于对照组[(1.18±0.39)分](P<0.05);观察组肿胀消退时间[(5.31±1.18)d]和疼痛解除时间[(4.20±1.12)d]均短于对照组[(7.24±1.06)d、(4.98±1.16)d](均P<0.05)。观察组治疗总有效率[86.67%(39/45)]高于对照组[53.33%(24/45)](P<0.05)。结论金黄膏联合伤药膏外敷治疗桡骨远端骨折术后早期肿胀患者,可促进肿胀消退,缓解疼痛,提升患者的生活质量。

Objective To explore the clinical efficacy of external application of Jinhuang ointment combined with Shangyao ointment in the treatment of early swelling in patients with distal radius fractures after surgery.Methods A total of 90 patients with early swelling after distal radius fracture surgery in Nanchang Hongdu Hospital of Traditional Chinese Medicine from September 2020 to August 2023 were selected as the study objects,and were divided into a control group(45 cases)and an observation group(45 cases)by the random number table method.The control group included 22 males and 23 females,the age was 30-68(50.47±9.63)years old,the fracture time was 1.3-9.0(4.23±1.82)h,there were 15 patients on the left side and 30 patients on the right side,and there were 9 cases of flexion type and 36 cases of extension type.The observation group included 21 males and 24 females,the age was 26-69(50.53±9.68)years old,the fracture time was 1.0-8.2(4.22±1.81)h,there were 17 patients on the left side and 28 patients on the right side,and there were 7 cases of flexion type and 38 cases of extension type.The control group was treated with conventional anti-inflammatory,analgesic,and infection prevention.On the basis of the control group,the observation group was treated with external application of Jinhuang ointment combined with Shangyao ointment.Both groups were treated for 2 weeks.The swelling situation before and after treatment,swelling resolution time,pain relief time,and treatment effect were compared between the two groups.Independent sample t test,paired t test,andχ^(2)test were used.Results After treatment,the swelling score of the observation group[(0.91±0.36)points]was lower than that of the control group[(1.18±0.39)points](P<0.05).The swelling resolution time[(5.31±1.18)d]and pain relief time[(4.20±1.12)d]in the observation group were shorter than those in the control group[(7.24±1.06)d and(4.98±1.16)d](both P<0.05).The total effective rate of the observation group[86.67%(39/45)]was higher than that of the control group[53.33%(24/45)](P<0.05).Conclusion External application of Jinhuang ointment combined with Shangyao ointment in the treatment of early swelling in patients with distal radius fractures after surgery can better promote swelling resolution,effectively alleviate the pain sensation,and improve the patients'quality of life.