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[1]周峰,泮利鋒,錢建軍.海桐皮湯薰洗聯(lián)合常規(guī)消腫療法治療跟骨骨折后早期足踝部腫脹的療效觀察[J].中醫(yī)正骨,2020,32(10):31-34.
　ZHOU Feng,PAN Lifeng,QIAN Jianjun.Observation on the curative effects of steaming and washing therapy with Haitongpi Tang(海桐皮湯)combined with conventional decongestive therapy for treatment of early ankle swelling after calcaneal fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(10):31-34.
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海桐皮湯薰洗聯(lián)合常規(guī)消腫療法治療跟骨骨折后早期足踝部腫脹的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年10期
頁(yè)碼:
31-34
欄目:
臨床研究
出版日期:
2020-10-20

文章信息/Info

Title:
Observation on the curative effects of steaming and washing therapy with Haitongpi Tang(海桐皮湯)combined with conventional decongestive therapy for treatment of early ankle swelling after calcaneal fractures
作者:
周峰; 泮利鋒; 錢建軍
(杭州市第九人民醫(yī)院,浙江 杭州 311225)
Author(s):
ZHOU Feng; PAN Lifeng; QIAN Jianjun
The Ninth People’s Hospital of Hangzhou City,Hangzhou 311225,Zhejiang,China
關(guān)鍵詞:
跟骨;  骨折; 閉合性;  腫脹;  海桐皮湯;  薰洗;  消腫;  臨床試驗(yàn)
Keywords:
calcaneus;  fractures; closed;  swelling;  Haitongpi Tang;  steaming washing therapy;  subsiding swelling;  clinical trial
摘要:
目的:觀察海桐皮湯薰洗聯(lián)合常規(guī)消腫療法治療跟骨骨折后早期足踝部腫脹的臨床療效。方法:將符合要求的80例跟骨骨折后早期足踝部腫脹患者隨機(jī)分為常規(guī)消腫組和海桐皮湯薰洗組,每組40例。常規(guī)消腫組給予冰敷、抬高患肢、石膏托外固定、足趾被動(dòng)功能鍛煉等治療,連續(xù)治療7 d; 海桐皮湯薰洗組在常規(guī)消腫組治療方案的基礎(chǔ)上采用海桐皮湯薰洗患處,每次薰洗約30 min,每日2次,連續(xù)薰洗7 d。結(jié)果:①足踝部皮膚褶皺出現(xiàn)時(shí)間。海桐皮湯薰洗組足踝部皮膚褶皺出現(xiàn)時(shí)間早于常規(guī)消腫組[(5.93±0.92)d,(7.88±0.79)d,t=-10.188,P=0.000]。②張力性水皰發(fā)生情況。海桐皮湯薰洗組2例出現(xiàn)張力性水皰,常規(guī)消腫組8例出現(xiàn)張力性水皰; 海桐皮湯薰洗組張力性水皰發(fā)生率低于常規(guī)消腫組(χ2=4.114,P=0.043)。③患側(cè)與健側(cè)足踝部周徑差。海桐皮湯薰洗組2例患者和常規(guī)消腫組8例患者均因足踝部出現(xiàn)張力性水皰而未完成患側(cè)與健側(cè)足踝部周徑差的測(cè)量。其他患者測(cè)量結(jié)果顯示,時(shí)間因素和分組因素存在交互效應(yīng)(F=9.519,P=0.000)。2組患者的患側(cè)與健側(cè)足踝部周徑差總體比較,組間差異有統(tǒng)計(jì)學(xué)意義,即存在分組效應(yīng)(F=8.854,P=0.004)。治療前后不同時(shí)間點(diǎn)患側(cè)與健側(cè)足踝部周徑差的差異有統(tǒng)計(jì)學(xué)意義,即存在時(shí)間效應(yīng)(F=407.980,P=0.000); 2組患者治療前后的患側(cè)與健側(cè)足踝部周徑差均呈先升高后降低的趨勢(shì)[海桐皮湯薰洗組:(2.52±0.73)cm,(4.09±0.57)cm,(2.26±0.71)cm,(1.20±0.46)cm,F=138.563,P=0.000; 常規(guī)消腫組:(2.53±0.78)cm,(4.02±0.44)cm,(2.63±0.64)cm,(1.82±0.35)cm,F=81.032,P=0.000],但2組的變化趨勢(shì)不完全一致; 治療前、治療后第2天2組患者患側(cè)與健側(cè)足踝部周徑差的差異均無(wú)統(tǒng)計(jì)學(xué)意義[t=-0.042,P=0.967; t=0.620,P=0.537]; 治療后第4天、第7天海桐皮湯薰洗組患側(cè)與健側(cè)足踝部周徑差均小于常規(guī)消腫組[t=-2.285,P=0.025; t=-6.269,P=0.000]。結(jié)論:海桐皮湯薰洗聯(lián)合常規(guī)消腫療法治療跟骨骨折后早期足踝部腫脹,與常規(guī)消腫療法相比,能盡早消除足踝部腫脹,降低張力性水皰的發(fā)生率。
Abstract:
