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目的:探讨中药熏洗结合西医治疗复杂胫骨平台骨折的临床疗效。方法:选取医院收治的86例胫骨平台骨折患者作为研究对象,随机分为治疗组和对照组。对照组采用给予手术治疗,并常规给予抗炎、换药、预防血栓、术后康复等支持治疗,而治疗组则在对照组治疗的基础之上再辅以自拟中药方剂予以熏洗,并分别对两组患者的临床治疗效果予以比较分析,并采用视觉模拟评价量表(VAS)及生活质量评价量表(QOL)分别对两组患者的疼痛感觉及生活质量进行评价。结果:术后6个月,观察组膝关节功能恢复的优良比率为86.84%(33/38),明显高于对照组的优良比率71.05%(27/38);观察组术后并发症发生的比例为18.42%(7/38),明显低于对照组36.83%(14/38)。观察组患者术后6个月VAS评分为(4.4±1.9)分显著低于对照组的(6.3±3.4)分;QOL评价量表结果显示,观察组生理功能(PF)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)及精神健康(MH)的评估情况均好于对照组(P<0.05),生理职能及情感职能相比较无显著性差异。结论:胫骨平台骨折在治疗过程中采用手术、康复训练结合中药熏洗的方法能改善患者膝关节功能恢复情况,降低术后部位并发症的发生率,提高临床疗效。
Objective: To explore the clinical efficacy of traditional Chinese medicine fumigation combined with western medicine in the treatment of complex tibial plateau fractures. Methods: Totally 86 patients with tibial plateau fractures treated in our hospital were selected as study subjects and randomly divided into treatment group and control group. The control group was given surgical treatment, and routinely given anti-inflammatory, dressing, prevention of thrombosis, postoperative rehabilitation and other supportive treatment, while the treatment group is based on the control group supplemented by self-prepared traditional Chinese medicine prescription to be fumigation and The clinical effects of the two groups of patients were compared respectively. The visual analog scale (VAS) and the quality of life (QOL) were used to evaluate the pain perception and quality of life of the two groups. Results: At 6 months postoperatively, the excellent rate of functional recovery of knee joint in observation group was 86.84% (33/38), which was significantly higher than that in control group (71.05%, 27/38). Postoperative complications The proportion was 18.42% (7/38), which was significantly lower than that of the control group (36.83%, 14/38). The score of VAS in the observation group was (4.4 ± 1.9) at 6 months after operation was significantly lower than that of the control group (6.3 ± 3.4); QOL evaluation scale showed that the physical function (PF), somatic pain (BP) , Total health (GH), vitality (VT), social function (SF) and mental health (MH) were all better than those in the control group (P <0.05). There was no significant difference in physiological function and emotional function. Conclusion: The treatment of tibial plateau fractures by surgery, rehabilitation training combined with fumigation with traditional Chinese medicine fumigation can improve functional recovery of patients with knee joint, reduce the incidence of postoperative complications and improve clinical efficacy.