疼痛作为骨折术后常见的并发症之一,不仅会影响患者术后骨折愈合、功能恢复,同时也影响患者的生活质量。西医目前以药物止痛为主,同时配合物理治疗、功能锻炼促进骨折术后疼痛缓解;中医对疼痛有较深刻的认识,在口服中药的基础上,联合中...疼痛作为骨折术后常见的并发症之一,不仅会影响患者术后骨折愈合、功能恢复,同时也影响患者的生活质量。西医目前以药物止痛为主,同时配合物理治疗、功能锻炼促进骨折术后疼痛缓解;中医对疼痛有较深刻的认识,在口服中药的基础上,联合中医特色外治疗法,在帮助患者减轻骨折术后疼痛方面有很好的优势。中西医结合治疗骨折术后疼痛是目前骨科诊疗的热点,现本文对中西医治疗骨折术后疼痛的研究进行论述,为后续骨科医生系统诊治骨折术后疼痛提供文献依据。As one of the common complication after fracture surgery, postoperative pain not only affects the healing and functional recovery of postoperative fractures, but also affects the patients’ quality of lives. Presently, Western medicine mainly focuses on drug pain relief, and at the same time, it is combined with physical therapy and functional exercise to promote pain relief after fracture surgery. Traditional Chinese medicine has a deep understanding of pain, and on the basis of oral Chinese medicine, combined with traditional Chinese medicine characteristic external treatment, it has a good advantage in helping patients reduce the pain after fracture surgery. In order to provide some literature basis for the systematic diagnosis and treatment of postoperative pain by orthopedic surgeons, this essay discusses the study of Chinese and Western medicine treatment of postoperative pain after fracture.展开更多
目的比较胫骨横向骨搬移(TTT)技术与常规措施治疗糖尿病足的效果。方法在计算机中检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(WangFang)、中国生物医学文献服务系统(SinoMed)、中国临床试验注册中心、EmBase、PubMed、Cochrane、...目的比较胫骨横向骨搬移(TTT)技术与常规措施治疗糖尿病足的效果。方法在计算机中检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(WangFang)、中国生物医学文献服务系统(SinoMed)、中国临床试验注册中心、EmBase、PubMed、Cochrane、Web of Science、U.S.National Library of Medicine中有关比较TTT技术与常规措施治疗糖尿病足效果的随机对照研究,检索时间为各数据库建库至2023年2月5日。采用RevMan5.3软件进行Meta分析,以有效率、足部皮温、治疗后疼痛VAS评分、踝肱指数ABI、创面愈合时间为临床效果评价指标。结果共纳入7篇文献,总样本量为407,患者年龄为34~85岁,单个研究样本量12~60,糖尿病足Wagner分级1~5级。研究类型为随机对照研究。Cochrane协作网推荐的RCT偏倚风险评估工具,以RevMan5.3软件对最终纳入研究的7篇文献制作出偏倚风险评估图。其中,5篇文献满足评分项目中的4项及以上,等级达到A级,为低度偏倚。1篇文献满足评分项目中的3项,等级达到B级,为中度偏倚。1篇满足2项,为高度偏倚。Meta分析结果显示,试验组有效率高于对照组(RR=1.30,95%CI:1.14~1.47,P<0.05)、试验组足部皮温高于对照组(MD=2.47,95%CI:1.87~3.06,P<0.05)、治疗后试验组的VAS评分低于对照组(MD=-1.91,95%CI:-2.69~1.12,P<0.05)、踝肱指数ABI高于对照组(MD=0.16,95%CI:0.07~0.25,P<0.05)、创面愈合时间短于对照组(SMD=-2.74,95%CI:-4.89~0.58,P<0.05)。结论TTT技术治疗糖尿病足优于常规治疗,但仍需要更多高质量的随机对照研究加以验证。展开更多
文摘疼痛作为骨折术后常见的并发症之一,不仅会影响患者术后骨折愈合、功能恢复,同时也影响患者的生活质量。西医目前以药物止痛为主,同时配合物理治疗、功能锻炼促进骨折术后疼痛缓解;中医对疼痛有较深刻的认识,在口服中药的基础上,联合中医特色外治疗法,在帮助患者减轻骨折术后疼痛方面有很好的优势。中西医结合治疗骨折术后疼痛是目前骨科诊疗的热点,现本文对中西医治疗骨折术后疼痛的研究进行论述,为后续骨科医生系统诊治骨折术后疼痛提供文献依据。As one of the common complication after fracture surgery, postoperative pain not only affects the healing and functional recovery of postoperative fractures, but also affects the patients’ quality of lives. Presently, Western medicine mainly focuses on drug pain relief, and at the same time, it is combined with physical therapy and functional exercise to promote pain relief after fracture surgery. Traditional Chinese medicine has a deep understanding of pain, and on the basis of oral Chinese medicine, combined with traditional Chinese medicine characteristic external treatment, it has a good advantage in helping patients reduce the pain after fracture surgery. In order to provide some literature basis for the systematic diagnosis and treatment of postoperative pain by orthopedic surgeons, this essay discusses the study of Chinese and Western medicine treatment of postoperative pain after fracture.
文摘目的比较胫骨横向骨搬移(TTT)技术与常规措施治疗糖尿病足的效果。方法在计算机中检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(WangFang)、中国生物医学文献服务系统(SinoMed)、中国临床试验注册中心、EmBase、PubMed、Cochrane、Web of Science、U.S.National Library of Medicine中有关比较TTT技术与常规措施治疗糖尿病足效果的随机对照研究,检索时间为各数据库建库至2023年2月5日。采用RevMan5.3软件进行Meta分析,以有效率、足部皮温、治疗后疼痛VAS评分、踝肱指数ABI、创面愈合时间为临床效果评价指标。结果共纳入7篇文献,总样本量为407,患者年龄为34~85岁,单个研究样本量12~60,糖尿病足Wagner分级1~5级。研究类型为随机对照研究。Cochrane协作网推荐的RCT偏倚风险评估工具,以RevMan5.3软件对最终纳入研究的7篇文献制作出偏倚风险评估图。其中,5篇文献满足评分项目中的4项及以上,等级达到A级,为低度偏倚。1篇文献满足评分项目中的3项,等级达到B级,为中度偏倚。1篇满足2项,为高度偏倚。Meta分析结果显示,试验组有效率高于对照组(RR=1.30,95%CI:1.14~1.47,P<0.05)、试验组足部皮温高于对照组(MD=2.47,95%CI:1.87~3.06,P<0.05)、治疗后试验组的VAS评分低于对照组(MD=-1.91,95%CI:-2.69~1.12,P<0.05)、踝肱指数ABI高于对照组(MD=0.16,95%CI:0.07~0.25,P<0.05)、创面愈合时间短于对照组(SMD=-2.74,95%CI:-4.89~0.58,P<0.05)。结论TTT技术治疗糖尿病足优于常规治疗,但仍需要更多高质量的随机对照研究加以验证。