To observe the clinical curative effects of steaming and washing therapy with Haitongpi Tang(海桐皮湯,HTPT)combined with conventional detumescence therapy for treatment of early ankle swelling after calcaneal fractures.Methods:Eighty patients with early ankle swelling secondary to calcaneal fracture were enrolled in the study and were randomly divided into conventional detumescence group and HTPT steaming-washing group,40 cases in each group.All patients in the 2 groups were treated with ice compress,raising the injured limbs,plaster slab external fixation and passive toes functional exercises for consecutive 7 days.Moreover,the patients in HTPT steaming-washing group were treated with HTPT steaming and washing therapy at the afflicted parts twice a day,30 minutes at a time for consecutive 7 days.Results:The skin folds of foot and ankle appeared earlier in HTPT steaming-washing group compared to conventional detumescence group(5.93+/-0.92 vs 7.88+/-0.79 days,t=-10.188,P=0.000).The tension blisters were found in 2 patients in HTPT steaming-washing group and 8 patients in conventional detumescence group.The incidence rate of tension blister was lower in HTPT steaming-washing group compared to conventional detumescence group(χ2=4.114,P=0.043).The measurements of difference of ankle circumference between affected side and healthy side was unfinished in 2 patients in HTPT steaming-washing group and 8 patients in conventional detumescence group for appearing tension blisters at foot and ankle.The measurement results of the other patients showed that there was interaction between time factor and group factor(F=9.519,P=0.000).There was statistical difference in the difference of ankle circumference between affected side and healthy side between the 2 groups in general,in other words,there was group effect(F=8.854,P=0.004).There was statistical difference in the difference of ankle circumference between affected side and healthy side between different timepoints before and after the treatment,in other words,there was time effect(F=407.980,P=0.000).The difference of ankle circumference between affected side and healthy side presented a time-dependent trend of increasing firstly and decreasing subsequently in the 2 groups(HTPT steaming-washing group:2.52+/-0.73,4.09+/-0.57,2.26+/-0.71,1.20+/-0.46 cm,F=138.563,P=0.000; conventional detumescence group:2.53+/-0.78,4.02+/-0.44,2.63+/-0.64,1.82+/-0.35 cm,F=81.032,P=0.000),while the 2 groups were inconsistent with each other in the variation tendency.There was no statistical difference in the difference of ankle circumference between affected side and healthy side between the 2 groups before the treatment and at posttreatment day 2(t=-0.042,P=0.967; t=0.620,P=0.537).The difference of ankle circumference between affected side and healthy side was smaller in HTPT steaming-washing group compared to conventional detumescence group at posttreatment day 4 and 7(t=-2.285,P=0.025; t=-6.269,P=0.000].Conclusion:The HTPT steaming and washing therapy combined with conventional detumescence therapy can eliminate ankle swelling early and reduce incidence rate of tension blisters compared to the monotherapy of conventional detumescence therapy in treatment of early ankle swelling after calcaneal fractures.

