活血通络方熏洗对胫骨平台骨折术后患者康复的影响

Huoxue Tongluo Perscription Fumigation and Washing Has Effect on the Postoperative Recovery of Patients with Tibial Plateau Fracture

目的:观察活血通络方熏洗对胫骨平台骨折术后患者康复的影响。方法:将70例闭合胫骨平台骨折行切开复位内固定术患者进按照随机数字表法分为2组各35例,2组患者术后均给予常规治疗,观察组在此基础上辅以活血通络方熏洗治疗,比较2组术后治疗效果、膝关节功能、疼痛程度及并发症情况。结果:对照组治疗优良率为74.3%,观察组治疗优良率为91.4%,差异有统计学意义(χ2=5.285,P=0.022)。治疗前,2组Lysholm评分比较,差异无统计学意义(P> 0.05)。术后1个月、术后3个月,观察组Lysholm评分高于对照组,差异有统计学意义(P <0.05)。治疗前,2组VAS评分比较,差异无统计学意义(P> 0.05);术后3天、术后7天,观察组VAS评分低于对照组,差异有统计学意义(P <0.05)。术后1个月,2组VAS评分比较,差异无统计学意义(P> 0.05)。观察组患者术后出现关节僵硬1例,对照组患者术后关节僵直4例,差异无统计学意义(P> 0.05)。结论:胫骨平台骨折术后辅助活血通络方熏洗可以让患者明显受益,改善患者术后膝关节功能,术后早期具有镇痛作用。

Objective:To observe the effect of Huoxue Tongluo Perscription fumigation and washing on the postoperative recovery of patients with tibial plateau fracture.Methods:Divided 70 cases of patients with closed tibial plateau fracture who underwent open reduction and internal fixation into two groups randomly,35 cases in each group.Both groups received the routine treatment,while the observation group additionally received Huoxue Tongluo Perscription fumigation and washing for adjuvant treatment.Compared the clinical effect,knee function,pain degree and complications in both groups after operation.Results:The excellent and good rate of treatment was 74.3%in the control group and 91.4%in the control group,difference being significant(χ2=5.285,P=0.022).Before treatment,comparing the scores of Lysholm in both groups,there was no significant difference being found(P>0.05).After operation for 1 and 3 months,the scores of Lysholm in the observation group were higher than those in the control group,difference being significant(P<0.05).Before treatment,comparing the scores of VAS in both groups,there was no significant difference being found(P>0.05).After operation for 3 and 7 days,the scores of Lysholm in the observation group were lower than those in the control group,difference being significant(P<0.05).After operation for 1 month,comparing the scores of VAS in both groups,there was no significant difference being found(P>0.05).Ohe case of ankylosis occurred in the observation group after operation,and 4 cases of joint stiffness occurred in the control group after operation,difference being insignificant(P>0.05).Conclusion:The adjuvant therapy of Huoxue Tongluo Perscription fumigation and washing significantly helps the postoperative recovery of patients with tibial plateau fracture and improves the postoperative knee function of patients,which has the early analgesic effect after operation.