中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
14期
54-56,60
,共4页
胫骨远端骨折%LISS术%中药熏洗%踝关节功能
脛骨遠耑骨摺%LISS術%中藥熏洗%踝關節功能
경골원단골절%LISS술%중약훈세%과관절공능
Distal tibial fractures%LISS%Fumigation of chinese medicine%Ankle joint functions
目的：探讨胫骨远端骨折LISS术配合中药熏洗对踝关节功能恢复的影响。方法选取2012年1月~2014年1月期间我院接收治疗的108例胫骨远端骨折患者，所有患者均给予经皮微创钢板内固定（M陨孕孕韵）技术植入LISS钢板进行治疗。采用随机数表法将108例患者分为观察组和对照组，各54例。术后2周观察组患者予中药熏洗治疗。对比两组患者术后的临床疗效和功能评分情况。结果观察组患者的肿胀、功能和X线评分分别为（33.61±2.85）分、（16.13±2.34）分和（30.21±3.01）分，对照组患者的肿胀、功能和X线评分分别为（30.15±2.12）分、（12.21±1.68）分和（34.04±3.61）分。观察组患者的肿胀、功能和X线情况均优于对照组，差异具有统计学意义（P<0.05）。观察组患者的优良率为96.30%，对照组患者的优良率为81.48%，观察组明显优于对照组，差异有统计学意义（P<0.05）。结论采用LISS治疗胫骨远端骨折具有较好的临床疗效，术后恢复较快，同时术后结合中药熏洗治疗能够促进踝关节功能的恢复，可在临床上进一步推广和使用。
目的：探討脛骨遠耑骨摺LISS術配閤中藥熏洗對踝關節功能恢複的影響。方法選取2012年1月~2014年1月期間我院接收治療的108例脛骨遠耑骨摺患者，所有患者均給予經皮微創鋼闆內固定（M隕孕孕韻）技術植入LISS鋼闆進行治療。採用隨機數錶法將108例患者分為觀察組和對照組，各54例。術後2週觀察組患者予中藥熏洗治療。對比兩組患者術後的臨床療效和功能評分情況。結果觀察組患者的腫脹、功能和X線評分分彆為（33.61±2.85）分、（16.13±2.34）分和（30.21±3.01）分，對照組患者的腫脹、功能和X線評分分彆為（30.15±2.12）分、（12.21±1.68）分和（34.04±3.61）分。觀察組患者的腫脹、功能和X線情況均優于對照組，差異具有統計學意義（P<0.05）。觀察組患者的優良率為96.30%，對照組患者的優良率為81.48%，觀察組明顯優于對照組，差異有統計學意義（P<0.05）。結論採用LISS治療脛骨遠耑骨摺具有較好的臨床療效，術後恢複較快，同時術後結閤中藥熏洗治療能夠促進踝關節功能的恢複，可在臨床上進一步推廣和使用。
목적：탐토경골원단골절LISS술배합중약훈세대과관절공능회복적영향。방법선취2012년1월~2014년1월기간아원접수치료적108례경골원단골절환자，소유환자균급여경피미창강판내고정（M운잉잉운）기술식입LISS강판진행치료。채용수궤수표법장108례환자분위관찰조화대조조，각54례。술후2주관찰조환자여중약훈세치료。대비량조환자술후적림상료효화공능평분정황。결과관찰조환자적종창、공능화X선평분분별위（33.61±2.85）분、（16.13±2.34）분화（30.21±3.01）분，대조조환자적종창、공능화X선평분분별위（30.15±2.12）분、（12.21±1.68）분화（34.04±3.61）분。관찰조환자적종창、공능화X선정황균우우대조조，차이구유통계학의의（P<0.05）。관찰조환자적우량솔위96.30%，대조조환자적우량솔위81.48%，관찰조명현우우대조조，차이유통계학의의（P<0.05）。결론채용LISS치료경골원단골절구유교호적림상료효，술후회복교쾌，동시술후결합중약훈세치료능구촉진과관절공능적회복，가재림상상진일보추엄화사용。
Objective To explore the effects of distal tibial fractures LISS combined with fumigation of chinese medicine on the recovery of ankle joint functions. Methods A total of 108 patients with distal tibial fractures who were admitted to our hospital from January 2012 to January 2014 were selected. All patients were given the treatment of im-planting LISS steel plate by MIPPO technology. 108 patients were assigned to an observation group and a control group according to the method of random number table, with 54 patients in each. Patients in the observation group were given fumigation of chinese medicine 2 weeks after the surgery. Clinical effects and function scores after the surgery were compared between the two groups of patients. Results Scores of swelling, functions and X-ray in the observation group were (33.61±2.85), (16.13±2.34), and (30.21±3.01) respectively. Scores of swelling, functions and X-ray in the control group group were (30.15±2.12), (12.21±1.68), and (34.04±3.61) respectively. Swelling, functions and X-ray in the obser vation group were all better than those in the control group, and the differences were statistically significant (P<0.05). The excellent and good rate in the observation group was 96.30%, while in the control group was 81.48%. Clinical effects in the observation group were better than those in the control group, and the differences between two groups were statistically significant (P<0.05). Conclusion LISS in the treatment of distal tibial fractures has a favorable clinical effect and fast recovery after surgery. Its combination with fumigation of chinese medicine is able to promote the recov-ery of ankle joint functions, which is worthy of further clinical promotion and application.
