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[1]張澤宇,舒永輝,朱權(quán),等.中藥內(nèi)服和薰洗在脛骨平臺骨折術(shù)后治療中的應用[J].中醫(yī)正骨,2016,28(11):17-20.
　ZHANG Zeyu,SHU Yonghui,ZHU Quan,et al.Oral application of traditional Chinese medicine and Chinese herbal steaming washing therapy for postoperative treatment of tibial plateau fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(11):17-20.
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中藥內(nèi)服和薰洗在脛骨平臺骨折術(shù)后治療中的應用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年11期
頁碼:
17-20
欄目:
臨床研究
出版日期:
2016-11-20

文章信息/Info

Title:
Oral application of traditional Chinese medicine and Chinese herbal steaming washing therapy for postoperative treatment of tibial plateau fractures
作者:
張澤宇; 舒永輝; 朱權(quán); 匡巍; 黃建芬
廣東省深圳市龍崗區(qū)第三人民醫(yī)院,廣東 深圳 518115
Author(s):
ZHANG Zeyu; SHU Yonghui; ZHU Quan; KUANG Wei; HUANG Jianfen
The Third People's Hospital of Longgang district in Shenzhen City,Shenzhen 518115,Guangdong,China
關(guān)鍵詞:
脛骨骨折;  膝損傷;  手術(shù)后期間;  中草藥;  薰洗
Keywords:
tibial fractures;  knee injuries;  fracture fixation; internal;  postoperative period;  drugs; Chinese herbal;  steaming washing therapy
摘要:
目的:探討在脛骨平臺骨折的術(shù)后治療中應用中藥內(nèi)服和薰洗的臨床療效和安全性。方法:接受切開復位鎖定鋼板內(nèi)固定手術(shù)治療的單側(cè)脛骨平臺骨折患者78例,隨機分為2組。中藥聯(lián)合功能鍛煉組36例,術(shù)后采用中藥內(nèi)服(每日1劑,水煎,早晚各1次飯后半小時口服,共服60 d)和薰洗(每次20 min,每日2次,15 d為1個療程,共治療2個療程)聯(lián)合功能鍛煉治療。功能鍛煉組42例,術(shù)后單純采用功能鍛煉治療。按照《外科學》中的骨折臨床愈合標準評估骨折愈合情況,記錄骨折愈合時間,并觀察并發(fā)癥發(fā)生情況。術(shù)后6個月,分別參照Rasmussen膝關(guān)節(jié)功能評分標準和美國特種外科醫(yī)院(hospital for special surgery,HSS)膝關(guān)節(jié)評分標準對患膝功能進行評價。結(jié)果:78例患者均獲隨訪,隨訪時間7～31個月,中位數(shù)13個月。2組患者骨折均愈合,中藥聯(lián)合功能鍛煉組骨折愈合時間較功能鍛煉組短[(98.44±9.96)d,(109.78±10.13)d; t=4.967,P=0.001]。術(shù)后6個月,中藥聯(lián)合功能鍛煉組Rasmussen評分和HSS評分均高于功能鍛煉組[(27.42±3.18)分,(19.24±2.96)分,t=11.757,P=0.000;(91.16±4.98)分,(77.35±6.69)分,t=10.195,P=0.000]。中藥聯(lián)合功能鍛煉組術(shù)后并發(fā)切口感染1例、下肢深靜脈血栓形成1例、膝關(guān)節(jié)創(chuàng)傷性關(guān)節(jié)炎2例; 功能鍛煉組術(shù)后并發(fā)切口感染1例、下肢深靜脈血栓形成2例、膝關(guān)節(jié)創(chuàng)傷性關(guān)節(jié)炎3例; 2組患者并發(fā)癥發(fā)生率比較,差異無統(tǒng)計學意義(χ2=0.006,P=0.938)。結(jié)論:對于接受切開復位鎖定鋼板內(nèi)固定手術(shù)治療的脛骨平臺骨折患者,術(shù)后在功能鍛煉的基礎(chǔ)上采用中藥內(nèi)服和薰洗,有利于骨折愈合和患膝功能恢復,療效優(yōu)于單純功能鍛煉,而在安全性方面與后者相當。
Abstract:
Objective:To explore the clinical curative effects and safety of oral application of traditional Chinese medicine(TCM)and Chinese herbal steaming washing therapy in the postoperative treatment of tibial plateau fractures.Methods:Seventy-eight patients with unilateral tibial plateau fractures who received open reduction and locking plate internal fixation were randomly divided into 2 groups.Thirty-six patients(combination treatment group)were treated with oral application of TCM(one dose a day,at half an hour after breakfast and supper respectively for 60 consecutive days)combined with Chinese herbal steaming washing therapy(twice a day,20 minutes at a time for consecutive two course of treatment,15 days for each course)and functional exercise after surgery.Forty-two patients(functional exercise group)were treated with monotherapy of functional exercise.Fracture healing were evaluated according to clinical healing standard of fracture which was extracted from surgery.The fracture healing time and the complication incidences were recorded.The knee function were evaluated according to Rasmussen knee function scoring standard and hospital for special surgery(HSS)knee scoring standard respectively at 6 months after surgery.Results:All of the patients were followed up for 7-31 months with a median of 13 months.All fractures healed in the 2 groups,and the fracture healing time was shorter in combination treatment group compared to functional exercise group(98.44+/-9.96 vs 109.78+/-10.13 days; t=4.967,P=0.001).The Rasmussen scores and HSS scores were higher in combination treatment group compared to functional exercise group at 6 months after surgery(27.42+/-3.18 vs 19.24+/-2.96 points,t=11.757,P=0.000; 91.16+/-4.98 vs 77.35+/-6.69 points,t=10.195,P=0.000).After the surgery,incision infection(1),lower extremity deep venous thrombosis(1)and traumatic knee arthritis(2)were found in combination treatment group; while incision infection(1),lower extremity deep venous thrombosis(2)and traumatic knee arthritis(3)were found in functional exercise group.There was no statistical difference in complication incidences between the two groups(χ2=0.006,P=0.938).Conclusion:For patients with unilateral tibial plateau fractures who received open reduction and locking plate internal fixation,combination of functional exercise with oral application of TCM and Chinese herbal steaming washing therapy is conducive to fracture healing and knee function recovery,and its curative effect is better than that of monotherapy of functional exercise,and it is similar to the latter in the safety.

