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[1]劉丹瓊.手法復(fù)位杉樹皮夾板固定聯(lián)合補(bǔ)腎活血湯口服 治療老年肱骨近端骨折腎虛血瘀證的臨床研究[J].中醫(yī)正骨,2018,30(08):16-20.
　LIU Danqiong.A clinical study of manipulative reduction and fir-bark splint external fixation combined with oral application of Bushen Huoxue Tang(補(bǔ)腎活血湯)for treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged LIU Danqiong[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):16-20.
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手法復(fù)位杉樹皮夾板固定聯(lián)合補(bǔ)腎活血湯口服 治療老年肱骨近端骨折腎虛血瘀證的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年08期
頁碼:
16-20
欄目:
臨床研究
出版日期:
2018-08-20

文章信息/Info

Title:
A clinical study of manipulative reduction and fir-bark splint external fixation combined with oral application of Bushen Huoxue Tang(補(bǔ)腎活血湯)for treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged LIU Danqiong
作者:
劉丹瓊
遼寧省本溪市中醫(yī)院,遼寧 本溪 117000
Author(s):
LIU Danqiong
Benxi Hospital of Traditional Chinese Medicine,Benxi 117000,Liaoning,China
關(guān)鍵詞:
肩骨折;  肱骨骨折;  腎虛;  血瘀;  正骨手法;  小夾板固定;  補(bǔ)腎活血湯;  骨折固定術(shù); 內(nèi);  臨床試驗(yàn)
Keywords:
shoulder fractures;  humeral fractures;  KIDNEY DEFICIENCY;  BLOOD STASIS;  bone setting manipulation;  small splint fixation;  Bushen Huoxue Tang;  fracture fixation; internal;  clinical trial
摘要:
觀察手法復(fù)位杉樹皮夾板固定聯(lián)合補(bǔ)腎活血湯口服治療老年肱骨近端骨折腎虛血瘀證的臨床療效。方法:將60例老年肱骨近端骨折腎虛血瘀證患者按其意愿分為手法復(fù)位外固定組和切開復(fù)位內(nèi)固定組,每組30例。手法復(fù)位外固定組采用手法復(fù)位杉樹皮夾板固定聯(lián)合補(bǔ)腎活血湯口服治療,補(bǔ)腎活血湯每日1劑,每次100 mL,每日3次,連續(xù)服用3周; 切開復(fù)位內(nèi)固定組采用切開復(fù)位鋼板內(nèi)固定治療。比較2組患者的骨折愈合情況及末次隨訪時(shí)的Constant-Murley肩關(guān)節(jié)功能評分。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間8～30個(gè)月,中位數(shù)12個(gè)月。骨折均愈合。手法復(fù)位外固定組的骨折愈合時(shí)間短于切開復(fù)位內(nèi)固定組[(8.90±1.63)周,(10.47±1.89)周,t=-3.443,P=0.001]。末次隨訪時(shí),2組患者的Constant-Murley肩關(guān)節(jié)疼痛評分、日常活動能力評分、肩關(guān)節(jié)活動度評分、肌力評分及總分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(15.40±1.63)分,(16.10±1.79)分,t=-1.584,P=0.119;(17.80±1.63)分,(16.77±3.47)分,t=1.476,P=0.145;(34.37±4.38)分,(35.50±5.85)分,t=-0.849,P=0.399;(17.73±3.27)分,(18.23±3.36)分,t=-0.584,P=0.561;(83.33±6.64)分,(85.70±6.24)分,t=-1.423,P=0.160]。結(jié)論:手法復(fù)位杉樹皮夾板固定聯(lián)合補(bǔ)腎活血湯口服治療老年肱骨近端骨折腎虛血瘀證,與切開復(fù)位鋼板內(nèi)固定的臨床療效相當(dāng),但骨折愈合比后者快,值得臨床推廣應(yīng)用。