參考文獻(xiàn)/References:

[1] 趙航,陳戈,畢鑫,等.三種手術(shù)方法治療SandersⅢ型跟骨骨折的療效比較[J].中國(guó)骨與關(guān)節(jié)雜志,2020,9(3):186-193.
[2] 施磊,陳先進(jìn).閉合復(fù)位橫向釘聯(lián)合軸向釘內(nèi)固定治療SandersⅡ、Ⅲ型跟骨骨折[J].中醫(yī)正骨,2019,31(9):67-70.
[3] 周國(guó)柱,鮑自立,倪建平,等.四黃懸液外敷治療跟骨骨折早期腫痛臨床觀察[J].陜西中醫(yī),2017,38(6):746-747.
[4] 牛裴裴,呂永濤.芒硝濕敷治療跟骨骨折早期肢體腫脹的療效觀察[J].實(shí)用臨床護(hù)理學(xué)電子雜志,2018,3(4):179.
[5] 白求恩·骨科加速康復(fù)聯(lián)盟,白求恩公益基金會(huì)創(chuàng)傷骨科專業(yè)委員會(huì),白求恩公益基金會(huì)關(guān)節(jié)外科專業(yè)委員會(huì),等.加速康復(fù)外科理念下跟骨關(guān)節(jié)內(nèi)骨折診療規(guī)范專家共識(shí)[J].中華骨與關(guān)節(jié)外科雜志,2020,13(2):97-108.
[6] EPSTEIN N,CHANDRAN S,CHOU L.Current concepts review:intra-articular fractures of the calcaneus[J].Foot Ankle Int,2012,33(1):79-86.
[7] 張廷玖,張東,曾凡偉,等.復(fù)位鎖定鋼板不同放置方式治療對(duì)SandersⅡ、Ⅲ型跟骨骨折患者臨床療效、關(guān)節(jié)功能及并發(fā)癥的影響[J].解放軍醫(yī)藥雜志,2020,32(8):79-82.
[8] 郝定均.簡(jiǎn)明臨床骨科學(xué)[M].北京:人民衛(wèi)生出版社,2014:106-107.
[9] 鄭筱萸.中藥新藥臨床研究指導(dǎo)原則(試行)[M].北京:中國(guó)醫(yī)藥科技出版社,2002:340.
[10] 王金法,姬強(qiáng)明,費(fèi)紅良,等.穴位按壓聯(lián)合活血散瘀方用于跟骨骨折早期消腫的臨床觀察[J].中國(guó)骨傷,2019,32(11):982-986.
[11] 龍冰,孫曉瑩,李霽,等.圍手術(shù)期高壓氧治療對(duì)跟骨骨折切口愈合影響的臨床觀察[J].昆明醫(yī)科大學(xué)學(xué)報(bào),2019,40(5):108-111.
[12] 任太全,劉勇,孫鋒,等.新傷濕敷液治療早期跟骨骨折的臨床效果[J].中國(guó)當(dāng)代醫(yī)藥,2020,27(6):92-95.
[13] 劉德峰,王江靜,鄧海峰,等.紅元膠囊對(duì)跟骨骨折局部腫脹、術(shù)后切口愈合的影響[J].現(xiàn)代中西醫(yī)結(jié)合雜志,2020,29(1):44-47.
[14] 熊斌,周云,詹俊鋒,等.紅外線聯(lián)合氣壓治療在跟骨骨折切開復(fù)位內(nèi)固定術(shù)患者圍術(shù)期的應(yīng)用效果研究[J].中國(guó)全科醫(yī)學(xué),2019,22(17):2125-2129.
[15] 聶敏,陳先進(jìn).中藥內(nèi)服外敷治療跟骨骨折早期腫脹的臨床觀察[J].中國(guó)民間療法,2020,28(2):46-47.
[16] 章娜.中藥塌漬治療用于減輕骨折腫脹的效果觀察[J].世界最新醫(yī)學(xué)信息文摘(電子版),2018,18(85):131-132.
[17] NAJEFI A A,NAJEFY A,VEMULAPALLI K.Paediatric calcaneal fractures:a guide to management based on a review of the literature[J].Injury,2020,51(7):1432-1438.