參考文獻/References:

[1] Rohra N,Suri HS,Gangrade K.Functional and Radiological Outcome of Schatzker type V and VI Tibial Plateau Fracture Treatment withDual Plates with Minimum 3 years follow-up:A Prospective Study[J].J Clin Diagn Res,10(5):RC05-10.
[2] Keightley AJ,Nawaz SZ,Jacob JT,et al.Ilizarov management of Schatzker IV to VI fractures of the tibial plateau:105 fractures at a mean follow-up of 7.8 years[J].Bone Joint J,2015,97-B(12):1693-1697.
[3] Rathod AK,Dhake RP,Pawaskar A.Minimally Invasive Treatment of a Complex Tibial Plateau Fracture with Diaphyseal Extension in a Patientwith Uncontrolled Diabetes Mellitus:A Case Report and Review of Literature[J].Cureus,2016,8(5):e599.
[4] 劉斌.針對脛骨平臺骨折患者開展中醫(yī)綜合療法對術(shù)后恢復的效果觀察[J].中國傷殘醫(yī)學,2014,22(14):78-79.
[5] 吳在德,吳肇漢.外科學[M].6版.北京:人民衛(wèi)生出版社,2004.
[6] 劉云鵬,劉沂.骨與關(guān)節(jié)損傷和疾病的診斷分類及功能評定標準[M].北京:清華大學出版社,2002.
[7] Rasmussen PS.Tibial condylar fractures.Impairment of knee joint stability as an indication for surgical treatment[J].J Bone Joint Surg Am,1973,55(7):1331-1350.
[8] 張慶杰,王永清,周星衡,等.鎖定多向帶鎖髓內(nèi)釘與鎖定接骨板固定脛骨平臺骨折的有限元分析[J].中華創(chuàng)傷骨科雜志,2015,17(3):251-256.
[9] Wang Y,Luo C,Zhu Y,et al.Updated Three-Column Concept in surgical treatment for tibial plateau fractures-A prospective cohortstudy of 287 patients[J].Injury,2016,47(7):1488-1496.
[10] 蘭偉榮.關(guān)節(jié)鏡輔助下微創(chuàng)治療脛骨平臺骨折的療效分析[J].中醫(yī)正骨,2014,26(2):51.
[11] 王戰(zhàn)朝.脛骨平臺骨折的分型與治療[J].中醫(yī)正骨,2012,24(3):3-8.
[12] Kim CW,Lee CR,An KC,et al.Predictors of reduction loss in tibial plateau fracture surgery:Focusing on posterior coronal fractures[J].Injury,2016,47(7):1483-1487.
[13] 楊榮華,李春青,鄭建東,等.解剖型鋼板內(nèi)固定治療脛骨平臺粉碎性骨折28例臨床分析[J].解放軍醫(yī)藥雜志,2013,25(1):26-27.
[14] Wähnert D,Hofmann-Fliri L,Schwieger K,et al.Cement augmentation of lag screws:an investigation on biomechanical advantages[J].Arch Orthop Trauma Surg,2013,133(3):373-379.
[15] 朱東紅.切開復位鎖定加壓高爾夫球棒骨板固定治療脛骨平臺骨折[J].中醫(yī)正骨,2012,24(3):52-53.
[16] 楊麗明,傅瑞蕓.中醫(yī)綜合療法在脛骨平臺骨折術(shù)后康復中的應用[J].中醫(yī)正骨,2013,25(12):56.
[17] 潘雄,劉其順,應行,等.中藥聯(lián)合4步康復鍛煉法對骨質(zhì)疏松性椎體壓縮骨折患者生存質(zhì)量的影響[J].中醫(yī)正骨,2015,27(4):65-66.
[18] 劉輝,劉波,張鑫,等.關(guān)節(jié)粘連傳統(tǒng)松解術(shù)聯(lián)合運動療法治療下肢骨折術(shù)后膝關(guān)節(jié)功能障礙[J].中醫(yī)正骨,2013,25(9):47-48.
[19] 曹向陽,王國杰.影音指導下功能鍛煉在腰椎骨折術(shù)后康復中的應用[J].中醫(yī)正骨,2012,24(12):71.

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更新日期/Last Update: 2016-11-30