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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

复元活血汤治疗骨折急性创伤术后疼痛的效果观察

韩少锋,赵坤,葛鹏斌

(西安市高陵区中医医院,陕西 西安,710200)

浏览次数:186次 下载次数:373次

摘要:

目的 观察复元活血汤治疗骨折急性创伤术后疼痛的临床效果。方法 选择2014年1月至2016年6月就诊于我院骨科及急诊科的骨折并行内固定术患者64例,按照治疗方法将所有患者分为试验组和观察组,每组32例。对照组患者术后给予抗感染、对症支持治疗及康复训练等常规治疗,试验组患者在常规治疗的基础上给予复元活血汤加减治疗,观察两组患 者治疗后疼痛改善情况及症状积分变化情况。结果 试验组临床治疗总有效率为93.75%,对照组总有效率为78.12%,组 间差异有统计学意义(P<0.05);试验组患者治疗后的VAS评分明显低于对照组,差异有统计学意义(P<0.05)。结论复元活血汤可明显减轻骨折急性创伤患者术后的疼痛症状,促进骨折伤口的愈合,改善患者的生活质量,值得在临床上进一步探索 研究。

关键词:复元活血汤;骨折;急性创伤术

中图分类号:R274.1文献标志码:A文章编号:2096-1413(2017)13-0121-02

    Effect observation of Fuyuan Huoxue decoction in the treatment of postoperative pain of acute traumatic fracture
    HAN Shao-feng, ZHAO Kun, GE Peng-bin
    (Traditional Chinese Medicine Hospital of Gaoling District, Xi an 710200, China)

    ABSTRACT: Objective To observe the clinical effect of Fuyuan Huoxue decoction in the treatment of postoperative pain of acute traumatic fracture. Methods Sixty-four cases of patients with traumatic fracture and given internal fixation in orthopaedic and emergency department of our hospital from January 2014 to June 2016 were selected. The patients were randomly divided into study group and control group according to different treatment methods, with 32 cases in each group. The control group was given routine postoperative unti-infection, symptomatic treatment and rehabilitation training, while the study group received Fuyuan Huoxue decoction on the basis of the control group. The pain improvement degree and
    symptom scores after the treatment in the two groups were observed. Results The total effective rate of the study group was 93.75%, which was significantly higher than 78.12% of the control group (P<0.05); after the treatment, the VAS score of the study group was significantly lower than that of the control group (P<0.05). Conclusion Fuyuan Huoxue decoction applied in the treatment of postoperative pain of acute traumatic fracture can obviously reduce the patient`s pain symptoms, improve the fracture healing and patients` quality of life, which is worthy of further exploration in clinical research.

    KEYWORDS: Fuyuan Huoxue decoction; fracture; acute trauma surgery

    参考文献:
    [1] 吴在德.外科学[M].北京:人民卫生出版社,2002:144-145.
    [2] 于波,张秀杰,谢进.复元活血汤对骨折早期血管内皮生长细胞因子活性的影响[J].时珍国医国药,2011,22(1):36-38.
    [3] 谢伟,郑建平,吴向科,等.复元活血汤对脊柱骨折术后腹胀、便秘的临床疗效观察[J].中华中医药学刊,2014,24(2):438-440.
    [4] 郑筱萸.中药新药临床研究指导原则[S].北京:人民卫生出版社,2002:33.
    [5] 江澄川.疼痛的基础与临床[M].上海:复旦大学出版社,2001:186.
    [6] 中华医学会骨科学分会.骨科常见疼痛的处理专家建议[J].中华骨科杂志,2008,28(1):78-81.
    [7] 高小勇,魏戌,邹本贵,等.复元活血汤加减治疗骨折后发热临床观察[J].辽宁中医杂志,2010,37(3):480-481.
    [8] 傅兴圣,陈菲,刘训红,等.大黄化学成分与药理作用研究新进展[J].中国新药杂志,2011,20(16):1534.
    [9] 许军阳,李光绍.当归注射液对慢性阻塞性肺疾病伴肺动脉高压患者近期疗效观察[J].中国中西医结合杂志,2000,20(3):187-189.
    [10] 马瑞君,王钦,陈学林,等.当归的研究进展[J].中草药,2002,33(3):280-282.
    [11] 汪宁,刘青云,彭代银,等.桃仁不同提取物抗血栓作用的实验研究 [J].中药材,2002,25(6):414.
    [12] 刘爱玲,毕爱丽.复元活血汤临床新用[J].陕西中医,2002,23(6):558-559.

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