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中西医结合治疗创伤骨折的临床效果(1)
http://www.100md.com 2016年6月5日 《中国当代医药》2016年第16期
     [摘要]目的 研究中西医结合治疗创伤骨折的临床效果。方法 于2013年1月~2014年12月选取我院100例创伤性骨折患者作为此次研究的对象,采取计算机随机抽取法将其分为观察组和对照组,每组50例。对照组采取常规西医对症治疗方案进行治疗,观察组采取中西医结合治疗方案进行治疗。比较两组患者的临床总有效率、骨痂形成时间、骨折愈合时间、软组织修复优良率、并发症发生率以及VAS疼痛评分。结果 观察组的临床总有效率为96%,软组织修复优良率为92%,明显高于对照组(80%、76%)(χ2=6.061、4.762,P=0.014、0.029)。观察组的并发症发生率为6%,明显低于对照组(20%)(χ2=4.332,P=0.037)。观察组的骨痂形成时间、骨折愈合时间分别为(2.83±0.82)、(6.62±1.28)个月,明显短于对照组[(3.72±1.05)、(8.94±1.73)个月](t=4.724、7.623,P=0.000、0.000);观察组的VAS评分为(2.17±0.83)分,明显低于对照组[(3.59±0.95)分](t=7.959,P=0.000)。结论 在创伤性骨折的临床治疗中,采用中西医结合疗法具有显著效果,可有效促进骨折的愈合,改善预后。

    [关键词]创伤性骨折;中西医结合;骨科

    [中图分类号]R687.3 [文献标识码]A [文章编号]1674-4721(2016)06(a)-0089-03

    [Abstract]Objective To study the clinical effect of combining traditional Chinese and western medicine treatment of traumatic fracture.Methods From January 2013 to December 2014,100 cases of patients with traumatic fractures were selected as the research object,100 patients were divided into the control group and the observation group by taking the computer random method,each group had 50 cases of patients.The control group were treated with conventional western medicine symptomatic treatment,the observation group were treated with combine traditional Chinese and western medicine treatment for treatment.The clinical total effective rate,callus formation time,fracture healing time,soft tissue repair fine rate,incidence of complications and the VAS pain score were compared between two groups.Results The clinical total effective rate of the observation group was 96%,soft tissue repair fine rate was 92%,there was significantly higher than that of control group (80%,76%)(χ2=6.061,4.762,P=0.014,0.029).The complication rate of observation group was 6%,which was significantly lower than that of control group(20%)(χ2=4.332,P=0.037).The formation time and healing time of the observation group were (2.83±0.82),(6.62±1.28) months,which were significantly shorter than those of the control group [(3.72±1.05),(8.94±1.73)months] (t=4.724,7.623,P=0.000,0.000).The VAS score of the observation group was (2.17±0.83),which was significantly lower than that of the control group [(3.59±0.95)scores] (t=7.959,P=0.000).Conclusion In clinical treatment of traumatic fractures,treating with the combined therapy of Chinese and western medicine has significant curative effect,can effectively promote the healing of fracture and improve prognosis.

    [Key words]Traumatic fracture;Integrated traditional Chinese and Western medicine;Department of orthopedics (孙贵耀 张雪华 乔晓光)
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