[18] 劉慧娜.不同劑型七葉皂苷鈉聯(lián)合應(yīng)用治療跟骨骨折術(shù)后腫脹的有效性分析[J].海峽藥學(xué),2018,30(5):160-161.
[19] 李翰林,張偉中,徐浩,等.逐瘀退腫散外敷治療跟骨骨折后早期足踝部腫脹臨床研究[J].河南中醫(yī),2017,37(5):851-853.
[20] 黃洪田,李桂英.自擬活血祛瘀消腫湯治療跟骨骨折術(shù)前腫脹的臨床療效評(píng)價(jià)[J].中國(guó)中醫(yī)藥科技,2018,25(3):396-397.
[21] 周瑞華.中西醫(yī)結(jié)合治療踝關(guān)節(jié)腫脹57例療效觀察[J].中國(guó)民族民間醫(yī)藥,2018,27(6):70-72.
[22] 邵玉紅,錢秋花,包英華.冷熱序貫療法治療閉合性跟骨骨折早期軟組織腫脹[J].中醫(yī)正骨,2014,26(8):40-41.
[23] 宋東寧,毛矛,朱廣平,等.海桐皮湯薰洗在掌指骨骨折術(shù)后康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2019,31(10):17-20.
[24] 覃祥城,楊勛波,文瀟龍,等.海桐皮湯熏洗治療肱骨外上髁炎臨床觀察[J].山西中醫(yī),2019,35(10):48-49.
[25] 蔣薇,陳剛.海桐皮湯薰洗聯(lián)合體外沖擊波療法治療輕中度膝骨關(guān)節(jié)炎的療效觀察[J].中醫(yī)正骨,2020,32(4):15-20.

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[11]譚新歡,聶偉志,隋顯玉,等.閉合復(fù)位經(jīng)皮穿針內(nèi)固定與切開復(fù)位接骨板內(nèi)固定治療 PaleyB1型跟骨骨折的對(duì)比研究[J].中醫(yī)正骨,2015,27(12):16.
　TAN Xinhuan,NIE Weizhi,SUI Xianyu,et al.A retrospective trial of closed reduction and percutaneous internal fixation with Kirschner wire versus open reduction and internal fixation with bone plate for the treatment of Paley type B1 calcaneal fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):16.
[12]譚新歡,聶偉志,朱育林,等.跟骨骨折微創(chuàng)治療的研究進(jìn)展[J].中醫(yī)正骨,2015,27(05):73.
[13]湯樣華,曾林如,岳振雙,等.跟骨后結(jié)節(jié)骨折內(nèi)固定失敗原因分析[J].中醫(yī)正骨,2016,28(06):71.
[14]徐毅,李海勛,李智豪.跗骨竇切口微創(chuàng)接骨板內(nèi)固定治療SandersⅡ、Ⅲ型跟骨骨折[J].中醫(yī)正骨,2016,28(08):41.
[15]齊兵,王振,姚小銳.三維截骨矯形距下關(guān)節(jié)融合鎖定鈦板內(nèi)固定術(shù)治療Stephens-SandersⅢ型陳舊性跟骨骨折畸形愈合[J].中醫(yī)正骨,2016,28(11):56.
[16]李浩,沈永輝,季衛(wèi)平.氦氖激光照射預(yù)防新鮮閉合性跟骨骨折術(shù)后切口并發(fā)癥的臨床觀察[J].中醫(yī)正骨,2016,28(11):59.
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　YE Yongliang,HE Huayong,LI Jiehua,et al.An anatomical study of reduction of calcaneus fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(10):8.
[20]楊德勇,程蓓蓓,姜鈞耀,等.3D打印技術(shù)輔助傳統(tǒng)手術(shù)方法治療復(fù)雜跟骨骨折有效性和安全性的Meta分析[J].中醫(yī)正骨,2022,34(08):36.
　YANG Deyong,CHENG Beibei,JIANG Junyao,et al.Clinical outcomes and safety of conventional surgical methods assisted by 3D printing technology for treatment of complicated calcaneal fractures:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(10):36.

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更新日期/Last Update: 2020-10-20