肖飞兰

[關键词] 骨折早期肢体肿胀;中药贴敷;桃红四物汤加减疗法;治疗效果;血流动力学

[中图分类号] R28;R68          [文献标识码] B          [文章编号] 1673-9701（2021）17-0132-04

Effect of traditional Chinese medicine plaster combined with Taohong Siwu Decoction addition and subtraction in treatment of limb swelling in early stage fracture

XIAO Feilan

The Second Department of Orthopedics， Pingxiang Traditional Chinese Medicine Hospital in Jiangxi Province， Pingxiang   337000， China

[Abstract] Objective To explore the effect of traditional Chinese medicine plaster combined with Taohong Siwu Decoction addition and subtraction in the treatment of limb swelling in early stage fracture. Methods Ninety patients with limb swelling in early stage fracture admitted to our hospital from July 2017 to June 2020 were selected and divided into the observation group and the control group by random number table method， with 45 patients in each group. The control group were given mannitol intravenous drip treatment， and the observation group were given traditional Chinese medicine plaster combined with Taohong Siwu Decoction addition and subtraction. The hemodynamic indicators （high whole blood viscosity，low whole blood viscosity and plasma viscosity） and visual analogue scale/score （VAS） before treatment and 7 days after treatment，and the total effective rates and swelling time were compared between the two groups. Results Before treatment， there were no significant differences in high whole blood viscosity， low whole blood viscosity and plasma viscosity between the two groups （P>0.05）. After treatment， the high whole blood viscosity， low whole blood viscosity and plasma viscosity in the treatment group were lower than those in the control group， with significant difference （P<0.05）. The total treatment effective rate in the observation group was 95.56%， which was higher than that of 77.78% in the control group， with significant difference （P<0.05）. After treatment， the VAS score in the observation group was （2.06±0.13） points， which was lower than that of （3.72±1.27） points in the control group， with significant difference （P<0.05）. After treatment， the swelling time in the observation group was （5.24±1.18） d， which was shorter than that of （7.95±1.82）d in the control groups， with significant difference（P<0.05）. Conclusion Traditional Chinese medicine plaster combined with Taohong Siwu Decoction addition and subtraction reduces limb swelling feelings， relieves limb pain， improves limb hemodynamics， and effectively lessens limb swelling in the treatment of limb swelling in early stage fracture. It is worthy of promotion in clinical treatment.

[Key words] Limb swelling in early stage fracture; Traditional Chinese medicine plaster; Taohong Siwu Decoction addition and subtraction; Treatment effect; Hemodynamics

早期肢体肿胀是机体发生骨折后常有的症状，其主要表现为局部肿痛及肢体功能障碍，治疗不及时将会使肢体肿胀加重，致使肢体难再恢复，给日常生活带来诸多不便[1]。以往临床治疗主要以西医干预为主，其利用甘露醇脱水的方法一定程度上能够改善患者的症状，但其作为脱水剂，长期或大量使用会损伤患者的肾脏功能，疗效不佳。有关临床研究表明[2]，利用中医的方法治疗肢体肿胀，能够有效调节患者的气血，加强肢体血液循环。中药贴敷是以中药为原料制成的药膏，具有活血的作用，桃红四物汤加减法同样由中药材组合熬制而成，有化瘀养血、通经活络的功效。本研究主要对我院2017年7月至2020年6月收治的90例骨折早期肢体肿胀患者进行分组治疗，探讨中药贴敷联合桃红四物汤加减疗法在骨折早期肢体肿胀治疗中的效果，现报道如下。

1资料与方法

1.1一般资料

本研究以2017年7月至2020年6月我院收治的90例骨折早期肢体肿胀患者作为观察对象，通过随机数字表法将其分成观察组和对照组，每组各45例。对照组给予甘露醇静脉滴注治疗，观察组予以中药贴敷联合桃红四物汤加减疗法。纳入标准：①经X线片检查，满足临床对骨折的诊断标准[3];②于骨折后6 h内住院治疗，体格检查骨折处肢体肿起、变形、存在压痛感者;③经多普勒超声检查无深静脉血栓形成、淋巴造影检查无淋巴水肿者;④患者与其家属自愿签署知情同意书。排……