[1]方浡灏,许超,何滨,等.电针治疗胫腓骨骨折术后肿胀20例临床观察[J].甘肃中医药大学学报,2018,35(05):81-84.[doi:10.16841/j.issn1003-8450.2018.05.19]
 FANG Bohao,XU Chao,HE Bin,et al.Clinical observation on 20 cases of postoperative swelling of tibiofibular fracture treated by electro acupuncture[J].Journal of Gansu University of Chinese Medicine,2018,35(05):81-84.[doi:10.16841/j.issn1003-8450.2018.05.19]
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电针治疗胫腓骨骨折术后肿胀20例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年05期
页码:
81-84
栏目:
针灸推拿
出版日期:
2018-10-25

文章信息/Info

Title:
Clinical observation on 20 cases of postoperative swelling of tibiofibular fracture treated by electro acupuncture
作者:
方浡灏1 许超2 何滨2 赵胜科2 姜献1 周红云1 范鑫1 张文凯1
1. 浙江中医药大学第二临床医学院, 浙江 杭州 310053;
2. 浙江省新华医院骨科, 浙江 杭州 310005
Author(s):
FANG Bohao1 XU Chao2 HE Bin2 ZHAO Shengke2 JIANG Xian1 ZHOU Hongyun1 FAN Xin1 ZHANG Wenkai1
1. The Second Clinical Medicine School of Zhejiang University of Chinese Medicine, Hangzhou, Zhejiang, 310053, China;(;
2. Orthopedics Department, Zhejiang Xinhua Hospital, Hangzhou, Zhejiang, 310005, China
关键词:
胫腓骨骨折术后肿胀电针足三里三阴交临床观察
Keywords:
tibiofibular fracturepostoperative swellingelectro acupunctureZusanli(ST36)Saninjiao(SP6)clinical observation
分类号:
R246.1
DOI:
10.16841/j.issn1003-8450.2018.05.19
摘要:
目的 观察电针治疗胫腓骨骨折术后肿胀的临床疗效。方法 将40例胫腓骨骨折患者采用随机数字表法分为治疗组和对照组,各20例。对照组采用静脉滴注七叶皂苷钠治疗,治疗组在对照组治疗方法的基础上联合电针足三里、三阴交穴治疗。治疗7 d后比较2组治疗前后的各项临床指标[包括患肢周径、肿胀率、血浆黏度、红细胞沉降率(ESR)、凝血酶原时间]及临床疗效。结果 治疗后2组的患肢周径、肿胀率、血浆黏度、ESR均明显降低,与同组治疗前比较差异均有统计学意义(P<0.05或P<0.01),且治疗组下降更显著,与对照组治疗后比较差异均有统计学意义(P<0.05或P<0.01);2组治疗后凝血酶原时间均升高,但差异无统计学意义(P>0.05);对照组总有效率为85.0%,治疗组为95.0%,2组比较差异有统计学意义(P<0.05)。结论 电针治疗胫腓骨骨折术后肿胀临床疗效显著,且可显著改善患者各项临床指标,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of electro acupuncture in treating postoperative swelling of tibiofibular fracture.Methods Fourty cases of tibiofibular fractures were divided into 2 groups according to random number table,namely,the treatment group and the control group,20 cases in each group. The control group was treated with intravenous drip of Sodium Aescinate,while electro acupuncture at Zusanli (ST36) and Saninjiao(SP6) was added in the treatment group.The circumference of the affected limb,swelling rate,plasma viscosity ra-tio,erythrocyte sedimentation rate (ESR) and prothrombin time (PT) were compared between the two groups on the first day and the seventh day after operation,and the clinical effects were compared between the two groups on the seventh day after operation.Results After 7 days of treatment,the circumference of the affected limb,swelling rate,plasma viscosity ratio,ESR and prothrombin time in the two groups reduced significantly,there was significant difference before and after treatment in the same group(P<0.05 or P<0.01). Moreover,those of the treatment reduced more significantly,there was significant difference compared with the control group after the treatment(P<0.05 or P<0.01);there was no significant difference in prothrombin time before and after treatment in the two groups(P>0.05). The total effective rate of the control group was 85.0%,and that of the treatment group was 95.0%. The difference between the two groups was statistically significant (P<0.05).Conclusion The clinical efficacy of electro acupuncture on postoperative swelling of tibiofibular fracture is significant,and the clinical indicators are significantly improved,which is worthy of clinical promotion and application.

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相似文献/References:

[1]焦锋.Ender氏钉内固定治疗胫腓骨骨折[J].甘肃中医药大学学报,1999,(01):28.
[2]赵德义,刘保健.胫腓骨骨折不同固定方法疗效比较[J].甘肃中医药大学学报,1997,(03):58.

备注/Memo

备注/Memo:
收稿日期:2018-03-16。
基金项目:2017年浙江省大学生科技创新活动计划暨新苗人才计划(2017R410046)。
作者简介:方浡灏(1989-),男,住院医师,医学硕士。研究方向:中医药对骨创伤疾病的研究。
通信作者:许超(1975-),男,主任医师,医学博士。研究方向:中医药对骨创伤疾病的研究。E-mail:docxch@163.com
更新日期/Last Update: 1900-01-01