[1]邢润麟,范逸哲,茆军,等.四神煎治疗踝关节闭合性骨折围手术期肿胀临床观察[J].中国中医骨伤科杂志,2022,30(12):37-40.
　XING Runlin,FAN Yizhe,MAO Jun,et al.Clinical Study on Sishen Decoction for Perioperative Swelling of Ankle Joint with Closed Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):37-40.
点击复制

四神煎治疗踝关节闭合性骨折围手术期肿胀临床观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年12期
页码:
37-40
栏目:
临床论著
出版日期:
2022-12-15

文章信息/Info

Title:
Clinical Study on Sishen Decoction for Perioperative Swelling of Ankle Joint with Closed Fracture
文章编号:
1005-0205(2022)12-0037-04
作者:
邢润麟1; 范逸哲1; 茆军1; 王培民1; 严培军1△
1南京中医药大学附属医院(南京,210029)
Author(s):
XING Runlin1; FAN Yizhe1; MAO Jun1; WANG Peimin1; YAN Peijun1△
1Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China.
关键词:
四神煎;  踝关节骨折;  围手术期;  肿胀;  疗效
Keywords:
Sishen decoction;  ankle fracture;  perioperative period;  swelling;  curative effect
分类号:
R683.42
文献标志码:
A
摘要:
目的:观察四神煎应用于改善踝关节骨折围手术期肿胀的疗效。方法:纳入2019年1月起至2021年12月接受手术治疗的闭合性踝关节骨折患者60例,根据患者对口服中药的接受度分为治疗组和对照组,各30例。对照组常规患肢抬高、消肿药物、踝泵运动等改善肿胀,治疗组在此基础上联合四神煎口服。对比观察1周内肿胀、疼痛评分及术后1周切口愈合情况、术后2周踝关节活动度。结果:治疗组在第5天和第7天的肿胀改善优于对照组,差异有统计学意义(P<0.05); 第7天疼痛改善优于对照组,差异有统计学意义(P<0.05)。术后1周切口愈合情况和术后2周踝关节活动度差异无统计学意义(P>0.05)。结论:四神煎在改善踝关节骨折患肢肿胀方面疗效明确。
Abstract:
Objective:To observe the effect of Sishen decoction on improving perioperative swelling of ankle joint fracture.Methods:60 patients with closed ankle fracture who received surgical treatment from January 2019 to December 2021 were enrolled. Patients were divided into the treatment group and the control group according to their oral Chinese medicine. The control group received routine limb elevation, detumescent drugs, ankle pump exercise to improve swelling. The treatment group was combined with Sishen decoction orally on basis of control group treatment. Swelling and pain scores within one week, wound healing one week after operation and ankle range of motion two weeks after operation were compared.Results:The swelling improvement in the treatment group was better than that in the control group on the 5th and 7th day. On day 7, the pain improvement was better than the control group. There was no significant difference between wound healing one week after operation and ankle motion two weeks after operation.Conclusion:Sishen decoction has definite effect on improving swelling of ankle joint fracture.

参考文献/References:

[1] 葛喆,张新潮,徐吉,等.踝关节骨折的流行病学特征及后Pilon骨折的疗效分析[J].中国综合临床,2018,34(4):376-380.
[2] 张弢,俞光荣,朱燕宾,等.2015至2019年河北医科大学第三医院老年踝关节骨折的流行病学特征分析[J].中华老年骨科与康复电子杂志,2021,7(1):4-8.
[3] 储霞,苗芙,谢海娟.我国踝关节损伤康复的研究进展[J].循证护理,2022,8(6):767-769.
[4] 武继伟,马雷,王晖,等.踝关节创伤性关节炎的发病机制及治疗进展[J].河北医科大学学报,2015,36(5):608-612.
[5] 蒲萍,代震宇.踝关节骨折非手术及手术治疗研究进展[J].现代医药卫生,2019,35(14):2142-2144.
[6] 李良生,林山,陈连,等.踝关节骨折Lauge-Hansen分型的研究进展[J].中国骨科临床与基础研究杂志,2021,13(S1):53-59.
[7] 王飞,周崇斌,梁伟,等.切开复位内固定治疗踝关节骨折术后感染的相关因素分析及检测[J].中国中医骨伤科杂志,2019,27(7):41-44.
[8] 梁羽,何荣富,刘绍江,等.复杂踝关节骨折复位不佳的原因及预防策略[J].中国中医骨伤科杂志,2020,28(4):20-23.
[9] 金合.《验方新编》四神煎临床应用进展[J].中国中医药信息杂志,2013,20(5):110-112.
[10] 艾小双,童中胜.《验方新编》四神煎的古方新用[J].中医药临床杂志,2016,28(11):1558-1560.
[11] TOMIAK M,CZUBAK J.Prognostic value of Lauge-Hansen and Danis-Weber classification in nonoperative and operative tibia ankle fracture treatment[J].Chir Narzadow Ruchu Ortop Pol,2007,72(6):404-407.
[12] KRATZIG L.Outpatient care of operative ankle fracture[J].Unfallchirurg,2012,115(2):184.
[13] SPEK R,SMEEING D,VAN DEN HEUVEL L,et al.Complications after surgical treatment of geriatric ankle fractures[J].J Foot Ankle Surg,2021,60(4):712-717.
[14] RICHARDSON N G,SWIGGETT S J,PASTERNACK J B,et al.Comparison study of patient demographics and risk factors for surgical site infections following open reduction and internal fixation for lateral malleolar ankle fractures within the medicare population[J].Foot Ankle Surg,2021,27(8):879-883.
[15] HELMERHORST G T,LINDENHOVIUS A L,VRAHAS M,et al.Satisfaction with pain relief after operative treatment of an ankle fracture[J].Injury,2012,43(11):1958-1961.
[16] SUN R,LI M,WANG X,et al.Surgical site infection following open reduction and internal fixation of a closed ankle fractures:a retrospective multicenter cohort study[J].Int J Surg,2017,48:86-91.
[17] 雷爽,徐红霞.改良型加压冰敷袋对成人踝关节骨折术前患肢肿胀及疼痛程度的影响[J].实用医院临床杂志,2022,19(2):29-32.
[18] 于中华,刘丽,周宇,等.芒硝和冰片冰敷应用于闭合性踝关节骨折肿痛的效果观察[J].当代医学,2021,27(30):47-49.
[19] 左世国,庹绍彬,向昱阳.中药治疗踝关节骨折围手术期肿胀的研究进展[J].内蒙古中医药,2021,40(12):138-140.
[20] 陈西平,张小丹,胡鹏.四神煎超大剂量用药原因探讨[J].山东中医杂志,2010,29(6):413-414.
[21] 蒋健.四神煎方药探析及治疗膝关节肿痛的临床体会[J].上海中医药杂志,2014,48(1):63-66.
[22] 吴寅,王璐.奚九一运用四神煎治疗老年退行性膝关节病经验[J].中医药临床杂志,2013,25(4):302-303.
[23] 丁立功,周杰,刘丰林.四神煎加味治疗膝关节滑膜炎128例[J].中医研究,2012,25(6):51-52.
[24] 王轩,郑允彬,王秀明,等.四神煎联合四妙散加减治疗湿注关节型膝骨关节炎性滑膜炎的临床研究[J].中华中医药杂志,2021,36(5):3045-3048.
[25] 考希良,李嘉庆,李赛,等.四神煎对佐剂性关节炎大鼠细胞因子的影响[J].中华中医药学刊,2008(4):777-779.
[26] 金合,李彦文,李志强,等.四神煎影响膝骨性关节炎生物标志物的临床文献分析[J].世界科学技术-中医药现代化,2013,15(3):563-568.
[27] 马俊福,朱跃兰,侯秀娟,等.不同剂量四神煎对胶原诱导性关节炎大鼠炎性细胞因子及肝肾功能的影响[J].中华中医药杂志,2015,30(8):2949-2954.
[28] 刘菲.四神煎加减治疗膝关节镜术后患膝肿痛的临床疗效[J].临床合理用药杂志,2018,11(6):81-82.
[29] 白晶,陈黎明,郭盛君,等.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(1):59-61.
[30] 邹来勇,涂国卿,朱玉辉,等.基于三期辨证用药理论研究桃红四物汤促进骨折愈合的影响[J].中国中医药现代远程教育,2020,18(19):115-118.

备注/Memo

备注/Memo:
基金项目:江苏省中医院高峰学术人才培养项目(y2021rc39) 江苏省中医药领军人才项目(SLJ0207) 江苏省中医院高峰学术人才培养项目(y2021rc02) △通信作者 E-mail:yanpeijun36@163.com
更新日期/Last Update: 2022-12-10