新伤续断汤加减治疗四肢骨折后急性疼痛肿胀的疗效及有效率分析

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• Title:新伤续断汤加减治疗四肢骨折后急性疼痛肿胀的疗效及有效率分析

• 卷期:2024年22卷2期

• 作者:王玥

• 南昌市洪都中医院骨伤科，江西南昌，330000

• Author(s):Wang Yue

• Department of Orthopedics, Nanchang Hongdu Hospital of Traditional Chinese Medicine 330000

• 关键词四肢骨折；急性疼痛肿胀；视觉疼痛模拟评分；肿胀程度

• Keywords:Limb fracture; Acute pain and swelling; Visual pain analog score; The degree of swelling

• 摘要:目的 探讨新伤续断汤加减治疗对四肢骨折后急性疼痛肿胀患者的临床治疗效果。方法 使用数表法将我院2019年5月至2021年5月期间收治的66例四肢骨折后急性疼痛肿胀患者分为对照组和观察组，每组患者的例数均为33例，对照组患者采用常规的西医治疗，观察组患者则在对照组的基础上增加新伤续断汤加减治疗，比较两组患者的临床治疗总有效率、治疗前后的视觉疼痛模拟评分（VAS）和肿胀程度。结果 观察组患者的临床治疗总有效率为96.97%，明显高于对照组的78.79%（P＜0.05）；治疗后，与对照组患者相比，观察组患者的VAS评分和肿胀程度均明显更低（P＜0.05）。结论 新伤续断汤加减治疗不仅能明显提高四肢骨折后急性疼痛肿胀患者的疗效，还能减轻患者的疼痛程度和肿胀程度，值得临床进一步推广。                                                                                                                                                                                

• Abstract: To investigate the clinical effect of xinshangxuduan Decoction on acute pain and swelling after limb fracture. Methods using indicator method will be from May 2019 to May 2021 treated 66 cases with limbs fracture after acute pain swelling patients were divided into control group and observation group, patients in each group of cases are 33 cases, control group were treated by routine western medicine treatment, the observation group of patients in the control group on the basis of to increase the new radix dipsaci tonga subtraction treatment, The total clinical response rate, visual analogue scale (VAS) and swelling degree before and after treatment were compared between 2 groups. Results The total effective rate in observation group was 96.97%, significantly higher than 78.79% in control group (P < 0.05). After treatment, VAS score and swelling degree in observation group were significantly lower than those in control group (P < 0.05). Conclusion The treatment of Xinshangxuduan Decoction can not only improve the curative effect of acute pain and swelling after limb fracture, but also reduce the degree of pain and swelling of patients, which is worthy of further clinical promotion.

  四肢骨折是骨科中较为常见的疾病之一，近年来，随着我国交通行业和建筑行业的不断发展，四肢骨折的发病率也呈逐渐上升的趋势。四肢骨折患者容易出现肢体活动受限、肿胀、疼痛等不良情况，若患者未能及时得到有效治疗，则会诱发急性疼痛肿胀，不仅会降低患者的生活质量，还会影响患者的康复效果。目前西医上并未研究出针对四肢骨折后急性疼痛肿胀患者的特效药，大多通过按摩、热敷、抗炎等方式缓解患者的临床症状，但部分患者在采用常规西医治疗的过程中，因见效慢容易出现焦虑、抑郁等负面情绪，其配合度和依从性相对较低，进而影响了最终的治疗效果。