克氏针内固定术联合田七祛瘀胶囊对髌骨骨折患者恢复情况的影响

Effects of Kirchian Needle Internal Fixation Combined with Tianqi Quyu Capsule on Recovery of Patients with Patellar Fracture

目的:探讨克氏针内固定术与田七祛瘀胶囊在髌骨骨折患者中的应用价值,重点分析联合治疗对患者恢复情况的影响。方法:选取南昌市洪都中医院2023年2月—2024年2月收治的80例髌骨骨折患者为研究对象,采用随机数字表法将其分为对照组与研究组,各40例。对照组采用克氏针内固定术治疗,研究组在对照组基础上采用田七祛瘀胶囊治疗,两组均持续随访3个月以上。比较两组的关节功能、临床指标、骨代谢指标、血液流变学指标及治疗效果。结果:治疗1个月后,两组膝关节活动度及Bostman髌骨骨折功能评分均高于治疗前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组骨钙素水平、Ⅰ型胶原氨基端延长肽水平均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组肿胀、疼痛症状的消失时间与骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05)。治疗后,两组血浆黏度与红细胞沉降率均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组治疗的总有效率为95.00%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论:对髌骨骨折患者实施克氏针内固定术联合田七祛瘀胶囊治疗,能够提高临床效果,促进症状缓解及患处愈合进程,改善患者的骨代谢指标及血液流变学指标,利于关节功能恢复。

Objective:To investigate the application value of Kirscher needle internalfixation and Tianqi Quyu Capsule in patients with patellar fracture,and to analyze the influence of combined treatment on the recovery of patients.Methods:A total of 80 patients with patellar fracture admitted to Nanchang Hongdu Hospital of Traditional Chinese Medicine from March 2023 to February 2024 were selected and divided into a control group and a study group by random number table method,with 40 cases in each group.The control group was treated with Kirscher’s needle internalfixation,the study group was treated with Tianqi Quyu Capsule on the basis of the control group.Both groups were followed up for more than 3 months.The joint function,clinical index,bone metabolism index,hemorheology index and therapeutic effect of the two groups were compared.Results:One month after treatment,knee joint motion and Bostman patellar fracture function score in both groups were higher than before treatment,the study group was higher than the control group,with statistical significance(P<0.05).After treatment,the levels of osteocalcin and amino terminal prolongating peptide of type I collagen in two groups were higher than before treatment,the study group was higher than the control group,with statistical significance(P<0.05).After treatment,the disappearance time of swelling and pain symptoms and the healing time of fracture in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).After treatment,plasma viscosity and erythrocyte sedimentation rate in two groups were lower than before treatment,the study group was lower than the control group,the differences were statistically significant(P<0.05).The total effective rate of the study group was 95.00%,which was higher than 75.00%of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of Kirschner needle internalfixation combined with Tianqi Quyu Capsule in the treatment of patella fracture can improve the clinical efficacy,promote the symptom relief and the healing process of the affected area,improve the bone metabolism indexes and hemorheology indexes of the patients,and facilitate the recovery of joint function.