桃红四物汤对髌骨骨折患者术后康复的影响

白金; 徐沛沛; 翟玲玲; 李宝纪

doi:10.13422/j.cnki.syfjx.2017090169

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桃红四物汤对髌骨骨折患者术后康复的影响

临床 | 更新时间：2024-01-04

- 桃红四物汤对髌骨骨折患者术后康复的影响
- Clinical Effect of Taohong Siwu Tang on Postoperative Rehabilitation in Patient with Patellar Fracture
- 中国实验方剂学杂志 2017年23卷第9期页码：169-173
- 作者机构：
- 作者简介：
- 基金信息：
  
  河南省科技攻关项目（201303039）;河南省高等学校重点科研项目（17A320053）
- DOI：10.13422/j.cnki.syfjx.2017090169
  中图分类号： R274.9
- 纸质出版日期：2017
- 稿件说明：
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白金, 徐沛沛, 翟玲玲, 等. 桃红四物汤对髌骨骨折患者术后康复的影响[J]. 中国实验方剂学杂志, 2017,23(9):169-173.

BAI Jin, XU Pei-pei, ZHAI Ling-ling, et al. Clinical Effect of Taohong Siwu Tang on Postoperative Rehabilitation in Patient with Patellar Fracture[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(9): 169-173.
白金, 徐沛沛, 翟玲玲, 等. 桃红四物汤对髌骨骨折患者术后康复的影响[J]. 中国实验方剂学杂志, 2017,23(9):169-173. DOI： 10.13422/j.cnki.syfjx.2017090169.

BAI Jin, XU Pei-pei, ZHAI Ling-ling, et al. Clinical Effect of Taohong Siwu Tang on Postoperative Rehabilitation in Patient with Patellar Fracture[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(9): 169-173. DOI： 10.13422/j.cnki.syfjx.2017090169.

摘要

目的：研究桃红四物汤对髌骨骨折患者术后康复的影响，并探讨其作用机制。方法：回顾分析2014年1月—2015年1月在郑州中心医院诊治的114例髌骨骨折患者，随机为对照组和治疗组，每组57例。两组患者均给予手术治疗。对照组患者术后给予常规康复训练，治疗组患者在术后第1天开始服用桃红四物汤，连续服用20个疗程（1个疗程7 d），比较两组患者康复效果。结果：治疗后与对照组比较，治疗组患者术后第3，7，10天疼痛度评分、膝关节肿胀评分指数、压痛指数明显降低（P<0.05）；术后治疗组患者第4，6，8周膝关节功能HSS评分明显升高（P<0.05）；术后20周随访，治疗组患者临床治疗有效率为98.24%，明显高于对照组患者的85.96%（P<0.05）；术后20周随访两组患者骨代谢指标骨钙素（BGP），碱性磷酸酶（ALP），骨吸收指标尿钙（U-Ca2+）明显改善，治疗组患者BGP，ALP明显高于对照组（P<0.05）；术后20周治疗组患者U-Ca2+明显低于对照组（P<0.05）；术后20周随访治疗组1例患者关节活动障碍，对照组3例患者关节活动障碍，差异无统计学意义。结论：桃红四物汤可以促进髌骨骨折术后康复，并且可以止痛、消肿，促进膝关节功能的恢复，尤其是对骨折早期的功能恢复具有明显的疗效。

Abstract

Objective: To study the effect of Taohong Siwu Tang on postoperative rehabilitation in patient with patellar fracture and its mechanism of action. Method: A total of 114 cases of patellar fracture treated at our hospital from January 2014 to January 2015 were reviewed. All of the patients were randomly divided into control group and treatment group

with 57 cases in each group. Patients in both groups received surgical treatment and conventional rehabilitation training. In addition

Taohong Siwu Tang was given to treatment group since the first day after operation

which lasted for 20 courses (7 days for a course). The rehabilitation effect of two groups was compared. Result: Pain scores

knee joint swelling index score and tenderness index of the treatment group were significantly lower than that in control group at 3

7 and 10 days after treatment (P<0.05). Moreover

knee function HSS score of the treatment group at 4

6 and 8 weeks after treatment increased significantly compared with the control group

with statistically significant differences. At the 20th week after the operation

the clinical efficacy rate in treatment group was 98.24%

which was significantly higher than that in control group (85.96%

P<0.05). In addition

bone metabolism indexes

namely bone gla protein (BGP)

alkaline phosphatase (ALP)

bone absorption index of urinary calcium (U-Ca2+) improved significantly. And BGP and ALP were higher in treatment group than that of control group (P<0.05); while U-Ca2+ were decreased in treatment group when compared with control group

with statistically significant differences (P<0.05). One case in treatment group suffered from joint activity disorder

and 3 cases in control group suffered from joint activity disorder

with no statistically significant difference. Conclusion: Taohong Siwu Tang can promote rehabilitation of patellar fracture after the operation

reduce pains and swelling

and promote functional recovery of knee joint. Especially

it has a significant effect on early-stage function recovery during after fracture.

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