摘要
目的研究中药熏洗对桡骨远端骨折术后患者腕关节功能及FIB、PT、APTT的影响。方法选取2017年12月—2020年2月收治的62例桡骨远端骨折术后患者,按随机数字表法分为对照组(31例)和观察组(31例)。对照组使用骨伤复原汤治疗,观察组在对照组基础上使用中药熏洗,2组患者均治疗20 d,比较2组患者治疗前后腕关节功能、疼痛程度、腕关节活动度及血浆FIB、PT、APTT水平。结果与治疗前相比,治疗后2组患者PRWE、Sarmiento评分及血浆FIB水平均降低,且观察组低于对照组;血浆PT、APTT延长,且观察组长于对照组;与治疗前相比,治疗后2组患者背伸、掌屈、旋前、旋后角度均升高,且观察组高于对照组(均P<0.05)。结论中药熏洗可缓解桡骨远端骨折术后患者疼痛,改善其腕关节功能及腕关节活动度,同时改善患者的凝血功能,促进恢复。
Objective To study the effect of traditional Chinese medicine fumigation and washing on wrist joint function,FIB,PT and APTT in patients with distal radius fracture after operation.Methods According to the random number table method,62 patients with distal radius fractures treated in our hospital from December 2017 to February 2020 were divided into control group and observation group,with 31 cases each.Patients in the control group were treated with Gushang Fuyuan decoction,and patients in the observation group were treated with traditional Chinese medicine fumigation and washing on the basis of the control group.Both groups were treated for 20 d.The wrist function,pain degree,wrist motion and plasma FIB,PT and APTT were compared between the two groups.Result Compared with those before treatment,the scores of PRWE and Sarmiento and the level of plasma FIB decreased in both groups after treatment,and those of the observation group was lower.The plasma PT and APTT were prolonged,and those in the observation group were longer than those in the control group;the angles of dorsal extension,metacarpal flexion,pronation and supination increased,and the angles in the observation group were higher than those in the control group(all P<0.05).Conclusion Traditional Chinese medicine fumigation and washing can relieve the pain in patients with distal radius fracture,improve the wrist function and the range of wrist motion,improve the blood coagulation and promote the recovery.
作者
马旭
MA Xu(Department of Orthopedics and Traumatology,Xiangfen County Hospital of Traditional Chinese Medicine,Shanxi Province,Linfen 041500,China)
出处
《光明中医》
2021年第12期1996-1998,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
桡骨远端骨折
中药熏洗疗法
腕关节功能
纤维蛋白原
凝血酶原时间
distal radius fracture
traditional Chinese medicine fumigation and washing
wrist function
fibrinogen
prothrombin time