Abstract:
To observe the clinical curative effects of manipulative reduction and fir-bark splint external fixation combined with oral application of Bushen Huoxue Tang(補(bǔ)腎活血湯,BSHXT)for treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged.Methods:Sixty aged patients with kidney-deficiency-blood-stasis-type proximal humeral fractures enrolled in the study were divided into manipulative reduction external fixation group and open reduction internal fixation group according to their wishes,30 cases in each group.The patients in manipulative reduction external fixation group were treated with manipulative reduction and fir-bark splint external fixation combined with oral application of BSHXT,while the patients in open reduction internal fixation group were treated with open reduction and steel plate internal fixation.The BSHXT was taken for 3 weeks,one dose a day by 3 times,100 mL at a time.The fracture healing and the Constant-Murley shoulder function score at last follow-up were compared between the 2 groups.Results:All patients in the 2 groups were followed up for 8-30 months with a median of 12 months,and all fractures healed in the 2 groups.The fracture healing time was shorter in manipulative reduction external fixation group compared to open reduction internal fixation group(8.90+/-1.63 vs 10.47+/-1.89 weeks,t=-3.443,P=0.001).There was no statistical difference in Constant-Murley shoulder pain scores,activity of daily living(ADL)scores,shoulder range of motion(ROM)scores,muscle strength scores and total scores between the 2 groups at last follow-up(15.40+/-1.63 vs 16.10+/-1.79 points,t=-1.584,P=0.119; 17.80+/-1.63 vs 16.77+/-3.47 points,t=1.476,P=0.145; 34.37+/-4.38 vs 35.50+/-5.85 points,t=-0.849,P=0.399; 17.73+/-3.27 vs 18.23+/-3.36 points,t=-0.584,P=0.561; 83.33+/-6.64 vs 85.70+/-6.24 points,t=-1.423,P=0.160).Conclusion:Therapy of manipulativereduction and fir-bark splint external fixation combined with oral application of BSHXT is similar to therapy of open reduction and steel plate internal fixation in the clinical curative effects in treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged,while the fracture healing time of the former is shorter than that of the latter,so it is worthy of popularizing in clinic.

