[1]白晶 陈黎明△ 郭盛君 李晓亮 董士宇 许根荣 赵万宁 赵继阳 王骁汉.桃红四物汤+五苓散口服治疗踝关节骨折术后肿胀25例[J].中国中医骨伤科杂志,2021,29(01):59-61.
　BAI Jing CHEN Liming GUO Shengjun LI Xiaoliang DONG ShiyuXU Genrong ZHAO Wanning ZHAO Jiyang WANG Xiaohan.Clinical Report of Taohong Siwu Decoction and Wuling Powder for theTreatment of 25 Postoperative Swelling Cases of Ankle Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(01):59-61.
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桃红四物汤+五苓散口服治疗踝关节骨折术后肿胀25例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年01期
页码:
59-61
栏目:
临床报道
出版日期:
2021-01-15

文章信息/Info

Title:
Clinical Report of Taohong Siwu Decoction and Wuling Powder for theTreatment of 25 Postoperative Swelling Cases of Ankle Fracture
文章编号:
1005-0205(2021)01-0059-03
作者:
白晶1 陈黎明1△ 郭盛君1 李晓亮1 董士宇1 许根荣1 赵万宁1 赵继阳1 王骁汉1
Author(s):
BAI Jing1 CHEN Liming1△ GUO Shengjun1 LI Xiaoliang1 DONG Shiyu1XU Genrong1 ZHAO Wanning1 ZHAO Jiyang1 WANG Xiaohan1
1The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing100029,China.
关键词:
桃红四物汤;  五苓散;  踝关节骨折;  肿胀
Keywords:
Taohong Siwu decoction;  Wuling powder;  ankle fracture;  swelling
分类号:
R683.42
文献标志码:
B
摘要:
目的:观察桃红四物汤+五苓散口服治疗踝关节骨折术后肿胀的临床疗效。方法:回顾性分析2018年1月至2019年1月采用桃红四物汤+五苓散口服治疗25例踝关节骨折术后患者病例资料,男13 例,女12例; 年龄28～65岁,平均(46.0±3.5)岁。全部行切开复位内固定术,术后第1～7天口服桃红四物汤+五苓散,观察术后第1,3,5,7天患肢的肿胀程度及疼痛减轻程度,并评定临床疗效。结果:肿胀值术后第1,3,5,7天分别为(4.89±1.09)cm,(3.82±0.64)cm,(2.93±0.42)cm,(1.65±0.46)cm,治疗前后差异有统计学意义(P<0.05),说明患肢的肿胀程度明显减轻。疼痛视觉模拟评分(VAS):术后第1,3,5,7天分别为7.80±0.84,5.41±0.83,3.68±0.54,1.45±0.73,治疗前后差异有统计学意义(P<0.05),说明患肢的疼痛程度明显减轻。临床疗效:显效18例,有效3例,无效4例,总有效率为84.00%。结论:桃红四物汤+五苓散口服能够减轻踝关节骨折术后肿胀及疼痛,有利于早期康复,值得推广应用。
Abstract:
To observe the clinical efficacy of Taohong Siwu decoction and Wuling powder on postoperative swelling of ankle fracture.Methods:Retrospective analysis was performed from January 2018 to January 2019.25 postoperative patients with ankle fracture were treated by oral administration of Taohong Siwu decoction plus Wuling powder in author’s hospital.There were 13 males and 12 females,aged 28-65 years old with(46.0±3.5)years old on average.All patients underwent open reduction and internal fixation.Oral administration of Taohong Siwu decoction and Wuling powder was adopted from the first day after the operation for one week.The swelling degree and pain relief degree of the affected limb were observed at the 1st,3rd,5th and 7th day after the operation.Results:Swelling values were(4.89±1.09)cm,(3.82±0.64)cm,(2.93±0.42)cm and(1.65±0.46)cm at the 1st,3rd,5th and 7th day after the operation.Statistically significant differences were found before and after treatment(P< 0.05),which indicated that the degree of swelling of the affected limb was obviously reduced.VAS were(7.80±0.84),(5.41±0.83),(3.68±0.54)and(1.45±0.73)respectively at the 1st,3rd,5th and 7th day after the operation.Statistically significant differences were found before and after treatment(P< 0.05),which indicated that the pain degree of the affected limb was obviously reduced.18 cases were markedly improved,3 cases improved,4 cases had no effect,the total effective rate was 84.00%.Conclusion:Taohong Siwu decoction plus Wuling powder by oral administration can effectively reduce postoperative swelling and pain of ankle fracture,which is conducive to early recovery and is worthy of promotion.

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备注/Memo

备注/Memo:
1北京中医药大学第三附属医院(北京,100029 )
△通信作者 E-mail:13810123829@126.com
更新日期/Last Update: 2021-01-15