胫骨远端骨折LISS术配合中药熏洗对踝关节功能恢复的影响

Effects of distal tibial fractures LISS combined with fumigation of chinese medicine on the recovery of ankle joint functions

目的探讨胫骨远端骨折LISS术配合中药熏洗对踝关节功能恢复的影响。方法选取2012年1月~2014年1月期间我院接收治疗的108例胫骨远端骨折患者,所有患者均给予经皮微创钢板内固定(MIPPO)技术植入LISS钢板进行治疗。采用随机数表法将108例患者分为观察组和对照组,各54例。术后2周观察组患者予中药熏洗治疗。对比两组患者术后的临床疗效和功能评分情况。结果观察组患者的肿胀、功能和X线评分分别为(33.61±2.85)分、(16.13±2.34)分和(30.21±3.01)分,对照组患者的肿胀、功能和X线评分分别为(30.15±2.12)分、(12.21±1.68)分和(34.04±3.61)分。观察组患者的肿胀、功能和X线情况均优于对照组,差异具有统计学意义(P<0.05)。观察组患者的优良率为96.30%,对照组患者的优良率为81.48%,观察组明显优于对照组,差异有统计学意义(P<0.05)。结论采用LISS治疗胫骨远端骨折具有较好的临床疗效,术后恢复较快,同时术后结合中药熏洗治疗能够促进踝关节功能的恢复,可在临床上进一步推广和使用。

Objective To explore the effects of distal tibial fractures LISS combined with fumigation of chinese medicine on the recovery of ankle joint functions. Methods A total of 108 patients with distal tibial fractures who were admitted to our hospital from January 2012 to January 2014 were selected. All patients were given the treatment of implanting LISS steel plate by MIPPO technology. 108 patients were assigned to an observation group and a control group according to the method of random number table, with 54 patients in each. Patients in the observation group were given fumigation of chinese medicine 2 weeks after the surgery. Clinical effects and function scores after the surgery were compared between the two groups of patients. Results Scores of swelling, functions and X-ray in the observation group were(33.61±2.85),(16.13±2.34), and(30.21±3.01) respectively. Scores of swelling, functions and X-ray in the control group group were(30.15±2.12),(12.21±1.68), and(34.04±3.61) respectively. Swelling, functions and X-ray in the obser vation group were all better than those in the control group, and the differences were statistically significant( P <0.05).The excellent and good rate in the observation group was 96.30%, while in the control group was 81.48%. Clinical effects in the observation group were better than those in the control group, and the differences between two groups were statistically significant(P<0.05). Conclusion LISS in the treatment of distal tibial fractures has a favorable clinical effect and fast recovery after surgery. Its combination with fumigation of chinese medicine is able to promote the recovery of ankle joint functions, which is worthy of further clinical promotion and application.