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活血止痛散熏洗联合切开复位克氏针张力带内固定治疗髌骨骨折临床研究
引用本文:张雪,李越,马海波,高琼,李海涛.活血止痛散熏洗联合切开复位克氏针张力带内固定治疗髌骨骨折临床研究[J].河南中医,2022,42(2):271-275.
作者姓名:张雪  李越  马海波  高琼  李海涛
作者单位:日照市中医医院,山东日照276800
基金项目:日照市科技研发项目(KJYF2019340);济宁医学院教师科研扶持基金项目(JYFC2019FKJ104)。
摘    要:目的:观察活血止痛散熏洗联合切开复位克氏针张力带内固定治疗髌骨骨折的临床疗效.方法:将164例髌骨骨折患者按照随机数字表法分为观察组和对照组,每组各82例.对照组给予切开复位克氏针张力带内固定治疗,观察组在对照组治疗的基础上予以活血止痛散熏洗治疗.比较两组患者的临床疗效、肿胀程度评分、膝关节活动度评分及治疗前后视觉模拟...

关 键 词:髌骨骨折  活血止痛散  切开复位克氏针张力带内固定  熏洗疗法

Clinical Study on Blood-Activating and Pain-Relieving Powder Fumigation-Washing Therapy Combined with Open Reduction and Kirschner Wire Tension Band Internal Fixation in the Treatment of Patellar Fracture
ZHANG Xue,LI Yue,MA Hai-bo,GAO Qiong,LI Hai-tao.Clinical Study on Blood-Activating and Pain-Relieving Powder Fumigation-Washing Therapy Combined with Open Reduction and Kirschner Wire Tension Band Internal Fixation in the Treatment of Patellar Fracture[J].Henan Traditional Chinese Medicine,2022,42(2):271-275.
Authors:ZHANG Xue  LI Yue  MA Hai-bo  GAO Qiong  LI Hai-tao
Institution:(Ri Zhao Hospital of Traditional Chinese Medicine,Rizhao,Shangdong,China,276800)
Abstract:Objective:To observe the clinical curative effect of Blood-Activating and Pain-Relieving Powder fumigation-washing therapy combined with open reduction and Kirschner wire tension band internal fixation on patellar fracture.Methods:A total of 164 patients with patellar fracture were randomly divided into the observation group and the control group,with 82 cases in each group.The control group was treated with open reduction and Kirschner wire tension band internal fixation,and the observation group was additionally treated with Blood-Activating and Pain-Relieving Powder fumigation-washing on the basis of the treatment of the control group.The clinical efficacy,swelling degree score,knee motion score,visual analog scale(VAS)score and knee function score before and after treatment were compared between the two groups.Results:The excellent rate was 96.34%in the observation group and 74.39%in the control group.There was significant difference between the two groups(P<0.05).The VAS score of the two groups after treatment was lower than that of the same group before treatment,and the index of the observation group after treatment was lower than that of the control group,and the difference was statistically significant(P<0.05).The proportion of swelling degree score of 4 and 3 in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The knee joint activity(knee extension and knee flexion)in the control group was significantly lower than that in the observation group,and the difference was statistically significant(P<0.05).After treatment,the knee function score of the two groups was higher than that of the same group before treatment,and the index of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Blood-Activating and Pain-Relieving Powder fumigation-washing therapy combined with open reduction and Kirschner wire tension band internal fixation in the treatment of patellar fracture can reduce the degree of knee pain and swelling and promote the recovery of knee function.
Keywords:patellar fracture  Blood-Activating and Pain-Relieving Powder  open reduction and Kirschner wire tension band internal fixation  fumigation-washing therapy
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