活血止痛汤配合手法复位治疗对桡骨远端骨折患者疼痛程度及腕关节活动度的影响

Effect of Huoxue Zhitong Decoction Combined with Manual Reduction Treatment on Pain Degree and Wrist Joint Range of Motion in Patients with Distal Radius Fractures

目的分析活血止痛汤配合手法复位治疗桡骨远端骨折(DRF)的效果。方法选取2021年5月—2023年5月菏泽市牡丹人民医院收治的86例DRF患者为研究对象,按随机数字表法将其分为对照组和观察组,每组43例。对照组采用手法复位治疗,观察组在对照组基础上采用活血止痛汤治疗。对比两组患者的临床疗效、恢复情况、疼痛程度、腕关节活动度及并发症发生情况。结果观察组的治疗总优良率为95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05)。观察组的疼痛缓解时间、肿胀缓解时间、骨折愈合时间分别为(8.30±1.22)d、(7.15±1.09)d、(10.11±1.24)周,均短于对照组的(10.63±1.59)d、(9.78±1.68)d、(11.35±1.76)周,组间差异有统计学意义(P<0.05)。观察组的并发症发生率为6.98%,低于对照组的23.26%,差异有统计学意义(P<0.05)。治疗后,观察组的疼痛视觉模拟评分为(1.36±0.35)分,低于对照组的(2.24±0.58)分,腕关节背伸、掌屈、旋前、旋后活动度分别为(53.82±3.84)°、(54.60±3.58)°、(81.58±5.33)°、(82.68±4.49)°,均大于对照组的(45.68±3.20)°、(46.54±2.96)°、(75.69±4.37)°、(74.57±3.84)°,组间差异有统计学意义(P<0.05)。结论活血止痛汤配合手法复位能缓解DRF患者的疼痛,加大腕关节活动度,且并发症少,值得临床推广使用。

Objective To analyze the effect of Huoxue Zhitong Decoction combined with manual reduction in the treatment of distal radius fracture(DRF).Methods A total of 86 patients with DRF admitted to Mudan People's Hospital of Heze City from May 2021 to May 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group received manual reduction,and the observation group received Huoxue Zhitong Decoction on this basis of the control group.The clinical efficacy,recovery,pain degree,wrist range of motion and complications were compared between the two groups.Results The total excellent and good rate of the observation group was 95.35%,which was higher than 81.40%of the control group,the difference was statistically significant(P<0.05).The pain relief time,swelling relief time and fracture healing time in the observation group were(8.30±1.22)d,(7.15±1.09)d and(10.11±1.24)weeks,respectively,which were shorter than(10.63±1.59)d,(9.78±1.68)d and(11.35±1.76)weeks in the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 6.98%,lower than 23.26%in the control group,and the difference was statistically significant(P<0.05).After treatment,the pain visual analogue score of the observation group was(1.36±0.35)points,which was lower than(2.24±0.58)points of the control group,while the wrist dorsal extension,palmar flexion,pronation and supination were(53.82±3.84)°,(54.60±3.58)°,(81.58±5.33)°,(82.68±4.49)°,respectively,which were greater than(45.68±3.20)°,(46.54±2.96)°,(75.69±4.37)°,(74.57±3.84)°in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Huoxue Zhitong Decoction combined with manual reduction can relieve the pain of DRF patients,improve the range of motion of the wrist,and have fewer complications,which is worthy of clinical promotion.