传统中医疗法及带锁髓内钉动力化在治疗胫骨干骨折延迟愈合的临床研究.docVIP

精品论文 参考文献 传统中医疗法及带锁髓内钉动力化在治疗胫骨干骨折延迟愈合的临床研究 牟成勇 崔晓赟 许锦涛 龙泉驿区中医医院 四川成都 610100 【摘 要】目的 探讨传统中医疗法及带锁髓内钉动力化在治疗胫骨干骨折延迟愈合的临床疗效。方法 选择符合标准的胫骨干骨折行带锁髓内钉静力锁定内固定术后骨折延迟愈合患者11例。对所有患者随机分成三组，A组3例采用接骨续筋药膏外敷[1]及十全大补汤加味内服[2]，B组4例采用行带锁髓内钉动力化治疗，C组4例采用接骨续筋药膏外敷及十全大补汤加味内服+带锁髓内钉动力化治疗。所有患者均行为期6个月的治疗，治疗结束后评估治疗效果。结果 11例患者其中C组1例患者在治疗2月后因移居国外未完成治疗，B组1例患者在治疗5周后出现髓内针断裂未按原治疗计划完成治疗，其余9例患者均完成为期6个月的治疗。A组1例治愈，2例有效；B组2例治愈，1例有效，1例髓内钉断裂；C组2例治愈，1例有效，1例未完成治疗。对断钉患者行更换髓内钉+足量自体髂骨植骨治疗，切口愈合后予接骨续筋药膏外敷及十全大补汤加味内服，更换髓内钉术后3个月予髓内钉动力化治疗，4个月后骨折愈合。对所有经6个月治疗骨折仍未痊愈但治疗有效的患者，均改为传统中医疗法+髓内钉动力化治疗，继续治疗5个月内所有患者均骨折愈合。结论 采用传统中医疗法+带锁髓内钉动力化治疗胫骨干骨折延迟愈合疗效确切且无明显不良反应，值得临床推广应用。 【关键词】中医疗法 胫骨干骨折 延迟愈合 髓内钉 动力化 [Abstract] Objective To explore the therapy of traditional Chinese medicine and interlocking intramedullary nail dynamization on tibial shaft fracture healing delayed clinical curative effect.Methods choose the standard of tibia treated with interlocking intramedullary nail static locking after internal fixation of fractures in patients with 11 cases of delayed healing of fractures.All patients were randomly divided into three groups，A 3 cases were treated by Jieguxujin ointment topical [1] and Shiquandabu Decoction oral administration of [2]，B group with 4 cases treated with dynamic intramedullary nails，C group of 4 cases using Jieguxujin ointment topical Shiquandabu Decoction orally and interlocking intramedullary nail dynamization therapy.Treatment of patients behavior 6 months after the end of treatment，the therapeutic effect was evaluated.Results among the 11 patients，C group of 1 patients who emigrated in treatment in February after failing to complete treatment，B group of 1 patients in the treatment of 5 weeks after the onset of intramedullary nail fracture did not complete the treatment according to the original treatment plan，the The remaining 9 patients completed 6 month treatment.A group 1 cases were cured，2 cases were effective；2 cases in group B were cured，1 cases effective，1 cases of fracture intramedullary nail；group