胫骨平台骨折常规西医治疗联合中药干预的临床疗效观察

Clinical efficacy of conventional western medicine treatment combined with traditional Chinese medicine for the treatment of tibial plateau fracture

目的探讨在胫骨平台骨折常规西医治疗基础上加用中药疗法的临床疗效,为临床应用提供参考。方法选取我院2014年1月至2016年1月收治的胫骨平台骨折患者82例,根据治疗方式不同分为研究组和对照组。对照组41例,根据骨折类型及程度,给予针对性复位或手术治疗方案;研究组41例,常规西药治疗基础上加用中药干预疗法。术后12周复查,比较两组患者骨折复位效果、膝关节功能恢复情况及不良反应发生情况。结果治疗后,对照组骨折复位优秀者38例、良好者3例,其骨折复位优良率为100%;研究组优秀者39例、良好者2例,其骨折复位优良率为100%,组间差异不显著(P>0.05)。研究组膝关节功能恢复优秀者32例、良好者7例,其优良率为95.12%;对照组优秀者21例、良好者10例,其优良率为75.61%,组间差异显著(P<0.05)。研究组患者经联合治疗,仅发生1例关节不稳定,并发症发生率为2.44%,显著低于对照组的24.39%(3例皮肤坏死、5例关节不稳定、2例骨筋膜间隔综合征),差异具有统计学意义(P<0.05)。结论针对胫骨平台骨折患者,在常规西医治疗基础上加用中药干预,可有效提高膝关节功能康复质量,减少并发症,值得推广。

Objective To explore the clinical efficacy of traditional Chinese medicine therapy in the treatment of tibial plateau fracture with traditional Chinese medicine, and provide reference for clinical application. Methods Selected 82 cases of tibial plateau fracture patients in our hospital from January 2014 to January 2016, the patients were divided into study group and control group according to the different treatment methods. Control group of 41 cases were given targeted reduction or surgical treatment program according to the type and degree of fracture, study group of 41 cases received the treatment combined with Chinese medicine intervention therapy. After 12 weeks of operation, the results of fracture reduction, knee function recovery and adverse reaction were compared between the 2 groups. Results The control group only received routine treatment of Western medicine, and there was reset outstanding in 38 cases, good in 3 cases of fracture, the excellent and good rate was 100%. The study group was treated with traditional Chinese medicine intervention,and there was excellent in 39 cases, good in 2 cases, the excellent and good rate was 100%. There were no statistical difference beteen the two groups(P >0.05). Patients in the study group after combined treatment, the knee joint function recovered excellent in 32 cases, good in 7 cases, the excellent and good rate was 95.12%. In the control group of patients,the knee joint function recovered excellent in 21 cases, good in 10 cases, the excellent and good rate was 75.61%. The difference was statistically significant between group comparisons(P <0.05). Only 1 case in the study group after combined treatment had joint instability, the complication rate was 2.44%, which was significantly better than the control group of24.39%(3 cases of skin necrosis, 5 cases of joint instability, 2 cases of osteofascial compartment syndrome)(P <0.05).Conclusion In the treatment of tibial plateau fracture patients, the traditional Chinese medicine treatment based on the treatment of traditional Chinese medicine intervention can effectively improve the quality of knee function, reduce the incidence of complications, and it is worthy of clinical popularization and application.