| 朱鸿飞,王敖明,刘志浩,等.石氏夹板、石膏托联合固定配合中药治疗胫腓骨双骨折[J].浙江中医药大学学报,2022,46(10):1141-1144. |
| 石氏夹板、石膏托联合固定配合中药治疗胫腓骨双骨折 |
| Treatment of SHI‘s Splint-plaster External Fixation Combined with Traditional Chinese Medicine for Fracture of Tibia and Fibula |
| DOI：10.16466/j.issn1005-5509.2022.10.016 |
| 中文关键词: 胫腓骨双骨折 夹板固定 石膏固定 手法整复 三期辨治 中药内服 |
| 英文关键词: fracture of tibia and fibula splint fixation plaster external fixation manipulative reduction three stages of treatment herbal oral administration |
| 基金项目:上海市浦东新区卫生计生科研项目(PW2020A-38) |
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| 中文摘要: |
| [目的] 观察石氏夹板、石膏托联合固定加中药治疗胫腓骨双骨折的临床疗效。 [方法] 对48例胫腓骨双骨折患者采用石氏夹板、石膏托联合固定，按照石氏伤科骨折三期辨证论治特点内服中药，并配合早期功能锻炼，观察治疗前后疼痛评分、踝关节功能评分变化，治疗结束后评价综合疗效。[结果] 疼痛视觉模拟量表(visual analogue scale，VAS)评分，治疗前(6.75±0.98)分，治疗后(1.96±0.68)分。Olerud-Molander关节功能评分，治疗前(23.33±5.68)分，治疗后(70.52±8.07)分。48例患者中优37例、良9例、中2例、差0例，优良率95.8%；治愈36例，好转12例，未愈0例，有效率100.0%。 [结论] 石氏夹板、石膏托联合固定配合中药可以有效治疗胫腓骨双骨折。 |
| 英文摘要: |
| [Objective] To observe the clinical effect of SHI‘s splint-plaster external fixation combined with traditional Chinese medicine(TCM) for fracture of tibia and fibula. [Methods] Forty-eight patients with fracture of tibia and fibula were treated with manipulative reduction， SHI‘s splint-plaster external fixation， herbal oral administration according to the characteristics of three-stage syndrome differentiation and treatment of SHI‘s traumatology， and early functional exercises. Pain score， ankle function score and comprehensive efficacy were observed. [Results] Visual analogue scale(VAS) score was (6.75±0.98) before treatment and (1.96±0.68) after treatment; Olerud-Molander functional score was (23.33±5.68) before treatment and (70.52±8.07) after treatment. According to the Johner-Wruh joint function evaluation criteria， 37 cases were excellent， 9 cases were good， 2 was medium and no case was poor， with an excellent and good rate of 95.8%. According to the diagnostic and therapeutic criteria of TCM diseases， 36 cases were cured， 12 cases were improved and no case was not cured， with an effective rate of 100.0%. [Conclusion] Manipulative reduction and SHI‘s splint-plaster external fixation combined with TCM for fracture of tibia and fibula can obtain satisfactory effects. |
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