CAJ | 학술논문

目的探讨胫腓骨开放性骨折采取中西医结合治疗的价值优势。方法回顾性分析150例胫腓骨开放性骨折患者的临床资料，按治疗方式的不同，分我对照组（n=75，予以纯西医治疗）和治疗组（n=75，加用中医辅助治疗，中西医相结合）。结果治疗组患者平均疗程（69.6±7.9）d，明显短于对照组（85.3±8.3）d（P＜0.05）；治疗组骨折一期愈合70例（93.3%）、迁延愈合5例（6.7%），对照组骨折一期愈合61例（81.3%）、迁延愈合14例（18.7%），两组比较差异具显著性（P＜0.05）；治疗组FIM评分总分以及生活自理、运动、转移能力等三项评分均显著高于对照组（P＜0.05）。结论中西医结合治疗可明显提高胫腓骨骨折的治疗疗效，减少治疗时间，促进骨折及早愈合，改善患者日常生活能力。
목적탐토경비골개방성골절채취중서의결합치료적개치우세。방법회고성분석150례경비골개방성골절환자적림상자료，안치료방식적불동，분아대조조（n=75，여이순서의치료）화치료조（n=75，가용중의보조치료，중서의상결합）。결과치료조환자평균료정（69.6±7.9）d，명현단우대조조（85.3±8.3）d（P＜0.05）；치료조골절일기유합70례（93.3%）、천연유합5례（6.7%），대조조골절일기유합61례（81.3%）、천연유합14례（18.7%），량조비교차이구현저성（P＜0.05）；치료조FIM평분총분이급생활자리、운동、전이능력등삼항평분균현저고우대조조（P＜0.05）。결론중서의결합치료가명현제고경비골골절적치료료효，감소치료시간，촉진골절급조유합，개선환자일상생활능력。
Objective To Explor the tibia and ifbula open fracture to take the advantage of the value of Integrative Medicine. Method Etrospective analysis of the clinical data of 150 cases of patients with open fractures of tibia and ifbula, depending on the treatment, divided into control group (n=75, are pure Western medicine treatment) and the treatment group (n=75, plus Chinese adjuvant therapy, Western medicine combined). Results Patients treated with the average duration of treatment(69.6±7.9)d, significantly shorter than the control group (85.3±8.3)d (P<0.05); treatment group a healing fracture in 70 cases(93.3%), delayed healing in 5 cases (6.7%) in the control group a healing fracture 61 cases (81.3%), delayed healing in 14 patients(18.7%), the difference between two groups were signiifcant(P<0.05);treatment group FIM total score as well as self-care, sports, transferthe ability of three scores were signiifcantly higher than that in the control group (P<0.05).Conclusion Integrative Medicine can signiifcantly improve the therapeutic efifcacy of the tibia and ifbula fracture, reduce treatment time, to promote the early healing of fractures, and improve the patient's activities of daily living.