CAJ | 학술논문

目的：探讨中西医结合治疗胫腓骨双骨折术后并发患肢水肿的效果。方法选取本院2102年12月~2013年6月收治的78例胫腓骨双骨折术后并发患肢水肿患者作为研究对象，随机分成观察组和对照组，各39例。观察组给予加减桃核承气配方颗粒冲剂口服联合甘露醇静脉滴注，对照组只给予甘露醇静脉滴注。比较两组的总有效率、患肢肿胀程度。结果观察组的总有效率为92.31豫，显著高于对照组的71.79豫，差异有统计学意义(P<0.05)。观察组术后第3、5、7天的患肢最大周径显著小于对照组，差异有统计学意义(P<0.05)。观察组术后第3、5、7天的手术前后周径差显著大于对照组，差异有统计学意义(P<0.05)。观察组术后第3、5、7天的肿胀发生率显著低于对照组，差异有统计学意义(P<0.05)。结论加减桃核承气颗粒联合甘露醇治疗胫腓骨双骨折术后并发患肢水肿效果显著，值得临床推广应用。
목적：탐토중서의결합치료경비골쌍골절술후병발환지수종적효과。방법선취본원2102년12월~2013년6월수치적78례경비골쌍골절술후병발환지수종환자작위연구대상，수궤분성관찰조화대조조，각39례。관찰조급여가감도핵승기배방과립충제구복연합감로순정맥적주，대조조지급여감로순정맥적주。비교량조적총유효솔、환지종창정도。결과관찰조적총유효솔위92.31예，현저고우대조조적71.79예，차이유통계학의의(P<0.05)。관찰조술후제3、5、7천적환지최대주경현저소우대조조，차이유통계학의의(P<0.05)。관찰조술후제3、5、7천적수술전후주경차현저대우대조조，차이유통계학의의(P<0.05)。관찰조술후제3、5、7천적종창발생솔현저저우대조조，차이유통계학의의(P<0.05)。결론가감도핵승기과립연합감로순치료경비골쌍골절술후병발환지수종효과현저，치득림상추엄응용。
Objective To explore the effect of Chinese traditional and western medicine in the treatment of postopera-tive tibia and fibula fracture complicated with edema of injured limb. Methods 78 patients with postoperative tibia and fibula fracture complicated with edema of injured limb from December 2012 to June 2013 in our hospital were selected and randomly divided into the control group and the observation group,39 cases in each group.The observation group was treated with Jiajian Taohe Chengqi formula granule combined with intravenous drip of mannitol,the control group was only given intravenous drip of mannitol.The total effective rate and swelling degree of injured limb in two groups was compared. Results The total effective rate in the observation group was 92.31%,which was higher than 71.79% in the control group,with significant difference (P<0.05).The longest diameter of injured limb after operation at the third, fifth,seventh days in the observation group was shorter than that in the control group,with significant difference(P<0.05). The differences of diameter after operation at the third,fifth,seventh days in the observation group was bigger than that in the control group,with significant difference (P<0.05).The incidence rate of swelling after operation at the third,fifth, seventh days in the observation group was lower than that in the control group,with significant difference (P<0.05). Conclusion The effect of add and subtract Taohe Chengqi formula granule combined with mannitol in the treatment of postoperative tibia and fibula fracture complicated with edema of injured limb is significant,it is worthy of clinical pro-motion and application.