參考文獻(xiàn)/References:

[1] 姜保國,張殿英,付中國,等.肱骨近端骨折的治療建議[J].中華創(chuàng)傷骨科雜志,2011,13(1):55-59.
[2] 王亦璁.骨與關(guān)節(jié)損傷[M].3版.北京:人民衛(wèi)生出版社,2001:756-768.
[3] MCKOY BE,BENSEN CV,HARTSOCK LA.Fractures about the shoulder:conservative management[J].Orthop Clin North Am,2000,31(2):205-216.
[4] 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(biāo)準(zhǔn)[M].北京:清華大學(xué)出版社,2002:19.
[5] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[M].南京:南京大學(xué)出版社,1994:163.
[6] 鄭筱萸.中藥新藥臨床研究指導(dǎo)原則(試行)[M].北京:中國醫(yī)藥科技出版社,2002:383-390.
[7] CONSTANT CR,MURLEY AH.A clinical method of functional assessment of the shoulder[J].Clin Orthop Relat Res,1987,(214):160-164.
[8] 胥少汀,葛寶豐,徐印坎.實(shí)用骨科學(xué)[M].3版.北京:人民軍醫(yī)出版社,2005:516-521.
[9] FAROUK O,KRETTEK C,MICLAU T,et al.Minimally invasive plate osteosynthesis:does percutaneous plating disrupt femoral blood supply less than the traditional technique?[J].J Orthop Trauma,1999,13(6):401-406.
[10] 季鳴,顧云五,劉杰文.骨外膜剝離對實(shí)驗(yàn)性骨折愈合的影響——超微結(jié)構(gòu)研究[J].中華骨科雜志,1994,14(8):498-501.
[11] 吳宇峰,石關(guān)桐.骨的各部分組織在骨折愈合中的作用[J].中國骨傷,2001,14(1):36-37.
[12] 王棟,潘浩,賈高永,等.老年骨質(zhì)疏松性肱骨近端骨折分型及臨床治療進(jìn)展[J].中國中醫(yī)骨傷科雜志,2015,23(5):77-80.
[13] 賈柯,徐克武,胡翔.老年肱骨近端骨折分型及臨床治療進(jìn)展[J].中醫(yī)正骨,2017,29(3):24-27.
[14] 謝雪濤.肱骨近端骨折治療的系統(tǒng)規(guī)則[J].國際骨科學(xué)志,2013,34(4):231-234.
[15] 張作君.對肱骨近端骨折治療的幾點(diǎn)看法[J].中醫(yī)正骨,2011,23(10):30-33.
[16] 戴勇華,孟國林,劉建.老年肱骨近端骨折治療效果影響因素的分析研究[J].中國骨質(zhì)疏松雜志,2013,19(3):239-242.
[17] 詹祖鋒,劉曉霞,姚忠軍,等.影響老年肱骨近端骨折功能恢復(fù)的因素分析[J].組織工程與重建外科雜志,2015,11(4):263-265.
[18] 馬印來,傅偉,魏玉良.兩種方式治療肱骨近端骨折療效分析[J].中醫(yī)正骨,2007,19(11):44-45.
[19] 莊澄宇,陳哲,宋艷艷,等.肱骨近端骨折合并肩袖破裂的發(fā)病率及與骨折類型和年齡分布的相關(guān)性[J].中華骨科雜志,2017,37(21):1356-1360.
[20] 范亞杰,馬張穩(wěn).非手術(shù)與手術(shù)治療肱骨近端骨折[J].臨床骨科雜志,2017,20(5):578-581.
[21] 王勇,許兵,余作取,等.甩肩療法與手術(shù)內(nèi)固定治療老年肱骨近端骨折的病例對照研究[J].中國骨傷,2014,27(12):980-985.
[22] 饒海群,黃大江,吳淵,等.肱骨近端骨折保守治療后并發(fā)癥的探討[J].中國矯形外科雜志,2014,22(22):2049-2052.
[23] 張作君,王俊頎,牛素玲,等.585例肱骨近端骨折臨床療效回顧性研究[J].中醫(yī)正骨,2012,24(9):15-19.
[24] 楊中江,柳曉軍,李海明.肱骨近端骨折84例保守治療體會[J].中國藥物與臨床,2015,15(10):1482-1483.
[25] 孫曉,張玉柱,王國平,等.手法復(fù)位杉樹皮夾板固定治療肱骨近端骨折的臨床療效觀察[J].中醫(yī)正骨,2012,24(7):13-16.
[26] 梁亮科,李焱,李漢民.杉樹皮小夾板外固定治療骨折的特色[J].中國骨傷,2001,14(10):632-633.
[27] 相道三,吳連國,劉其順.手法復(fù)位杉樹皮夾板固定配合中藥內(nèi)服治療老年肱骨近端骨折[J].中醫(yī)正骨,2014,26(10):52-54.
[28] 虎群盛,黃楓,姜自偉.杉樹皮夾板外固定的歷史溯源及研究進(jìn)展[J].湖南中醫(yī)雜志,2016,32(9):197-199.
[29] 王人彥,張玉柱,張玉良,等.兒童肱骨髁上骨折杉樹皮夾板與石膏固定治療的比較[J].中國中醫(yī)骨傷科雜志,2014,22(11):41-43.
[30] 徐志明.補(bǔ)腎活血法對骨折愈合影響的臨床及實(shí)驗(yàn)研究[D].廣州:廣州中醫(yī)藥大學(xué),2014.
[31] 陳曉偉.活血化瘀中藥在抗凝治療中的作用[D].廣州:廣州中醫(yī)藥大學(xué),2010.
[32] 李曦,張麗宏,王曉曉,等.當(dāng)歸化學(xué)成分及藥理作用研究進(jìn)展[J].中藥材,2013,36(6):1023-1028.

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更新日期/Last Update: 2018-08-31