闭合性骨折早期应用中药熏洗、外敷的疗效观察

目的:探讨早期应用中药熏洗、外敷治疗闭合性骨折的疗效.方法:120例四肢闭合性骨折随机分为观察组和对照组各60例.两组均常规复位和固定,口服独一味胶囊,3粒/次,3次/d,疗程4周.对照组采用局部物理治疗,疗程4周,观察组采用中药熏洗(1次/d,共7d)+中药外敷(1次/d,共4周).于治疗前及治疗后7d对疼痛、压痛、瘀斑、功能障碍及肿胀进行评价,观察不良反应及并发症.结果:观察组治疗后疼痛、压痛、瘀斑、功能障碍及肿胀评分均低于对照组(P＜0.01)；观察组总有效率(100％)优于对照组(88.3％)(P＜0.05)；观察组出现张力性水泡少于对照组(P＜0.05).结论:早期应用中药熏洗、外敷治疗闭合性骨折,能明显改善早期疼痛、肿胀及功能障碍,并能提高临床疗效,减少并发症.

Efficacy Observation on Herbal Fumigation and Topical Application for Treatment of Early Closed Fracture

Objective:To observe the efficacy of herbal fumigation and topical on the early closed fracture. Method: One hundred and twenty subjects were randomly divided into observation group and control group(n=60 each). Both groups were carried out conventional reset and set and were given lamiophlomis rotata capsule, 3 capsules tid for 4 weeks. Control group was given local physical therapy, and observation group were given herbal fumigation, 3 times one day, for 7 days, and herbal topicals, 1 time daily, for 4 weeks. Pain, tenderness, ecchymosis, dysfunction and swelling were evaluated before and after treatment for 7 days, and adverse reactions and complications were observed. Result: The scores of pain, tenderness, ecchymosis, dysfunction and swelling in the observation group were lower than those in control group (P<0.01). The total effective rate of observation group (100%) was superior to that in the control group (88.3%) (P<0.05). The occurrence rate of tension vesicle in the observation group was less than that in control group (P<0.05). Conclusion: The application of herbal fumigation and topicals for the treatment of early closed fracture can significantly improve early pain, dysfunction and swelling, and it can enhance clinical effects and reduce complications