[1]吴良生.健脾生血方联合克氏针固定治疗髌骨骨折的效果及对疼痛程度的影响[J].医学信息,2024,37(23):143-146.[doi:10.3969/j.issn.1006-1959.2024.23.034]
　WU Liangsheng.Effect of Jianpi Shengxue Decoction Combined with Kirschner Wire Fixation in the Treatment of Patellar Fracture and its Influence on Pain Degree[J].Journal of Medical Information,2024,37(23):143-146.[doi:10.3969/j.issn.1006-1959.2024.23.034]
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健脾生血方联合克氏针固定治疗髌骨骨折的效果及对疼痛程度的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年23期
页码:
143-146
栏目:
中医中药
出版日期:
2024-12-01

文章信息/Info

Title:
Effect of Jianpi Shengxue Decoction Combined with Kirschner Wire Fixation in the Treatment of Patellar Fracture and its Influence on Pain Degree
文章编号:
1006-1959（2024）23-0143-04
作者:
吴良生
峡江县中医院外科，江西 峡江 331400
Author(s):
WU Liangsheng
Department of Surgery,Xiajiang County Hospital of Traditional Chinese Medicine,Xiajiang 331400,Jiangxi,China
关键词:
健脾生血方; 克氏针; 髌骨骨折; 膝关节功能
Keywords:
Jianpi Shengxue decoction; Kirschner wire; Patella fracture; Knee function
分类号:
R683.42
DOI:
10.3969/j.issn.1006-1959.2024.23.034
文献标志码:
A
摘要:
目的 研究健脾生血方联合克氏针固定治疗髌骨骨折的效果及对疼痛程度的影响。方法 选取2020年1月-2023年9月我院诊治的80例髌骨骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各组40例。对照组采用克氏针固定治疗，观察组在对照组基础上联合健脾生血方治疗，比较两组骨折优良率、临床康复指标（肿胀、疼痛、瘀斑消失时间）、骨折愈合时间、VAS疼痛评分、膝关节功能（Bostman）评分、并发症发生率、骨代谢指标[血清骨钙素 （BGP）、血清碱性磷酸酶（ALP）]。结果 观察组优良率为97.50%，高于对照组的85.00%（P＜0.05）；观察组肿胀、疼痛、瘀斑消失时间以及骨折愈合时间均短于对照组（P＜0.05）；两组治疗后VAS评分均低于治疗前，且观察组低于对照组（P＜0.05）；两组治疗后Bostman评分均高于治疗前，且观察组高于对照组（P＜0.05）；观察组并发症发生率为5.00%，低于对照组的15.00%（P＜0.05）；两组治疗后BGP、ALP水平均高于治疗前，且观察组高于对照组（P＜0.05）。结论 健脾生血方联合克氏针固定治疗可提升髌骨骨折患者治疗优良率，降低患者疼痛程度及术后并发症发生率，改善骨代谢指标，缩短骨折愈合和康复时间，提高膝关节功能。
Abstract:
Objective To study the effect of Jianpi Shengxue decoction combined with Kirschner wire fixation in the treatment of patellar fracture and its effect on pain degree.Methods A total of 80 patients with patellar fracture treated in our hospital from January 2020 to September 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 40 patients in each group. The control group was treated with Kirschner wire fixation. The observation group was treated with Jianpi Shengxue decoction on the basis of the control group. The excellent and good rate of fracture, clinical rehabilitation index (swelling, pain, ecchymosis disappearance time), fracture healing time, VAS pain score, knee joint function (Bostman) score, complication rate, bone metabolism index [serum osteocalcin (BGP), serum alkaline phosphatase (ALP)] were compared between the two groups.Results The excellent and good rate of the observation group was 97.50%, which was higher than 85.00% of the control group (P<0.05). The disappearance time of swelling, pain, ecchymosis and fracture healing time in the observation group were shorter than those in the control group (P<0.05). The VAS score of the two groups after treatment was lower than that before treatment, and that of the observation group was lower than that of the control group (P<0.05). After treatment, the Bostman score of the two groups was higher than those before treatment, and that of the observation group was higher than that of the control group (P<0.05). The incidence of complications in the observation group was 5.00%, which was lower than 15.00% in the control group (P<0.05). After treatment, the levels of BGP and ALP in the two groups were higher than those before treatment, and those in the observation group were higher than those in the control group (P<0.05).Conclusion Jianpi Shengxue decoction combined with Kirschner wire fixation can improve the excellent and good rate of treatment in patients with patellar fracture, reduce the degree of pain and the incidence of postoperative complications, improve bone metabolism indicators, shorten fracture healing and rehabilitation time, and improve knee function.

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更新日期/Last Update: 1900-01-01