浅谈行气活血散瘀法对骨伤科比和骨折早期不良症状的应用影响

浅谈行气活血散瘀法对骨伤科比和骨折早期不良症状的应用影响 本文关键词：活血，浅谈，骨折，科比，症状

浅谈行气活血散瘀法对骨伤科比和骨折早期不良症状的应用影响 本文简介：摘要：目的：观察行气活血散瘀法对骨伤科闭合骨折早期急性发热及疼痛的影响。方法：选取2016年8月至2017年9月在本院骨伤科住院治疗的闭合骨折合并体温升高患者60例，中医辨证为发热血瘀证。将患者随机分为治疗组和对照组，每组30例。所有患者均给予物理降温，治疗组另给予行气活血散瘀法治疗，对照组另给予布

浅谈行气活血散瘀法对骨伤科比和骨折早期不良症状的应用影响 本文内容：

摘要：目的：观察行气活血散瘀法对骨伤科闭合骨折早期急性发热及疼痛的影响。方法：选取2016年8月至2017年9月在本院骨伤科住院治疗的闭合骨折合并体温升高患者60例，中医辨证为发热血瘀证。将患者随机分为治疗组和对照组，每组30例。所有患者均给予物理降温，治疗组另给予行气活血散瘀法治疗，对照组另给予布洛芬缓释片口服治疗，观察两组患者治疗前后体温及疼痛评分变化情况。结果：两组短期退热疗效比较，治疗组愈显率70.0%,对照组愈显率53.3%,治疗组优于对照组（P<0.05），差异有统计学意义；两组总体退热疗效比较，治疗组显效率76.67%,对照组显效率36.66%,治疗组优于对照组（P<0.05），差异有统计学意义；治疗组停止治疗后疼痛评分优于对照组，差异有统计学意义（P<0.05）。结论：行气活血散瘀法治疗骨伤科闭合骨折早期发热及疼痛效果明确，停止治疗后无反弹，远期效果满意。
　　
　　关键词：行气活血散瘀法； 闭合骨折； 早期发热； 疼痛；
　　

　　The Influence of Method of Regulating Qi and Activating Blood Circulation and Dispersing Stasis on Early Fever and Pain of Closed Fracture in Orthopedics Department

　　
　　Abstract:Objective:To observe the influence of method of regulating qi and activating blood circulation and dispersing stasis on early fever and pain of closed fracture in orthopedics department. Methods:Sixty cases of closed fracture in the department of orthopedics in our hospital from August 2016 to September 2017 combined with temperature rise（ blood stasis fever） were chosen.The TCM syndrome was syndrome of blood stasis and fever. The patients were randomly pided into the treatment group and the control group,with 30 cases in each group. All patients were given physical cooling,the treatment group was additionally treated with method of regulating qi and activating blood circulation and dispersing stasis,and the control group was given Ibuprofen Sustained Release Tablets for oral treatment. The changes of body temperature and pain score before and after the treatment were observed in the two groups. Results:In terms of the short-term curative effect of the two groups,the healing rate of the treatment group was 70%,and that of the control group was 53. 3%,the treatment group was better than the control group（ P < 0. 05），the difference was statistically significant. In terms of the longt-term curative effect of the two groups,the healing rate of the treatment group was 76. 67%,and that of the control group was 36. 66%,the treatment group was better than the control group（ P <0. 05），the difference was statistically significant. After stopping treatment,the pain score in the treatment group was better than that in the control group（ P < 0. 05），and the difference was statistically significant（ P < 0. 05）。 Conclusion:The method of regulating qi and activating blood circulation and dispersing stasis has a remarkable clinical curative effect on early fever and pain of closed fracture in orthopedics department. There was no rebound after stopping treatment,and the long-term effect was satisfactory.
　　
　　Keyword:method of regulating qi and activating blood circulation and dispersing stasis; closed fracture; early fever; pain;

　　
　　骨伤科闭合骨折患者伤后多出现体温升高及患肢疼痛肿胀，多数患者发热及疼痛因血瘀气滞所致，不通则痛，气滞血瘀酝而发热，患者体温37.0~38.5℃。患者骨折处疼痛剧烈，彻夜难眠，增加患者心理及生理负担。多数患者实验室检查未见白细胞升高，患者闭合骨折，皮肤无开放性伤口，无明确使用抗菌素指标。临床多使用口服消炎镇痛药物配合物理降温法降温，虽可使体温下降、疼痛缓解，但效果短暂，患者发热及疼痛反复。中医药治疗骨伤科发热及疼痛有独特优势，笔者运用行气活血散瘀法治疗骨伤科闭合骨折早期急性发热及疼痛取得较好临床效果，停药后体温及疼痛无反弹、远期效果良好，现报道如下。
　　
　　1、材料与方法
　　
　　1.1 一般资料
　　
　　选取2016年8月至2017年9月在本院骨伤科住院治疗的闭合骨折合并体温升高患者60例，诊断标准参照《中药新药临床指导原则》[1]中“外伤性骨折的诊断标准”制定，中医辨证为发热血瘀证。将患者随机分为治疗组和对照组，每组30例。治疗组中，男17例，女13例；年龄21~64（46.8±3.1）岁；肋骨骨折11例，锁骨骨折8例，胸椎骨折3例，足跟骨骨折8例。对照组中，男15例，女15例；年龄20~61（43.4±4.5）岁；肋骨骨折9例，锁骨骨折10例，腰椎骨折4例，足跟骨骨折7例。患者多在受伤后1~3 d出现发热，体温37.0~38.5℃。两组患者一般资料比较，差异无统计学意义（P>0.05），具有可比性。
　　
　　1.2 病例纳入标准 …… 此处隐藏：1785字，全部文档内容请下载后查看。喜欢就下载吧 ……