身痛逐瘀汤联合手术治疗肱骨近端骨折的临床效果

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摘要目的探讨身痛逐瘀汤联合手术治疗肱骨近端骨折的临床效果。方法选取2017年1月～2018年3月在我院骨科治疗的86例肱骨近端骨折患者作为研究对象，按是否使用身痛逐瘀汤治疗分为对照组和观察组，每组各43例。对照组采用肱骨近端解剖锁定钢板手术，观察组采用身痛逐瘀汤联合肱骨近端解剖锁定钢板手术。比较两组的肩关节功能优良率、各项恢复指标、并发症总发生率；分析观察组的手术前后X线及三维CT图像。结果观察组的肩关节功能优良率为95.35%，高于对照组的79.07%，差异有统计学意义（P＜0.05）；观察组的肿胀消退时间、住院时间、骨痂出现时间及骨折愈合时间均短于对照组，差异有统计学意义（P＜0.05）；观察组的并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论身痛逐瘀汤联合手术治疗肱骨近端骨折能提高患者的肩关节功能优良率，缩短患者的肿胀消退时间、住院时间、骨痂出现时间及骨折愈合时间，降低患者的并发症发生率，值得临床推广应用。

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	袁胜超
	林馥纯
	叶仲森

关键词 ：肱骨近端骨折, 解剖锁定钢板, 身痛逐瘀汤, 临床疗效

Abstract：Objective To investigate the clinical effect of Shentong Zhuyu Decoction combined with surgery in the treatment of proximal humerus fracture.Methods A total of 86 patients with proximal humerus fractures who were treated in our hospital orthopaedics department from January 2017 to March 2018 were selected as the research subjects, they were divided into control group and observation group according to whether the Shentong Zhuyu Decoction was used, with 43 cases in each group.The control group was treated with the proximal humerus anatomic locking plate surgery, the observation group was treated with the Shentong Zhuyu Decoction combined with the proximal humerus anatomic locking plate surgery.The excellent rate of shoulder function, various recovery indexes, and the total incidence of complications were compared between the two groups; the X-ray and 3D CT images of the observation group before and after surgery were analyzed.Results The excellent and good rate of shoulder joint function in the observation group was 95.35%, higher than 79.07% in the control group, the difference was statistically significant (P＜0.05).The swelling resolution time, hospitalization time, epiphyseal appearance time and fracture healing time in the observation group were shorter than those in the control group, the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P＜0.05).Conclusion Treatment of proximal humeral fractures with Shentong Zhuyu Decoction can improve the excellent rate of shoulder joint function, shorten the swelling subsidence time, hospitalization time, epiphyseal appearance time and fracture healing time, and reduce the incidence of complications.Clinical application.

Key words： Proximal humeral fracture Anatomic locking plate Shentong Zhuyu Decoction Clinical efficacy

作者简介: 袁胜超（1984-），男，广东东莞人，硕士，主治中医师，研究方向：骨科疾病的诊治

引用本文:

袁胜超；林馥纯；叶仲森. 身痛逐瘀汤联合手术治疗肱骨近端骨折的临床效果[J]. 中国当代医药, 2020, 27(8): 151-154.
YUAN Sheng-chao； LIN Fu-chun； YE Zhong-sen. Clinical effect of Shentong Zhuyu Decoction combined with surgery in the treatment of proximal humerus fracture. 中国当代医药, 2020, 27(8): 151-154.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I8/151

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