黄劼　陈文宇　郁慧杰　曹伟中　许俊　徐龙生

[摘要] 目的 探討中西医结合治疗急性骨创伤后疼痛的临床疗效。 方法 回顾性分析2014年10月～2016年10月在我院治疗的84例急性骨创伤后疼痛患者的临床资料，将其随机分为两组。治疗组42例，应用中西医结合治疗；对照组42例，应用西医治疗。比较两组患者的疼痛、睡眠、康复、治疗满意度及治疗前、治疗3 d后的VAS评分。 结果 治疗组的轻度疼痛例数22例，PSQI<8分17例，均多于对照组，差异具有统计学意义（P<0.05）；治疗组重度疼痛例数为7例，PSQI>15分5例，均少于对照组，差异具有统计学意义（P<0.05）；治疗组的康复总优良率为92.86%，治疗3 d后的VAS评分为（2.78±0.42）分，治疗总满意度为95.24%，均优于对照组，差异具有统计学意义（P<0.05）。 结论 中西医结合治疗急性骨创伤后疼痛的临床疗效显著，值得临床推广。

[关键词] 中西医结合；骨创伤；疼痛；睡眠；满意度

[中图分类号] R68 [文献标识码] A [文章编号] 1673-9701（2017）13-0022-04

[Abstract] Objective To explore and analyze the clinical efficacy of integrated Chinese and Western medicine in the treatment of pain after acute bone trauma. Methods Clinical data of 84 patients with pain after acute bone trauma who were treated in our hospital from October 2014 to October 2016 were retrospectively analyzed. They were randomly assigned to two groups. 42 patients in the treatment group were given the integrated Chinese and Western medicine treatment； 42 patients in the control group were given Western medicine for treatment， pain， sleep， recovery and satisfaction with treatment， as well as the VAS scores before the treatment and 3 d after the treatment were compared between the two groups. Results There were 22 cases with mild pain and 17 cases with PSQI<8 in the treatment group， which were all more than those in the control group， and the differences were statistically significant（P<0.05）； there were 7 cases with severe pain and 5 cases with PSQI>15 in the treatment group， which were all less than those in the control group， and the differences were statistically significant（P<0.05）； the overall excellent and good rate of recovery was 92.86%， VAS score 3 d after the treatment was（2.78±0.42）， and the overall satisfaction rate with the treatment was 95.24% in the treatment group， which were all better than those in the control group， and the differences were statistically significant（P<0.05）. Conclusion The clinical efficacy of integrated Chinese and West

骨创伤是指骨质在病理或外伤等因素的作用下发生病变的一种疾病，高发部位为肋骨、盆骨、尺桡骨、股骨等。患者的症状包括局限性压痛、疼痛、肿胀、出现瘀斑、肢体功能障碍等，其中最主要、最常见的症状为骨创伤后疼痛。疼痛会降低患者的治疗依从性，影响预后，虽可于围手术期应用止痛泵止痛，但镇痛药应用剂量过大则可引起镇静依赖，严重影响患者生理功能的恢复[1]。本研究对2014年10月～2016年10月我院治疗的42例急性骨创伤后疼痛患者应用中西医结合治疗，现报道如下。

1 资料与方法

1.1 一般资料

选择2014年10月～2016年10月我院治疗的84例急性骨创伤后疼痛患者，均在外伤后出现肿胀、局部疼痛等症状，并经CT、X线等影像学检查证实为急性骨创伤；排除合并骨质疏松、精神疾病、神经系统疾病、长期应用镇痛药物、酗酒、未成年人、糖尿病者。将其随机分为两组。治疗组42例，男26例，女16例；……