接骨七厘颗粒联合应用电脑骨创伤治疗仪对下肢骨折术后肿胀程度、预后及疼痛的影响
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R683

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浙江省医药卫生科技计划项目(2019KY682)


Effects of Jiegu Qili Granules Combined with Computerized Traumatological Therapeutic Apparatus on Swelling Degree,Prognosis,and Pain After Surgery for Lower Limb Fracture
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    摘要:

    目的:观察接骨七厘颗粒联合应用电脑骨创伤治疗仪对下肢骨折患者术后肿胀程度、预后及疼痛 的影响。方法:回顾性选取2022年4月—2023年7月永康市第一人民医院接受手术治疗的114例下肢骨折患 者,按治疗方法不同分为对照组68例及观察组46例。对照组接受抗凝、溶栓、防感染等常规对症治疗,观察 组在常规治疗基础上加用接骨七厘颗粒联合应用电脑骨创伤治疗仪治疗。比较2组并发症发生率,比较2组治 疗前后肿胀程度、疼痛视觉模拟评分法(VAS) 评分、中医证候积分、骨折愈合质量、血液流变学指标值的变 化。结果:治疗后,2组肿胀程度、VAS评分、中医证候积分均较治疗前下降(P<0.05),观察组肿胀程度、 VAS评分、中医证候积分均低于对照组(P<0.05)。治疗后,2组骨痂量评分、骨痂密度评分均较治疗前升 高(P<0.05),观察组骨痂量评分、骨痂密度评分均高于对照组(P<0.05)。观察组愈合时间短于对照 组(P<0.05),观察组有效愈合率高于对照组(P<0.05)。治疗后,2组全血黏度、血浆黏度、红细胞压积、 血小板凝聚率均较治疗前下降(P<0.05),观察组上述4项指标值均低于对照组(P<0.05)。观察组并发症发 生率为13.04% (6/46),对照组并发症发生率为29.41% (20/68),2组并发症发生率比较,差异有统计学意 义(P<0.05)。结论:接骨七厘颗粒联合应用电脑骨创伤治疗仪治疗下肢骨折术后可有效降低骨折端肿胀程度 及疼痛程度,缓解临床症状,缩短骨折愈合时长,调节炎症指标值,降低并发症发生率,预后较好。

    Abstract:

    Abstract:Objective:To observe the effects of Jiegu Qili Granules combined with computerized traumatological therapeutic apparatus on postoperative swelling degree, prognosis, and pain in patients with lower limb fracture. Methods: A retrospective analysis was conducted on 114 cases of patients with lower limb fracture who underwent surgery at the First People's Hospital of Yongkang from April 2022 to July 2023. The patients were divided into the 68 cases in control group and the 46 cases in observation group based on different treatment methods. The control group received routine symptomatic treatments such as anticoagulation, thrombolysis, and infection prevention, and the observation group was additionally treated with Jiegu Qili Granules combined with computerized traumatological therapeutic apparatus in addition to the routine treatments. The incidence of complications was compared between the two groups; the swelling degree, Visual Analogue Scale (VAS) scores for pain, traditional Chinese medicine syndrome scores, fracture healing quality, and hemorheological indicators were compared between the two groups before and after treatment. Results:After treatment,both groups showed a reduction in swelling degree,VAS scores, and traditional Chinese medicine syndrome scores compared to those before treatment (P<0.05),with the observation group showing significantly lower levels than the control group (P<0.05). The scores for callus volume and callus density in both groups were increased after treatment (P<0.05),with higher scores in the observation group compared to the control group( P<0.05). The healing time in the observation group was shorter than that in the control group( P< 0.05), and the effective healing rate was higher in the observation group (P<0.05). After treatment, whole blood viscosity, plasma viscosity, hematocrit, and platelet aggregation rate were decreased in the two groups (P<0.05), with the observation group showing lower values than the control group (P<0.05). The incidence of complications was 13.04%( 6/46) in the observation group and 29.41%( 20/68) in the control group,with a significant difference between the two groups (P<0.05). Conclusion:Jiegu Qili Granules combined with computerized traumatological therapeutic apparatus can effectively relieve swelling and pain at the fracture site, alleviate clinical symptoms, shorten fracture healing time,regulate inflammatory indicators,and reduce the incidence of complications in patients with lower limb fracture,leading to better prognosis.

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陈福宇,唐步顺,张小克,颜程.接骨七厘颗粒联合应用电脑骨创伤治疗仪对下肢骨折术后肿胀程度、预后及疼痛的影响[J].新中医,2025,57(9):67-71

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  • 在线发布日期: 2025-05-12
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